Discovery

Boston Children's Hospital picks up USD 3.9m NIH grant to target endometriosis pain via lipid receptors

Boston Children's Hospital picks up USD 3.9m NIH grant to target endometriosis pain via lipid receptors

Boston Children's Hospital has received a USD 3.9 million NIH R01 grant to identify specialized pro-resolving lipid mediator (SPM) receptors as druggable targets for endometriosis-associated pain — a condition that current therapies fail to adequately control in many patients and that contributes to opioid dependence and overdose risk.

The award, funded primarily by the National Institute of Neurological Disorders and Stroke (NINDS) and administered by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), supports preclinical work by principal investigator Michael Sean Rogers. The research builds on the team's prior finding that docosahexaenoic acid (DHA), eicosapentaenoic acid (EPA), and several SPMs derived from those omega-3 fatty acids rapidly eliminate pain and reduce lesion size in a validated mouse model of endometriosis.

SPMs are endogenous lipids that resolve inflammation. The research program aims to identify which SPMs are most active in vivo, map those molecules to their cognate G-protein coupled receptors (GPCRs) using the PRESTO-Tango near-complete human non-olfactory GPCR library, and determine which cell types express those receptors through single-cell RNA sequencing of both human endometriotic lesions and the mouse model. Identifying a tractable GPCR target would enable conventional high-throughput screening for small-molecule agonists that replicate SPM activity without the pharmacokinetic liabilities.

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Endometriosis affects approximately 10% of women of childbearing age and accounts for half of chronic pelvic pain cases. NSAIDs, hormonal therapies, and surgery remain the standard of care, but durable relief is not achieved in a substantial minority of patients. The opioid use dimension adds policy weight: endometriosis is an established driver of chronic opioid prescribing, dependence, and overdose in women, making non-opioid analgesic development a public health priority beyond the disease itself.

In the GPCR drug discovery space, the SPM receptor field remains early-stage relative to more established pain targets. Lipoxin and resolvin receptors such as ALX/FPR2 have attracted preclinical interest, but no SPM-derived or SPM-receptor-targeting agent has reached clinical development for endometriosis. The Boston Children's Hospital program's use of comprehensive GPCR library screening alongside disease-relevant transcriptomic data from human tissue represents a systematic attempt to close that gap.


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