Statins selectively inhibit leukocyte function antigen-1 by binding to a novel regulatory integrin site

Nat Med. 2001 Jun;7(6):687-92. doi: 10.1038/89058.

Abstract

The beta2 integrin leukocyte function antigen-1 (LFA-1) has an important role in the pathophysiology of inflammatory and autoimmune diseases. Here we report that statin compounds commonly used for the treatment of hypercholesterolemia selectively blocked LFA-1-mediated adhesion and costimulation of lymphocytes. This effect was unrelated to the statins' inhibition of 3-hydroxy-3-methylglutaryl coenzyme-A reductase; instead it occurred via binding to a novel allosteric site within LFA-1. Subsequent optimization of the statins for LFA-1 binding resulted in potent, selective and orally active LFA-1 inhibitors that suppress the inflammatory response in a murine model of peritonitis. Targeting of the statin-binding site of LFA-1 could be used to treat diseases such as psoriasis, rheumatoid arthritis, ischemia/reperfusion injury and transplant rejection.

MeSH terms

  • Allosteric Site
  • Animals
  • Anti-Inflammatory Agents, Non-Steroidal / pharmacology*
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Cell Adhesion / drug effects*
  • Disease Models, Animal
  • Drug Design
  • Humans
  • Integrin alpha4beta1
  • Integrins / metabolism
  • Intercellular Adhesion Molecule-1 / metabolism
  • Lovastatin / pharmacology*
  • Lymphocyte Activation / drug effects
  • Lymphocyte Function-Associated Antigen-1 / chemistry
  • Lymphocyte Function-Associated Antigen-1 / genetics
  • Lymphocyte Function-Associated Antigen-1 / metabolism*
  • Lymphocyte Function-Associated Antigen-1 / pharmacology
  • Macrophage-1 Antigen / metabolism
  • Mice
  • Models, Molecular
  • Molecular Structure
  • Mutagenesis, Site-Directed
  • Naphthalenes / pharmacology*
  • Naphthalenes / toxicity
  • Peritonitis / drug therapy
  • Pravastatin / pharmacology*
  • Protein Binding / drug effects
  • Receptors, Lymphocyte Homing / metabolism
  • T-Lymphocytes / drug effects*
  • T-Lymphocytes / immunology
  • T-Lymphocytes / physiology

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Integrin alpha4beta1
  • Integrins
  • LFA703
  • Lymphocyte Function-Associated Antigen-1
  • Macrophage-1 Antigen
  • Naphthalenes
  • Receptors, Lymphocyte Homing
  • Intercellular Adhesion Molecule-1
  • Lovastatin
  • Pravastatin