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Journal of Pharmacology And Experimental Therapeutics Fast Forward
First published on November 25, 2002; DOI: 10.1124/jpet.102.045286


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Vol. 304, Issue 3, 1016-1024, March 2003


Small Molecule Antagonists of Complement Receptor Type 3 Block Adhesion and Adhesion-Dependent Oxidative Burst in Human Polymorphonuclear Leukocytes

Vinay S. Bansal, Sanskruti Vaidya, Elizabeth P. Somers, Mansi Kanuga, Diane Shevell, Renee Weikel and Patricia A. Detmers

Department of Pharmacology, Merck & Co., Rahway, New Jersey

    Abstract
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

The leukocyte integrin complement receptor type 3 (CR3, Mac-1, CD11b/CD18) is the predominant beta 2 integrin receptor of polymorphonuclear leukocytes (PMNs). This cell surface receptor plays a central role in innate immunity against pathogens as well as being a major cellular effector of inflammation and tissue injury. Two small molecules, compounds 1 and 2, have been identified, that interact with CR3 and prevent CR3 from binding to its natural ligand, C3bi. Compounds 1 and 2 have IC50 values of 0.14 and 0.33 µM, respectively, for the inhibition of binding of monomeric C3bi-alkaline phosphatase to immobilized CR3. Both compounds also inhibit binding of CR3 to biotinylated sheep red blood cells opsonized with C3bi, with IC50 values in the micromolar range. Inhibition of ligand binding by the compounds is not easily reversed and requires light, suggesting the formation of a covalent adduct through photoactivation. Compounds 1 and 2 also inhibit adhesion of human PMNs to fibrinogen in response to tumor necrosis factor (TNF) or PMA, with IC50 values of 2.5 to >10 µM. They block the adhesion-dependent production of H2O2 stimulated by TNF or phorbol 12-myristate 13-acetate (PMA) with IC50 values of 0.2 to 0.8 µM and 1 to 3 µM, respectively. Limited structure-activity relationship studies based on compound 2 indicate the importance of the two benzothiazole rings, an ethyl side chain, and the length of the carbon chain linking the rings. Further modification of these groups may help in making compounds appropriate for in vivo studies.

    Introduction
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

Polymorphonuclear leukocytes (PMNs) represent an important constituent of the innate immune system. Under normal circumstances, they circulate in the vasculature in a quiescent state. However, in response to inflammatory stimuli, they adhere, transmigrate across the vascular endothelium, and enter areas of tissue inflammation where they participate not only in the destruction and removal of pathogens but also amplify the process of inflammation (Kishimoto et al., 1999). Migration of PMNs and phagocytosis of bacteria are tightly controlled, and adhesion receptors present on the cell surface of PMNs are crucial for initiating these responses. Upon activation of PMNs in response to stimuli such as TNF, the adhesion receptors, members of the integrin superfamily, are activated, and additional receptors present in intracellular granules translocate to the cell surface (Carlos and Harlan, 1994). The interaction of integrins with ligands present on vascular endothelial cells, stromal cells, and bacteria promotes adhesion and its sequelae.

The major adhesion-promoting receptor present on the cell surface of activated PMNs is complement receptor type 3 (CR3), also called Mac-1, CD11b/CD18, or alpha Mbeta 2 (Kishimoto et al., 1999). CR3 is a heterodimer belonging to the beta 2 integrin subfamily. The two subunits, alpha M (Mr 165,000) and beta 2 (Mr 95,000), are held together by noncovalent interactions. Studies have been done on the structure and functions of beta 2 integrins and have been reviewed extensively (Harris et al., 2000; Shimaoka et al., 2002). Both alpha  and beta  subunits, are transmembrane glycoproteins with long extracellular domains, short membrane spanning domains, and cytoplasmic tails. The extracellular portion of alpha  and beta  subunits contain I- and I-like domains, respectively, near the N terminus that play an important role in ligand binding. The cytoplasmic tails contain sequences critical for inside-out signaling and cytoskeleton association (Shimaoka et al., 2002).

Ligand binding by CR3 is divalent cation-dependent. CR3 recognizes many different protein and nonprotein ligands, such as extracellular matrix proteins, blood coagulation proteins, intracellular adhesion molecules, the complement pathway product C3bi, and others (Zhang, 1999). Overlapping but nonidentical ligand binding pockets for distinct ligands have been identified by mutagenesis studies of alpha M and beta 2 (Zhang and Plow, 1996).

All leukocytes are an integral component of the host defense system, but in some disease states their actions may instead be deleterious to the host. Leukocyte activation may cause tissue damage by inducing the release of reactive oxygen intermediates (ROIs) and other radicals, proteases, and arachidonic acid metabolites. PMNs from CR3 knockout mice demonstrate reduced spreading, phagocytosis, and oxygen radical generation and show an unanticipated defect in PMNs apoptosis (Coxon et al., 1996). CR3 deficiency abrogates sustained Fcgamma receptor-dependent neutrophil adhesion and complement-dependent proteinuria in acute glomerulonephritis (Tang et al., 1997). These mice are less susceptible to cerebral ischemia/reperfusion injury and show decreased neointimal formation after balloon injury of the carotid artery (Soriano et al., 1999; Simon et al., 2000). Therefore, agents that block leukocyte recruitment into sites of inflammation have the potential to treat PMN-mediated inflammation in a variety of inflammatory diseases.

Antiadhesion therapies using antibodies, peptides, and peptidomimetic inhibitors against adhesion receptors or combination therapies directed against both adhesion receptors and their ligands are beneficial in a variety of animal models and disease processes (Jaeschke et al., 1993; Cornejo et al., 1997; Curley et al., 1999). A number of humanized antibodies against adhesion receptors are in phase I and II clinical trials, but the potential long-term risk of complications due to these antibodies will also have to be considered. A class of small organic molecules called leumidins with activity in a number of animal models of inflammation has also been described (Burch et al., 1992). They apparently block the process of inflammation by inhibiting the recruitment of leukocytes into tissue. Although the exact mechanism of action of leumedins is unknown, they do inhibit the up-regulation of CR3 expression on PMNs. We now report the discovery and characterization of two low-molecular-weight compounds 2-[4-(3,4-dihydro-2H-quinolin-1-yl)-buta-1,3-dienyl]-1-ethyl-naphtho[1,2-d]thiazol-1-ium; chloride (compound 1) and 1-ethyl-2-/3-/1-ethylbenzothiazolin-2-ylidiene/propenyl/-thiazolium; iodide (compound 2) that prevent CR3 binding to C3bi and also block the adhesion of human PMNs to fibrinogen and the adhesion-mediated production of ROIs.

    Materials and Methods
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

Reagents and Antibodies. Calf intestinal alkaline phosphatase (AP), N-succinimidyl 3-(2-pyridithio) propionate, Tween 20, Super Block, Slide-A-Lyser dialysis cassettes, biotinyl-3-maleimidopropionamidyl-3-6-dioxaoctanediamine, 2-(4'-hydroxyazobenzene)-benzoic acid (avidin-HABA) reagent, and (N-hydroxysulfosuccinimide)-biotin (Sulfo-NHS) were all purchased from Pierce Chemical (Rockford, IL). Iodoacetamide, n-octyl beta -D-glucopyranoside, Sepharose CL-4B-200-activated thiol-Sepharose, cyanogen bromide-activated Sepharose, diethylenetriaminepentaacetic acid, diisopropyl fluorophosphate, and n-octyl beta -D-glucopyranoside, C5-deficient human serum and bovine serum albumin were from Sigma-Aldrich (St. Louis, MO). Dulbecco's phosphate-buffered saline (PBS) with and without Ca2+ and Mg2+, was from Invitrogen (Carlsbad, CA). Attophos was from Promega (Madison, WI). Enhancement solution was bought from PerkinElmer Wallac (Gaithersburg, MD). Ficoll was from Amersham Biosciences Inc. (Piscataway, NJ). All protease inhibitors were from Calbiochem (San Diego, CA). SDS gels, molecular weight markers, and silver staining kit were from Novex (San Diego, CA). Sheep red blood cells (SRBCs) were from BioWhittaker (Walkersville, MD).

Monoclonal antibody (mAb) IB4 (anti-CD18; Wright et al., 1983) was provided by Dr. Irwin Singer (Merck Research Labs, Rahway, NJ). mAb 44a (anti-CD11b; Dana et al., 1986), anti-CR3 antibodies, and 2LPM19c were from DAKO (Carpinteria, CA); mAb 44 was from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA); and polyclonal anti-human CR3 Ab (Detmers et al., 1995) was used as described. Anti-human LFA-1 mAb 38 was from Ancell Corp. (Bayport, MN). 19S Ab against SRBCs was from Cappel (West Chester, PA).

Bulk Isolation of PMNs for Protein Purification. Large quantities of PMNs for protein purification were isolated at ambient temperature from leukocyte-enriched Polypacs. Red cells were removed by sedimentation for 1 h after the addition of an equal volume of freshly prepared 6% dextran (T-500) in 0.9% saline to the blood fraction. The leukocyte-enriched supernatant was centrifuged at 500g for 10 min. The cell pellets were resuspended in 50 ml of phosphate-buffered saline containing Ca2+ and Mg2+ (PBS++), and 25 ml was layered onto 15 ml of Ficoll. The buffy coat overlaying the red cell layer was isolated, and contaminating red cells were removed by three rounds of hypotonic lysis with distilled water. PMNs were suspended in PBS++, and the cell number was determined by counting in a hemocytometer. Cells were treated with 5 nM diisopropyl fluorophosphate for 5 min, pelleted, snap frozen in liquid nitrogen, and stored at -80°C.

Purification of CR3. CR3 was purified from isolated human PMNs by affinity chromatography using IB4 mAb as described previously, with modifications (Cai and Wright, 1995). PMNs (4-9 × 1010) were homogenized in 150 ml of freshly prepared lysis buffer (100 mM Tris, pH 8.0; 150 mM NaCl; 2 mM MgCl2; 1% Triton X-100; 0.02% NaN3; 1 µg/ml each of antipain, benzamidine, chymostatin, leupeptin, and pepstatin; and 2 mM phenylmethylsulfonyl fluoride) and lysed for 2 h at 4°C with stirring. The lysate was centrifuged at 35,000g for 30 min. The supernatant was transferred to a 250-ml conical tube containing 10 ml of Sepharose beads, complexed according to the manufacturer's instructions with IB4, and prewashed with equilibration buffer (50 mM Tris-HCl, pH 7.4, 150 mM NaCl, 2 mM MgCl2, and 0.1% Triton X-100). The contents were mixed end-over-end for 1.5 h at 4°C. The beads were removed by filtration and sequentially washed with at least 400 ml each of equilibration buffer and buffer composed of Tris-HCl, pH 7.4, 150 mM NaCl, 2 mM MgCl2, and 0.1% n-octyl beta -D-glucopyranoside. The beads were then packed tightly into a 10-ml column. CR3 was eluted with elution buffer (50 mM triethylamine, 150 mM NaCl, 2 mM MgCl2, and 1% n-octyl beta -D-glucopyranoside) and collected in 3-ml fractions into tubes containing 450 µl of 1 M Tris, pH 8. The protein was dialyzed in a Slide-A-Lyser 10 K dialysis cassette (15-ml capacity; Pierce Chemical) against 2 liters of PBS++ overnight in the cold room. The dialyzed protein was divided into 200-µl aliquots, snap frozen in liquid nitrogen, and stored at -80°C. The purity of CR3 was analyzed by SDS-polyacrylamide gel electrophoresis, using 4 to 12% Tris-glycine gels under reducing conditions that were stained with silver. Two strong bands corresponding to the alpha  and beta  chains of CR3 (CD11b and CD18, respectively) were observed at 165 and 95 kDa (Fig. 1). The identity of the alpha M chain (165-kDa band) was confirmed by Western blotting with polyclonal anti-human CR3 Ab (data not shown). PMNs contain low amounts of CD11a/CD18, but our preparations did not show a CD11a band, which was further confirmed by Western blotting using monoclonal anti-human CD11a Ab (data not shown).


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Fig. 1.   Purification of CR3 from human PMN lysates, as described under Materials and Methods. Proteins were analyzed on a 4 to 12% SDS-polyacrylamide gel electrophoresis gel under reducing conditions, and the bands were stained with a silver stain kit. Lane 1, Novex Mark 12 standards (200-55 kDa); lane 2, PMN (35,000g) supernatant; and lanes 3 and 4, purified CR3 (490 and 245 ng).

Purification of C3bi and Preparation of C3bi-Alkaline Phosphatase. C3bi was purified from fresh human serum and coupled to AP exactly as described previously (Cai and Wright, 1995). Briefly, serum was treated with 20 mM iodoacetamide for 1 h at 37°C, to block all free sulfhydryl groups. After extensive dialysis, the serum was incubated with 8 g of activated thiol-Sepharose for 2 h at 37°C, to promote activation of complement and deposition of C3bi on the Sepharose via reactivity with the internal thioester. After thorough washing with 20 mM Tris, pH 7.4, C3bi was eluted with 10 mM L-cysteine in 20 mM Tris, pH 7.4. C3bi was further purified on a Mono Q column with a gradient of NaCl. C3bi was conjugated to AP through a disulfide bridge with N-succinimidyl 3-(2-pyridithio) propionate. Conjugated and free C3bi were separated on a Mono Q column and eluted with a NaCl gradient. The column fractions were further analyzed by electrophoresis on 8 to 25% polyacrylamide native gels. The presence of a major band whose mobility was slower than purified C3bi or AP, indicated the conversion of C3bi to C3bi-AP. The RF value of this conjugated band also matched with the purified C3bi-AP, provided by Dr T.-Q. Cai (Merck Research Labs) (data not shown). The C3bi-AP fractions were pooled, and 100-µl aliquots were snap frozen in liquid nitrogen and stored at -80°C.

Biotinylation of C3bi. Human purified C3bi was biotinylated on the free sulfhydryl group of C3bi after elution from thiol-Sepharose and further purification on a Mono Q column. Then 100 µl of 10 mM biotinyl-3-maleimidopropionamidyl-3-6-dioxaoctanediamine-activated biotin was added to 2.5 mg of purified C3bi in 1 ml of 50 mM Tris-HCl, pH 7.5, and incubated overnight at ambient temperature with shaking. C3bi-biotin was purified on a Mono Q Sepharose column, as described above, and C3bi-biotin fractions were pooled. The amount of biotin in C3bi-biotin was estimated using avidin-HABA, and stoichiometric coupling between C3bi and biotin was observed. C3bi-biotin was further biotinylated by adding 0.5 mg of Sulfo-NHS to 2.5 mg of C3bi biotin in 1 ml and incubating for 30 min at 4°C. The mixture was dialyzed against 20 mM Tris-HCl, pH 7.5, 5 mM EDTA in the cold to remove excess Sulfo-NHS-biotin. The amount of biotin in C3bi-biotin was estimated, using avidin-HABA, to be 3 to 10 molecules of biotin per C3bi, depending on the preparation.

Preparation of Biotinylated EC3bi. Biotinylated EC3bi were prepared as described by Li and Arnaout (1999). SRBCs were sensitized with 10 µl of anti-SRBC Ab 19S for 30 min at 37°C and then transferred to ice for another 30 min. Sensitized SRBCs were washed twice in DHVB++ buffer (0.15 M glucose, 0.15 mM CaCl2, 0.5 mM MgCl2, 0.5% human serum albumin, 1 mM sodium barbital, and 30 mM NaCl, pH 7.4), resuspended at 109 cells/ml in DHVB++ buffer, and stored on ice at 4°C. To biotinylate the cells, 1 mg of Sulfo-NHS-biotin was added to 2 ml of sensitized SRBCs and incubated at 4°C for 30 min. Biotinylated SRBCs were washed twice in DHVB++ buffer, resuspended at 109 cells/ml in DHVB++ buffer, and stored on ice. To make biotin-EC3bi, 100 µl of C5-deficient human serum was added to 1 ml of biotinylated SRBCs at 37°C for 1 h. Opsonization was terminated by adding 1 ml of HVB-/EDTA buffer (1 × Veronal buffer, 1.88 g/l N-5,5-diethyl barbital, 2.88 g/l N-5,5-diethyl barbituric acid, pH 7.4, 0.1% human serum albumin, and 1 mM EDTA) and incubating the mixture on ice for 10 min. Biotinylated EC3bi were washed twice in DHVB++ buffer, resuspended at 108 cells/ml of DHVB++ buffer, and stored on ice at 4°C. Cells were used within 2 weeks after preparation.

Binding of C3bi-AP to Immobilized CR3. To measure the binding of C3bi-AP to purified CR3, 96-well Immulon 4HBX flat bottom microtiter plates (Dynex Technologies Inc., Chantilly, VA) were coated overnight with 50 µl/well of 25 nM CR3 diluted in PBS++. The wells were washed four times with 0.1% Tween 20 in PBS++, and nonspecific sites on the plastic were blocked for 1 h at ambient temperature with 100 µl/well of Superblock prepared in PBS++ according to the manufacturer's protocol. After an additional four washes with 0.1% Tween 20 in PBS, 25 µl of 25% Superblock was added to the wells, with or without the test reagent, and the plates were shaken on a titer plate shaker for 3 min. Then 25 µl of 10 nM C3bi-AP ligand was added per well, and the plates were shaken an additional 3 min and placed at 37°C for 60 min. The concentration of C3bi-AP was chosen from titration experiments indicating that this concentration was within the linear range for C3bi-AP binding to CR3. Unbound C3bi-AP was removed by four washes with 0.1% Tween 20 in PBS++. Then 50 µl of Attophos substrate for AP activity was added to the wells and incubated for 45 min at 37°C. The reaction was stopped by adding 3 µl of 5 M inorganic phosphate. Fluorescence was measured by CytoFluor (Series 4000; Applied Biosystems, Foster City, CA) at 450/50-nm excitation and 580/25-nm emission. CR3 immobilized in wells that did not contain C3bi-AP was used for the determination of background fluorescence. Percentage of inhibition of C3bi-AP binding to immobilized CR3 was calculated as 100 - [(fluorescence with test reagent - background fluorescence)/(fluorescence with no test reagent - background fluorescence) × 100].

Binding of Biotinylated C3bi to Immobilized CR3. An additional assay was developed to measure binding of C3bi to immobilized CR3 via a dissociation-enhanced lanthanide fluorescent immunoassay (DELFIA) method, with time resolved fluorescence. Maxisorb 96-well plates (Nalge Nunc International, Rochester, NY) were coated overnight at 4°C with 50 µl/well of 20 nM CR3 diluted in PBS++ buffer. Nonspecific sites were blocked with 200 µl/well of 2 mg/ml casein in PBS++ buffer for 1 h at ambient temperature. Wells were then washed three times with 0.01% Tween 20 and 0.01% sodium azide in PBS++. Then 25 µl of test reagent in 0.5 mg/ml casein in PBS++ was added per well, along with 25 µl of 20 nM biotinylated human-C3bi diluted in 0.5 mg/ml casein in PBS++. Plates were shaken briefly, incubated at 37°C for 1 h, and washed with 0.01% Tween 20 and 0.01% sodium azide in PBS++. Then 100 µl of streptavidin-labeled Europium in 1% bovine serum albumin, 0.05% Tween 20, 7 µg/ml diethylenetriaminepentaacetic acid in PBS++ was added to each well, and the plate was incubated for 45 min in the dark at room temperature. The plates were washed as described above, and 100 µl/well of Enhancement solution was added. After 15 min, the fluorescence was read on a Victor 2 plate reader (PerkinElmer Wallac, Boston, MA) at 340-nm excitation and 615-nm emission. Data are presented as arbitrary fluorescence units.

Binding of Biotinylated EC3bi to Immobilized CR3. To quantitate inhibition of multimeric interactions between C3bi and CR3, binding of biotinylated EC3bi to immobilized CR3 was measured using a DELFIA method. Nunc Maxisorb 96-well plates were coated overnight at 4°C with 50 µl of 25 nM purified CR3 in PBS++. The plates were blocked and washed as described above. To each well, 25 µl of test reagent in DHVB++ buffer was added along with 1.5 × 105 biotinylated EC3bi in 25 µl of DHVB++ buffer. The plates were incubated at 37°C for 30 min and then inverted to dislodge unbound EC3bi. Then 50 µl of 1% glutaraldehyde solution in PBS++ was added to each well, for 1.5 to 2 h at 37°C. After washing with 0.01% Tween 20 and 0.01% sodium azide in PBS++, 50 µl of 1% human serum albumin/PBS++ was added for 1.5 to 2 h at 37°C to quench excess glutaraldehyde. After further washing with 0.01% Tween 20 and 0.01% sodium azide in PBS++, Enhancement solution was added and fluorescence was read as for the biotinylated C3bi assay described above.

Cloning, Expression, and Purification of Human ICAM-1/Ig. Domains 1 through 5 of human ICAM-1 (GenBank no. X06990) were amplified by PCR using Raji QuickClone cDNA (BD Biosciences Clontech, Palo Alto, CA) as a template and forward (5'-taaagacctcagcctcgctatg-3') and reverse (5'-ggagagcacattcacggtcac-3') primers. At the 5' end of the forward primer, a HindIII site was placed, and at the 5' end of the reverse primer, BamHI and splice donator sites were placed. PCR was performed with Expand (Roche Diagnostics, Indianapolis, IN) in a PerkinElmer (PE 480) thermocycler by using 40 cycles with the following parameters: 90 s at 94°C, 90 s at 53°C, and 90 s at 72°C. PCR products from six separate reactions were pooled and purified using the QIA quick PCR purification kit (QIAGEN, Valencia, CA). The PCR products were digested with HindIII and BamHI, purified as described above, and ligated into a HindIII- and BamHI-digested pCDNA3.1/human Ig fusion protein construct. Clones were checked for inserts and sequenced. Sequence results revealed all clones had the same point mutation three base pairs upstream of the reverse primer. A second round of PCR was performed with the forward primer mentioned above and a new reverse primer (5'-ggagagcacattcacggtcacctcg-3') using 100 ng of DNA from the first round of PCR as the template. PCR was performed with Expand in a PE 480 thermocycler by using 10 cycles with the following parameters: 30 s at 94°C, 60 s at 58°C, and 3 min at 72°C. PCR products from six separate reactions were pooled, purified, digested, and ligated into pCDNA3.1/human Ig fusion protein construct as described above. Clones were sequenced and the correct sequence for the resulting human ICAM-1 fragment fused to human Ig was verified. The plasmid was transfected into Chinese hamster ovary cells using LipofectAMINE (Invitrogen) and grown under 0.5 mg/ml G418 (Invitrogen) selection. Culture supernatants from single cell clones were assayed by Ig enzyme-linked immunosorbent assay, and a high expressing clone was adapted to Chinese hamster ovary-serum-free media (Invitrogen) for large-scale expression. Secreted ICAM-1/Ig was purified from crude culture supernatants using protein A/G affinity chromatography and dialyzed against PBS without Ca2+ and Mg2+ (PBS-).

Preparation of Biotinylated Human ICAM-1/Ig Fusion Protein and binding to Immobilized CR3. Purified human ICAM-1/Ig (2 mg/ml) was dialyzed overnight in 50 mM sodium carbonate/bicarbonate buffer, pH 8.5. Then 0.135 ml of Sulfo-NHS-biotin (1 mg/ml) was added to 1 ml of purified human ICAM-1/Ig and incubated for 6 h at ambient temperature. Unreacted biotin was removed using Bio-Gel P30 columns (Bio-Rad, Hercules, CA). The amount of biotin in ICAM-1/Ig-biotin was estimated using avidin-HABA, and there were approximately three molecules of biotin per ICAM-1/Ig in most preparations.

Maxisorp 96-well plates were coated with 25 nM purified CR3, incubated, blocked, and washed as described in the biotinylated C3bi assay. To each well, 25 µl of test reagent was added, together with 25 µl of biotinylated human-ICAM-1/Ig (190 nM) diluted in 0.5 mg/ml casein in PBS++. The plates were shaken briefly and incubated at 37°C for 2 h, followed by washing as described above. Enhancement solution was added, and fluorescence was read as for the biotinylated C3bi assay described above.

Cell Preparation for Functional Assays. PMNs were prepared from human venous blood freshly drawn into heparinized syringes and separated on PMNs isolation medium (Cardinal Associates, Inc., Santa Fe, NM) exactly as described previously (Detmers et al., 1991). Contaminating erythrocytes were removed by hypotonic lysis. PMNs were suspended either in Dulbecco's PBS with 0.5 mg/ml human serum albumin, 0.3 U/ml aprotinin, and 3 mM glucose (HAP buffer), for adhesion assays; or Krebs-Ringer phosphate buffer with 5.5 mM glucose (KRPG buffer), for assays of superoxide production.

PMNs Adhesion Assay. Adhesion of human PMNs to fibrinogen-coated Terasaki plates (Robbins Scientific, Sunnyvale, CA) was performed exactly as described previously (Detmers et al., 1998). Briefly, PMNs were labeled with the fluorescent dye carboxyfluorescein diacetate succiminidyl ester (Molecular Probes, Eugene, OR), and 104 cells were added to each fibrinogen-coated Terasaki well. After addition of test reagents, the plates were incubated for 10 min at 37°C before addition of agonists (15 ng/ml TNF, 30 ng/ml PMA) and continued incubation at 37°C. Adhesion was quantitated by measuring the fluorescence in each well in a CytoFluor (Applied Biosystems, Foster city, CA) before and after washing. Percentage of adhesion was calculated as (fluorescence after washing/fluorescence before washing) × 100. Samples for each condition were run in triplicate, and the data are presented as the mean ± S.E.M. Experiments representative of at least two repetitions are shown.

Adhesion-Dependent Oxidative Burst Assay. The production of H2O2 by adherent PMNs was measured using the previously published assay of horseradish peroxidase (HRP) catalyzed oxidation of scopoletin (Nathan et al., 1989). Polystyrene Primaria 96-well tissue culture plates (BD Biosciences, Lincoln Park, NJ) were coated with fetal bovine serum for 30 min at 37°C. Each well was washed vigorously three times by forceful squirting of 3 ml of 0.9% NaCl, to prevent interference with scopoletin fluorescence by soluble bovine serum albumin. To each well was added 50 µl of scopoletin (39 µM in KRPG), 10 µl of HRP (0.5 U/ml), 15 µl of NaN3 (1 mM), 10 µl of test reagent or vehicle, and 3 × 104 PMNs in KRPG. The reaction was initiated by adding agonist (TNF or PMA) at the indicated concentrations, giving a final assay volume of 125 µl. The scopoletin fluorescence was measured every 10 min (360-nm excitation, 460-nm emission) in a CytoFluor fluorescence plate reader equipped with a temperature control device to maintain the plates at 37°C throughout the assay. Samples were run in quadruplicate, and the data are presented either as the mean ± S.E.M. of three experiments or as a representative experiment. The nanomoles of H2O2 produced per 30,000 PMNs were calculated as described previously (Vaidya et al., 1999). Unless otherwise stated, percentage of inhibition of H2O2 production was calculated as 100 - ((nmol of H2O2 from test reagent- and agonist-treated PMNs - nmol of H2O2 from buffer-treated PMNs)/(nmol of H2O2 from agonist-treated PMNs - nmol of H2O2 from buffer-treated PMNs) × 100), using values taken at 60 min.

Protein Determination Assay. Protein concentration was determined by the Bio-Rad protein assay (Bio-Rad), with bovine serum albumin as a standard.

    Results
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

Identification of Two Compounds that Inhibit CR3 Binding to C3bi but Not to ICAM-1. An assay measuring binding of C3bi-AP to immobilized CR3 was used to screen for small molecule antagonists of CR3. The receptor purified by affinity chromatography contained both alpha  and beta  chains (Fig. 1) and bound avidly to C3bi-AP. CR3 interacts with a variety of protein and nonprotein ligands, but monomeric C3bi was chosen as a ligand because it binds CR3 with high affinity (0.127 µM) (Cai and Wright, 1995). In the development of the assay, variation in the concentration of CR3 used to coat the wells from 6.25 to 25 nM yielded a linear signal with 10 nM of C3bi-AP. Similarly, varying C3bi-AP concentrations from 10 to 100 nM resulted in a linear signal with 25 nM of CR3. Based on these preliminary studies, 25 nM CR3 and 10 nM C3bi-AP were chosen as the standard concentrations. The assay was also linear with time up to 60 min, so a 60-min time point was chosen for convenience. As would be expected for the interaction of an integrin with its ligand, C3bi-AP binding activity to CR3 was absolutely dependent on divalent metal ions (Ca2+ and Mg2+) and was abolished by 10 mM EDTA. Binding of C3bi-AP to CR3 was completely inhibited by mAb 44a (10 µg/ml), an anti-CR3 antibody known to block ligand binding, further demonstrating the specificity of the interaction. As a result of the screen, two compounds were identified, compound 1 and compound 2 (Fig. 2), that inhibited ligand binding with IC50 values of 0.14 and 0.33 µM (Table 1), respectively, in eight-point titrations. For comparison, mAb 44a blocked binding of C3bi-AP to CR3 with an IC50 value of 0.002 µM. These compounds were shown to be pure by liquid chromatography-mass spectrometry, demonstrating a single peak at the expected molecular weights (433 for compound 1 and 492 for compound 2).


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Fig. 2.   Chemical structures of compound 1 and compound 2.


                              
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TABLE 1
IC50 values of compounds 1 and 2 and anti-CR3 mAb 44a in CR3 binding and functional assays

CR3-C3bi-AP, CR3-ICAM-1-biotin, CR3-EC3bi binding assays, PMNs adhesion assay, and PMNs oxidative burst assay were done exactly as described under Materials and Methods IC50 values are the mean ± S.E.M. from one representative experiment of at least two performed. Each compound was titrated twice using 8 points titration in CR3-C3bi-AP binding assay, 6 points titration in CR3-EC3bi binding assay, 8 points titration in CR3-dependent adhesion assay, and 3 points titration in CR3-dependent oxidative burst assay.

CR3 binds a variety of other ligands in addition to C3bi, including ICAM-1 (Zhang, 1999). An assay to measure binding of biotinylated ICAM-1 to immobilized CR3 was developed and optimized for linearity by varying the concentration of CR3 (0-100 nM) and biotinylated ICAM-1 (0-500 nM). ICAM-1-biotin binding to immobilized CR3 was done at 60 min with 50 nM of CR3 and 180 nM of ICAM-1-biotin. Binding of ICAM-1-biotin to CR3 was inhibited 70% by two anti-CR3 mAbs, 44 and 2LPM19c, used at 20 µg/ml. When compounds 1 and 2 were tested for their ability to block the binding of ICAM-1-biotin to immobilized CR3, they did not inhibit the interaction up to 5 µM (Table 1). These findings suggest that the compounds interact with a site or sites on CR3 distinct from those defined as critical for binding ICAM-1.

To define the specificity of compounds 1 and 2 for CR3, they were tested against a variety of integrins in assays of soluble ligand binding. At concentrations up to 10 µM, they did not show any inhibition of ligand binding to LFA-1, alpha Vbeta 3, alpha 4beta 1, and alpha 4beta 7 (data not shown).

Compounds 1 and 2 Inhibit Multimeric Binding between CR3 and EC3bi. These compounds were also tested for inhibition of the multimeric interaction between biotinylated EC3bi and immobilized CR3. Binding of EC3bi to CR3 was inhibited 70 and 85% by anti-CR3 mAb 44a at 10 and 50 µg/ml, respectively, whereas anti-human LFA-1 (clone 38) at a concentration up to 50 µg/ml did not show any inhibition, demonstrating that any potential contamination by LFA-1 in the CR3 preparation did not contribute to the interaction. Compounds 1 and 2 inhibited EC3bi binding to CR3 with IC50 values of 6.7 and >10 µM (Table 1), respectively, 30- to 48-fold higher than the IC50 values for inhibition of monomeric C3bi-AP binding to CR3. Both compounds were less potent in blocking EC3bi binding to CR3 than divalent mAb 44a, which had an IC50 value of 0.04 µM in this assay. Because EC3bi binding to CR3 is a multimeric event (Li and Arnaout, 1999), it is likely to be more difficult to inhibit than the binding of monomeric C3bi-AP to CR3. Therefore, higher concentrations of compound were required to block EC3bi binding to CR3, and multivalent reagents (mAb) showed an advantage.

Binding of Compounds 1 and 2 to CR3 Is Not Easily Reversed and Is Enhanced by Light. The presence of unsaturated double bonds in the carbon chain of the compounds (Fig. 2) suggested the possibility that a covalent adduct was formed with CR3. To test this possibility, the ability of compounds 1 and 2 to block C3bi-AP binding was tested after removal of the compounds from the test wells. Compounds 1 or 2 were preincubated with immobilized CR3 for 2 h at 37°C at 1 µM, 3- to 7-fold higher than their IC50 values for inhibition of C3bi-AP binding to CR3. The unbound compounds were then removed with several washes in PBS++. In parallel, 1 µM compound 1 or 2 was added to CR3-coated wells just before the addition of C3bi-AP. Whether compounds 1 and 2 were preincubated with CR3 and removed or added just before the addition of C3bi-AP, there was similar inhibition of C3bi-AP binding (Fig. 3) (86% inhibition with compound 1 and 70% with compound 2). To confirm these observations, the effect of these compounds at 1 µM was tested using a higher concentration of C3bi-AP, but the inhibition of C3bi-AP binding to CR3 was not reversed even by ligand concentration up to 0.1 µM, suggesting that these compounds are not easily displaced from CR3.


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Fig. 3.   Inhibition of CR3 activity by compound 1 or 2 is not readily reversed. Compounds were incubated at 1 µM for 2 h with immobilized CR3. The wells were left unwashed or washed extensively with PBS++. Control wells with no compounds were run in parallel in the assay for C3bi-AP binding to CR3, as described under Materials and Methods.

The possibility that compounds 1 and 2 could be photoactivated was also tested in a binding assay using immobilized CR3 and C3bi-biotin as a ligand, instead of C3bi-AP. The assay is based on a DELFIA method of detection, which is more sensitive than C3bi-AP binding to CR3. This assay was also optimized by varying the concentrations of CR3 (0-20 nM) and biotinylated C3bi (0-200 nM). Binding of C3bi-biotin to CR3 was measured at 60 min with 20 nM of CR3 and 25 nM of C3bi-biotin. When the binding assay for C3bi-biotin to CR3 was conducted in the presence of light, compounds 1 and 2 effectively inhibited the interaction with approximate IC50 values 0.19 and 0.44 µM, respectively, consistent with their activity in the C3bi-AP assay (Table 1), which is normally performed in ambient light. However, if the assay was performed in the dark, neither compound, up to 2 µM, inhibited the binding of C3bi-biotin to CR3 (Table 2). The findings suggest that these compounds form a stable adduct with CR3 in the presence of light that may lead to irreversible inhibition of the receptor.

                              
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TABLE 2
Compounds 1 and 2 require light for maximal inhibition of CR3 binding activity

The CR3-C3bi-biotin binding assay was done exactly as described under Materials and Methods. 96-well plates containing test wells for compounds 1 and 2 were either exposed to normal ambient light or wrapped with tinfoil and placed in the dark. Each compound was tested twice, and the values are the mean ± S.E.M. of the four wells for one representative experiment.

Compounds 1 and 2 Inhibit Cellular Functions that Depend upon CR3. Compounds 1 and 2 were tested for their ability to block CR3-dependent adhesion by human PMNs. Fibrinogen, a ligand for CR3 (Wright et al., 1988), was chosen as the substrate for CR3-mediated adhesion, and adhesion was measured using a previously validated assay (Detmers et al., 1998). PMNs were preincubated for 10 min at 37°C with increasing concentrations of the compounds before addition of TNF (15 ng/ml) or PMA (30 ng/ml) for 15 to 20 min at 37°C and quantitation of adhesion, as described under Materials and Methods. Compound 1 blocked PMNs adhesion to fibrinogen in response to TNF and PMA with IC50 values of 3.7 ± 0.008 and 8.6 ± 0.004 µM, respectively, in eight-point titrations. Compound 2 also blocked CR3-dependent adhesion with IC50 values of 2.5 and >10 µM with TNF and PMA, respectively (Table 1). Tests for cytotoxicity indicated that the compounds were not toxic to human PMNs up to 10 µM for 60 min (data not shown). These studies indicate that CR3-mediated multimeric binding to fibrinogen can be blocked by both compounds 1 and 2, albeit with IC50 values higher than those observed for blockade of binding monomeric C3bi-AP. For comparison, mAb 44a blocked TNF- or PMA-stimulated PMNs adhesion with IC50 values of 0.02 µM and 0.04, respectively (Table 1).

Cytokine-stimulated, adherent PMNs exhibit a massive oxidative response. This response is dependent on extracellular matrix proteins and CR3 (Nathan et al., 1989). In the oxidative burst assay, wells were coated with human serum, which offers fewer ligand binding sites for CR3, compared with fibrinogen in the PMNs-mediated adhesion assay. Therefore, compounds were tested at 1 µM for their ability to abrogate this secondary response to adhesion. PMNs were preincubated for 10 min at 37°C with compounds 1 and 2, before addition of TNF (100 ng/ml) and further incubation at 37°C. Production of H2O2 was monitored over time using HRP-catalyzed oxidation of scopoletin (Vaidya et al., 1999). Compound 1 completely blocked the adhesion-dependent oxidative burst at this concentration (Fig. 4), whereas compound 2 reduced H2O2 production by 50%. Compounds were further titrated using three-point titrations (0.3-3 µM) with either TNF (100 ng/ml) or PMA (30 ng/ml) to stimulate adhesion-dependent H2O2 production. Compound 1 had IC50 values of 0.2 and 1 µM with TNF and PMA, respectively, whereas compound 2 had IC50 values of 0.8 and 3 µM for TNF and PMA (Table 1). The high IC50 values of compounds 1 and 2 in the oxidative burst assay with PMA, an activator of protein kinase C, compared with TNF may be due to clustering of CR3, which contributes to increased efficiency of PMNs adhesion. PMA treatment of lymphocytes has been suggested similarly to cause clustering of LFA-1 (Shimaoka et al., 2002). The differences in the IC50 values for inhibition of H2O2 production, compared with inhibition of adhesion to fibrinogen, in response to TNF and PMA may be due to the different substrates used in these two assays. Serum offers fewer ligand binding sites for beta 2 integrins than does fibrinogen, and adhesion to serum would thus be easier to inhibit.


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Fig. 4.   Inhibition of the adhesion-dependent oxidative burst by compounds 1 and 2. Human PMNs were incubated in serum-coated wells for 10 min at 37°C with 1 µM compound 1 or 2 before addition of TNF (100 ng/ml) or KRPG and continued incubation at 37°C. H2O2 produced was measured at 10-min intervals, as described under Materials and Methods, with a decrease in arbitrary fluorescent units indicating production of H2O2. Each compound was tested twice, and the values are the mean of the four wells from one representative experiment. triangle , blank (no TNF); diamond , control (+TNF); , TNF + compound 1; open circle , TNF + compound 2.

Structure-Activity Relationships for Compounds Related to Compound 2. The two benzothiazole rings of compound 2 are connected through a diene linkage, and analogs with increased chain length between the rings (compounds 3 and 4) were evaluated at a single concentration (1 or 10 µM) in assays for CR3 binding to C3bi-AP, adhesion of PMNs to fibrinogen, and ROIs by adherent PMNs (Table 3). Changing from a diene to a triene linkage, in compound 3, had little effect on the efficacy of blocking C3bi-AP binding or PMNs adhesion. Compound 3, however, had reduced ability to inhibit the adhesion-dependent oxidative burst, compared with compound 2. Further increasing the chain length to a tetraene linkage, in compound 4, resulted in no blockade of C3bi-AP binding to CR3 up to 10 µM, reduced ability to inhibit PMNs adhesion, but no further reduction in inhibiting the adhesion-dependent oxidative burst. Thus, there was a decrease in inhibition with the increase in the carbon chain length between the ring structures.


                              
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TABLE 3
Structure-activity relationship for compounds related to compound 2 

CR3-C3bi-AP binding assay, PMNs adhesion assay, and PMNs oxidative burst assay were done exactly as described under Materials and Methods. Each compound was tested twice, and the values are the mean ± S.E.M. of the four wells from one representative experiment.

Maintaining the diene linkage of compound 2 but replacing one of the benzothiazole rings of compound 2 with a substituted quinoline ring, in compound 5, also resulted in a loss of inhibitory activity for the adhesion-mediated oxidative burst (Table 3), but maintained efficacy for C3bi-binding and PMNs adhesion. Removing the ethyl side arm from one of the benzothiazole rings of compound 2, as in compound 6, severely reduced the ability of this compound in inhibiting C3bi-AP binding to CR3 and rendered the compound completely inactive in the adhesion-dependent oxidative burst assay at 1 µM. Compound 6 inhibited PMNs adhesion by only 60%, less than the activities observed with compound 2 or 5 (93-100%). Thus, there are some structural specificities for the inhibition of CR3 binding activity, and it seems that the CR3-dependent adhesion-mediated oxidative burst process may be more sensitive to modifications of the original structure than is the interaction between CR3 and fibrinogen.

    Discussion
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Abstract
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Materials and Methods
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References

CR3-mediated cell adhesion plays a critical role in PMNs functions such as host defense and cell trafficking. The severity of illness in leukocyte adhesion deficiency patients, who fail to express CR3 and other beta 2 integrins, emphasizes the importance of these receptors in maintaining immunological homeostasis. Inappropriate activation of PMNs, however, can have detrimental consequences (Weiss, 1989). At sites of tissue inflammation, PMNs interact with stromal cells and extracellular matrix, adhere, become activated, and produce a multitude of cytokines (Meda et al., 1994), superoxide radicals, and proteolytic enzymes (Albelda et al., 1994) that cause injury to the surrounding tissue. PMNs have been implicated in causing ischemia/reperfusion injury, as well as the development of various autoimmune diseases (Tang et al., 1997; Soriano et al., 1999).

There is strong evidence in the literature, based on studies conducted in animal models, that anti-CR3 antibodies decrease ischemia/reperfusion injury (Jaeschke et al., 1993), decrease the area of myocardial infarction (Curtis et al., 1993), decrease liver cell injuries (Jaeschke et al., 1991), and diminish neointimal thickening and restenosis after balloon injury of carotid arteries (Rogers et al., 1998). These antibodies are also effective in the treatment of endotoxic challenge and hemorrhagic shock (Burch et al., 1993). Although the use of antibody therapy seems to be very promising, adverse effects due to nonselective blockade of various other leukocyte functions may lead to severe complications (Ramamoorthy et al., 1997). The identification of small molecules that selectively block the binding CR3 to its ligands may prove to be a better therapeutic agent than antibodies.

Blockade of the binding sites of integrins with peptides based on their ligands or small molecules derived from the structure of such peptides has proven effective in inhibiting the activities of beta 1 and beta 3 integrins. Several peptide and nonpeptide inhibitors (integrilin, lamifiban, xemilobifan) of alpha IIbbeta 3 based on the arginine-glycine-aspartic acid motif sequence of the ligand fibronectin have been identified. Integrilin was found to be effective in minimizing platelet aggregation and preventing coronary thrombosis in humans (Curley et al., 1999). Peptidomimetic inhibitors of alpha 4 integrins have been found to be effective in vivo in a mouse model of delayed type hypersensitivity and in a sheep model of airway hyperresponsiveness (Zimmerman, 1999). However, peptides derived either from the ligands of CR3 or from the complementarity-determining region of anti-CR3 antibodies were not very efficacious in blocking ligand binding in vitro (Feng et al., 1998). The failure of the peptides to block the interaction between C3bi and CR3 may be due to their improper conformation in solution or to the size of the ligand binding sites, which may be too extensive to block with a small peptide.

A 41-kDa glycoprotein isolated from canine hookworms known as neutrophil inhibitory factor (NIF) has been shown to interact with CR3 and inhibit a number of PMNs functions. NIF binds to the I-domain of CR3 with high affinity and blocks the binding of several ligands to CR3, including C3bi, ICAM-1, and fibrinogen as well as adhesion of PMNs to protein-coated surfaces (Zhang and Plow, 1997). NIF has been shown to be effective in attenuating the deleterious effects of excessive PMNs activation in animal models (Barnard et al., 1995; Bauer et al., 1995).

A number of reports also describe a class of small organic molecules known as leumidins that exhibit significant inhibitory activities in several animal models of PMNs-mediated inflammation. Leumedins seem to elicit pharmacological action by inhibiting cell adhesion processes in PMNs. They have been shown to be beneficial in several animal models such as contact dermatitis, the Arthus reaction, Crohn's disease, colitis, and sepsis (Burch et al., 1992). Although the precise mechanism of inhibition by leumedins is unknown, they do inhibit up-regulation of CD11b/CD18 expression (Bator et al., 1992). At micromolar concentrations, leumedins have also been shown to induce the loss of shedding of L-selectin and block primary capture of neutrophils under flow conditions (Endemann et al., 1997). During activation of PMNs, CR3 translocates from secondary granules to the plasma membranes where it is clustered (Detmers et al., 1987) and present in a high-affinity state for ligand binding and promoting adhesion of PMNs. Thus, preventing this translocation process seems to be the main mechanism by which leumedins prevent inflammation caused by PMNs.

In the present investigation, we have identified two low-molecular-weight compounds that block the binding of CR3 to its ligand C3bi. In contrast to leumedins, compounds 1 and 2 directly inhibit the binding of CR3 with C3bi by binding to CR3 with a reaction likely to involve photoactivation and formation of a covalent adduct. Although these are not desirable properties for a potential therapeutic agent, these compounds nonetheless demonstrate the possibility of blocking CR3 binding with a small molecule, and elucidation of their site of interaction on CR3 may lead to new avenues for achieving this goal with other structures.

In summary, we have identified two compounds that are capable of inhibiting binding of CR3 to C3bi. Limited structure-activity relationship studies on these compounds indicate the importance of the benzothiazole ring, the ethyl side chains, and the length of the carbon chain linking the ring structure. Further modification or substitution at these sites has the potential to prepare better analogs that may show higher affinity for CR3, not only in in vitro assays but also in animal models of inflammation. These studies may help in the design of future anti-inflammatory therapeutic agents that can act as specific therapeutic agents targeting PMNs-mediated inflammation.

    Acknowledgments

We thank Dr. S. B. Singh for liquid chromatography-mass spectrometry to assess the purity of compounds 1 and 2. We also thank Drs. Samuel D. Wright, John Kozarich, and Kenny Wong for valuable suggestions and discussions during the course of the investigation.

    Footnotes

Accepted for publication November 19, 2002.

Received for publication October 7, 2002.

DOI: 10.1124/jpet.102.045286

Address correspondence to: Vinay S. Bansal, Department of Pharmacology, 80W-RY250, P.O. Box 2000, Merck & Co., Rahway, NJ 07065. E-mail: vinay_bansal{at}merck.com

    Abbreviations

PMN, polymorphonuclear leukocyte; TNF, tumor necrosis factor; CR3, complement receptor type 3; ROI, reactive oxygen intermediate; AP, alkaline phosphatase; avidin-HABA, 2-(4'-hydroxyazobenzene)-benzoic acid; NHS, N-hydroxysulfosuccinimide; PBS, phosphate-buffered saline; SRBC, sheep red blood cell; mAb, monoclonal antibody; Ab, antibody; LFA-1, lymphocyte function-associated antigen-1; PBS++, phosphate-buffered saline containing Ca2+ and Mg2+; DELFIA, dissociation-enhanced lanthanide fluorescent immunoassay; ICAM, intercellular adhesion molecule; PCR, polymerase chain reaction; KRPG, Krebs-Ringer phosphate buffer; HRP, horseradish peroxidase; PMA, phorbol 12-myristate 13-acetate; NIF, neutrophil inhibitory factor.

    References
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Abstract
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Materials and Methods
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