Towards Identifying Pharmacodynamic Blood Biomarkers of MAP3K12 Inhibition

Abstract: Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease characterized by progressive degeneration of upper and lower motor neurons in the brain and spinal cord, for which there is no cure. Activation of the stress-induced c-Jun N-terminal kinase (JNK) signaling pathway, a critical mediator of neuronal apoptosis and axon degeneration, is evident in ALS and is therefore considered a potential target to prevent neurodegeneration. Pharmacological inhibition of an upstream activator of the JNK pathway, the mitogen-activated protein kinase kinase kinase (MAP3K12), has demonstrated neuroprotection in vitro as well as suppression of pathway activation in vivo. These observations, along with the largely neuronal-specific expression of MAP3K12, makes inhibition of this kinase a promising therapeutic target for ALS. Furthermore, a pharmacodynamic (PD) blood biomarker would be beneficial to help assess efficacy of MAP3K12 inhibition. A crucial step to interpreting the PD effects of MAP3K12 inhibition using blood biomarkers is to acquire evidence of MAP3K12 protein expression in blood, which was the aim of this study. First, we found Map3k12 transcript levels to be highly reduced in blood from Map3k12 conditional knockout (cKO) mice, demonstrating that these are excellent negative controls for studying MAP3K12 expression in blood. Next, three antibodies were identified that recognized mouse and human MAP3K12. Utilizing these antibodies, an intracellular flow cytometry method was developed that successfully detected MAP3K12 protein in human peripheral blood mononuclear cells (PBMCs). Collectively, our data provide evidence of MAP3K12 expression in human blood and thus pave the way for identifying PD blood biomarkers of MAP3K12 inhibition.