Target intelligence / Profile preview

Activin A receptor type 1 (ACVR1 (also known as ALK2))

Target
ACVR1 (also known as ALK2)
Molecular classification
Receptor, Enzyme, Serine/threonine protein kinase, Type I receptor of the TGF-β (transforming growth factor-beta) superfamily, Bone morphogenetic protein (BMP) type I receptor
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Overview

Activin A receptor type 1 (ACVR1), also known as activin receptor-like kinase-2 (ALK2), is a type I serine/threonine protein kinase receptor in the TGF-β superfamily, with a central role in transducing signals from bone morphogenetic proteins (BMPs) and activins[7][9]. It is a single-pass transmembrane receptor with an extracellular ligand-binding domain and an intracellular kinase domain. Ligand binding induces complex formation with type II receptors, activating its kinase domain through phosphorylation of a regulatory GS domain. The receptor is essential for normal bone and tissue development; pathogenic gain-of-function mutations (notably R206H) cause fibrodysplasia ossificans progressiva (FOP), a disorder of progressive soft tissue ossification[7][5][9]. ACVR1/ALK2 is an important target in developmental biology, oncology, and rare disease therapeutics, and several small molecule kinase inhibitors have been developed for modulating its function in disease contexts[5][7].

Other names
Activin receptor-like kinase-2ALK2ACVR1Activin A receptor, type IActivin receptor type IActRIA
02

Mechanism of action

Drugs targeting ACVR1 typically work through competitive inhibition of the ATP-binding site of the kinase domain, leading to stabilization of the inactive state of the receptor kinase. This action blocks receptor-mediated SMAD phosphorylation and downstream transcription, thereby disrupting ligand (BMP/activin) induced signaling through ALK2/ACVR1.

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Biological functions

Signal transductionCell differentiationOsteogenic (bone-forming) signalingRegulation of cell growthEmbryonic developmentRegulation of cell proliferation and apoptosis
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Disease associations

Fibrodysplasia ossificans progressiva (FOP)Diffuse intrinsic pontine glioma (DIPG, pediatric brain tumor)Diffuse idiopathic skeletal hyperostosis (DISH)Primary focal hyperhidrosisCongenital heart defectsCancer (notably via aberrant TGF-β/BMP pathway signaling)
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Safety considerations

Off-target kinase inhibition leading to potential developmental, cardiovascular, or bone defectsRisk of impaired physiological BMP signaling required for normal bone and tissue homeostasisGenetic gain-of-function mutations associated with severe, untreatable progression (e.g. in FOP)On-target toxicities possible due to the pathway’s role in embryogenesis and adult tissue maintenance
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Interacting drugs

Dorsomorphin (first-in-class inhibitor, not clinically used)

4 more in the full profile.

07

Biomarkers

Phosphorylated SMAD1/5/8 (downstream targets of BMP/ALK2 signaling)Genetic mutations in ACVR1 (notably R206H in FOP, others in DIPG)Circulating/inducible BMP ligands in some contexts

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