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GENE:

ACVR1 (Activin A Receptor Type 1)

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Other names: ACVR1, Activin A Receptor Type 1, SKR1, Serine/Threonine-Protein Kinase Receptor R1, TGF-B Superfamily Receptor Type I, Activin Receptor-Like Kinase 2, Activin A Receptor, Type I, Activin Receptor Type-1, Activin Receptor Type I, ACVRLK2, ACVR1A, ALK2, Activin A Receptor Type II-Like Kinase, Hydroxyalkyl-Protein Kinase, ACTR-I, ACTRI, ACVR1, ALK-2, TSR-I, TSRI, FOP
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Progressive ossification in an adolescent with fibrodysplasia ossificans progressiva. (PubMed, BMJ Case Rep)
A biopsy was avoided due to the risk of disease exacerbation, and the diagnosis was made on clinical grounds.As no definitive cure exists, management was supportive with non-steroidal anti-inflammatory drugs for pain, nutritional supplementation and avoidance of surgery. Awareness and early recognition are crucial, while emerging therapies, such as palovarotene and gene-targeted approaches, hold promise for the future.
Journal
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ACVR1 (Activin A Receptor Type 1)
2ms
Effects of miR-128-3p on Renal Inflammation in a Rat Periodontitis Model. (PubMed, Dent J (Basel))
The potential target genes of activin A receptor type I (Acvr1), ribosomal protein S6 kinase B1 (Rps6kb1), and transforming growth factor beta receptor type 1 (Tgfbr1) were significantly lower in the kidneys of the LPS group. EVs-derived miR-128-3p in LPS induced periodontitis may cause kidney inflammation which may be mediated by, Rps6kb1, Tgfbr1, and Acvr1.
Preclinical • Journal
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TNFA (Tumor Necrosis Factor-Alpha) • ACVR1 (Activin A Receptor Type 1) • RPS6KB1 (Ribosomal Protein S6 Kinase B1) • RPS6 (Ribosomal Protein S6) • CX3CL1 (C-X3-C Motif Chemokine Ligand 1) • MIR128 (MicroRNA 128) • TGFBR1 (Transforming Growth Factor Beta Receptor 1)
3ms
Theoretical-Experimental Analysis to Elucidate the Mechanism of Action of Novel Anabolic Agents. (PubMed, Molecules)
Taken together, experimental and computational evidence supports a dual-mechanistic model in which 4d promotes muscle proliferation and regeneration by (1) activating the MasR-PI3K/AKT/mTOR axis and (2) inhibiting the ACVR1/2A-SMAD pathway, counteracting the action of myostatin. These findings position compound 4d as a promising therapeutic candidate against muscle wasting disorders, including cancer-related cachexia, by inducing a robust and multifactorial anabolic response.
Journal
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TNFA (Tumor Necrosis Factor-Alpha) • ACVR1 (Activin A Receptor Type 1) • SMAD2 (SMAD Family Member 2)
3ms
Pro-tumor Macrophage Polarization Mediated by BMP2/4-ACVR1 Signaling Orchestrates an Immunosuppressive Microenvironment During Tumor Initiation. (PubMed, Cancer Res)
Furthermore, EGFR-mutant LUAD patients exhibited similar cTME characteristics as observed in mice, and high expression of ACVR1 correlated with worse patient prognosis. Overall, in addition to elucidating the role of pro-tumor macrophages in cTME formation, this study pinpoints targeting ACVR1 as a therapeutic strategy for treating EGFR-mutant lung cancers.
Journal • IO biomarker
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EGFR (Epidermal growth factor receptor) • ACVR1 (Activin A Receptor Type 1) • BMP2 (Bone Morphogenetic Protein 2)
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EGFR mutation
4ms
Trial primary completion date
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ACVR1 (Activin A Receptor Type 1)
5ms
Population Pharmacokinetics and Exposure-Response Analyses of Momelotinib, Its Active Metabolite (M21), and Total Active Moiety in Myelofibrosis. (PubMed, Clin Pharmacol Ther)
Greater TAM exposure was significantly associated with lower odds of grade 3/4 anemia and higher odds of any-grade peripheral neuropathy, although the latter was infrequently observed in phase III trials. There was no significant relationship with grade ≥ 3 thrombocytopenia or any-grade diarrhea.
PK/PD data • Journal
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JAK2 (Janus kinase 2) • ACVR1 (Activin A Receptor Type 1) • CYP3A4 (Cytochrome P450, family 3, subfamily A, polypeptide 4)
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Ojjaara (momelotinib)
5ms
Discovery of actionable drug targets to enhance T-cell infiltration and immune checkpoint blockade efficacy in pleural mesothelioma. (PubMed, Lung Cancer)
This comprehensive transcriptomic characterization of T-cell exclusion in PM reveals that targeting cilium-based Hedgehog signaling, in addition to multiple other actionable drug targets, could enhance the efficacy of ICB treatment in PM.
Journal • Checkpoint inhibition • PD(L)-1 Biomarker • IO biomarker
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HER-2 (Human epidermal growth factor receptor 2) • SMO (Smoothened Frizzled Class Receptor) • ACVR1 (Activin A Receptor Type 1) • RPS6KB1 (Ribosomal Protein S6 Kinase B1) • CMTM4 (CKLF Like MARVEL Transmembrane Domain Containing 4) • KDM5B (Lysine Demethylase 5B) • SOX4 (SRY-Box Transcription Factor 4) • BMPR1B (Bone Morphogenetic Protein Receptor Type 1B)
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Opdivo (nivolumab) • Yervoy (ipilimumab)
5ms
Ethnicity-Specific Molecular Alterations in MAPK and JAK/STAT Pathways in Early-Onset Colorectal Cancer. (PubMed, medRxiv)
Survival analysis highlighted the prognostic relevance of pathway-specific disruptions. These insights emphasize the importance of precision medicine approaches that consider genetic heterogeneity and pathway-specific alterations to improve outcomes for H/L CRC patients.
Journal
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BRAF (B-raf proto-oncogene) • MAP2K1 (Mitogen-activated protein kinase kinase 1) • NF1 (Neurofibromin 1) • AKT1 (V-akt murine thymoma viral oncogene homolog 1) • PDGFRB (Platelet Derived Growth Factor Receptor Beta) • ACVR1 (Activin A Receptor Type 1) • MAPK3 (Mitogen-Activated Protein Kinase 3)
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BRAF mutation
5ms
Efficacy of Momelotinib in Myelofibrosis Patients: Results From a Multicenter Study. (PubMed, Eur J Haematol)
The safety profile was similar to that reported in clinical trials, with most toxicities of grade I-II. In conclusion, our real-life results support the use of momelotinib as an effective and safe therapeutic option for heavily pre-treated, cytopenic MF patients in real-world clinical practice.
Clinical • Journal
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ACVR1 (Activin A Receptor Type 1)
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Ojjaara (momelotinib)
6ms
Efficacy and Safety of Momelotinib in Myelofibrosis: A Systematic Review and Meta-Analysis With a Focus on Anemia Outcomes. (PubMed, J Hematol)
Nearly 50% of PMF patients experience anemia (hemoglobin (Hb) < 10 g/dL), often worsened by JAK inhibitors like ruxolitinib and fedratinib. However, heterogeneity in control groups limited direct efficacy comparisons. Larger studies are needed to confirm its effectiveness and safety.
Retrospective data • Journal
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JAK1 (Janus Kinase 1) • ACVR1 (Activin A Receptor Type 1) • CALR (Calreticulin) • MPL (MPL Proto-Oncogene, Thrombopoietin Receptor)
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Jakafi (ruxolitinib) • Inrebic (fedratinib) • Ojjaara (momelotinib)
7ms
Inhibition of ACVR1 in Cancer-Associated Fibroblasts Suppresses Colorectal Cancer Cell Growth. (PubMed, Ann Surg Oncol)
ACVR1 is a promising therapeutic target that inhibits CAF proliferation. High BMP7 and ACVR1 expression is a significant prognostic factor in stage II CRC.
Journal
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ACVR1 (Activin A Receptor Type 1)