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Department of Physiology and Pharmacology, and
Drug, Design and Development Centre, University of Queensland, St. Lucia, Australia
C5a is implicated as a pathogenic factor in a wide range of
immunoinflammatory diseases, including sepsis and immune complex
disease. Agents that antagonize the effects of C5a could be useful in
these diseases. We have developed some novel C5a antagonists and have
determined the acute anti-inflammatory properties of a new small
molecule C5a receptor antagonist against C5a- and LPS-induced
neutrophil adhesion and cytokine expression, as well as against some
hallmarks of the reverse Arthus reaction in rats. We found that a
single i.v. dose (1 mg/kg) of this antagonist inhibited both C5a- and
LPS-induced neutropenia and elevated levels of circulating TNF-
, as
well as polymorphonuclear leukocyte migration, increased TNF-
levels
and vascular leakage at the site of immune complex deposition. These
results indicate potent anti-inflammatory activities of a new C5a
receptor antagonist and provide more evidence for a key early role for
C5a in sepsis and the reverse Arthus reaction. The results support a
role for antagonists of C5a receptors in the therapeutic intervention
of immunoinflammatory disease states such as sepsis and immune complex
disease.
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