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The Journal of Immunology, 1999, 163: 5173-5177.
Copyright © 1999 by The American Association of Immunologists


CUTTING EDGE

Cutting Edge: A Small Molecule Antagonist of LFA-1-Mediated Cell Adhesion

Terence A. Kelly1, Deborah D. Jeanfavre, Daniel W. McNeil, Joseph R. Woska, Jr., Patricia L. Reilly, Elizabeth A. Mainolfi, Karen M. Kishimoto, Gerald H. Nabozny, Rosemarie Zinter, Barbara-Jean Bormann and Robert Rothlein

Boehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, CT 06877


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
LFA-1 (CD18,CD11a) is a cell-adhesion molecule that mediates critical immunological processes. In this paper we report the discovery and characterization of (R)-5-(4-bromobenzyl)-3-(3,5-dichlorophenyl)-1,5-dimethylimidazolidine-2,4-dione (BIRT 377), an orally bioavailable small molecule that interacts specifically with LFA-1 via noncovalent binding to the CD11a chain and prevents LFA-1 from binding to its ligand, ICAM-1. BIRT 377 inhibits lymphocyte activity both in vitro and in vivo, in functional assays that require LFA-1-mediated cell adhesion. These results demonstrate that LFA-1-mediated leukocyte adhesion can be antagonized with noncharged, low m.w. molecules and suggest that the potential therapeutic value of adhesion inhibitors can be attained with a small, orally bioavailable compound.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The leukocyte function-associated antigen-1 (CD18,CD11a) has an established role in leukocyte cell adhesion and exerts its influence on cell trafficking and cell-cell contact through binding to the ICAMs (1, 2, 3). To date, potential therapeutics designed to block the binding of LFA-1 to ICAM-1 for the treatment of immunological disorders have been mostly mAb based (4, 5, 6, 7), largely because of the problems inherent in identifying or designing small molecules that antagonize protein-protein interactions. Other approaches have targeted the expression or activation of cell-adhesion molecules. For example, an antisense molecule directed against the expression of ICAM-1 is currently under clinical investigation for the treatment of Crohn’s disease (8). Furthermore, several agents have been reported which appear to prevent cell adhesion via inhibition of integrin activation, but they do not directly block association of the purified proteins (9, 10, 11, 12, 13).

We now report the discovery and characterization of (R)-5-(4-bromobenzyl)-3-(3,5-dichlorophenyl)-1,5-dimethylimidazolidine-2,4-dione (BIRT 377),2 a low m.w., nonionic compound that prevents LFA-1 from binding to ICAM-1. In addition to representing the first reported small molecule antagonist of this cell-adhesion process, BIRT 377 is unique from binding antagonists of other integrins in that it does not seem to possess any obvious structural features derived from known protein epitopes (for a recent review, see Ref. 14). Understanding of the mechanism by which BIRT 377 functions, therefore, could have important implications for the study of other integrin-ligand interactions.


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

LFA-1, soluble ICAM-1 (sICAM-1), and Mac-1 were purified as previously reported (Refs. 15, 16, 17 , respectively). Abs were obtained from the following sources: IB4 from Ancell (Bayport, MN); MHM 23 and MHM 24 from Biomedia (Foster City, CA); CLB-LFA 1/2 and mAb 38 from RDI (Flanders, NJ); and TS 2/4, TS 1/22, and TS 1/18 from the American Type Culture Collection (Manassas, VA). KIM 185 and KIM 127 were a kind gift of Dr. Martyn Robinson (Celltech, Berkshire, U.K.). R 3.1, R 3.3, and R 7.1 were generated internally and have been previously reported (Refs. 18, 19, 20 , respectively). Small molecules 1a and 1b (BIRT 377) were synthesized via standard techniques from amino acid precursors and 3,5-dichlorophenylisocyanate.

LFA-1/ICAM-1 binding assay

LFA-1 binding to ICAM-1 was monitored by first incubating 50 µl of sICAM-1 (40 µg/ml in Dulbecco’s PBS with calcium and magnesium, adjusted to 2.5 mM MgCl2 and 0.1 mM PMSF), in a 96-well plate (Nunc, Naperville, IL) for 30 min at room temperature. Plates were then blocked with 200 µl of 2% (w/v) BSA in diluting buffer at 37°C for 30 min. Blocking solution was removed from wells, test compounds were diluted into diluting buffer, and then 50 µl was added to the wells followed by the addition of ~25 ng of LFA-1 (50 µl) at 37°C. After 1 h, wells were washed four times with 200 µl of PBS. The bound LFA-1 was detected via the addition of 100 µl of a rabbit anti-CD11a (cytoplasmic tail) polyclonal Ab in a 1:200 dilution with PBS and 1% BSA and it was allowed to incubate for 30 min at 37°C. Wells were washed four times with 200 µl of PBS and the bound polyclonal Ab was detected by the addition of a 1:4000 dilution of 50 µl of HRP conjugated to goat anti-rabbit Ig (Zymed, South San Francisco, CA). This reagent was allowed to incubate for 20 min at 37°C, wells were washed as above, and 200 µl of the 2,2'-azino-bis(3-ethylbenzthiazoline-6-sulfonic acid) (ABTS) substrate for the HRP was added to each well to develop a quantitative colorimetric signal proportional to the amount of LFA-1 bound to sICAM-1. sICAM-1 (70 µg/ml) was used as a positive control for inhibition of the LFA-1/ICAM-1 interaction. A dose-response curve was obtained for all test compounds.

Cellular assays

SKW3 cell assays (Fig. 2Go, upper panels) were performed as previously reported (21). Staphylococcal enterotoxin B (SEB)-induced (Fig. 2Go, lower left panel) and PMA/ionomycin-induced (Fig. 2Go, lower right panel) IL-2 production assays were performed in the following manner. Purified human PBMCs suspended in 10 ml of complete medium were counted and plated in a 96-well microtiter format at 2 x 105 cells/well. Compounds and DMSO controls were added to the wells using 1:10 serial dilutions. The final concentration of DMSO was proportional to the concentration of compound and was a maximum of 0.1%. SEB final concentration of 2 µg/ml), or PMA (final concentration of 10 ng/ml) and ionomycin (final concentration of 1 µg/ml) were added to the wells and the total volume was adjusted to 200 µl with complete medium. The plates were incubated at 37°C and 5% CO2 overnight. IL-2 production was assayed using a human IL-2 ELISA kit (R&D Systems, Minneapolis, MN). Anti-LFA-1 (R3.1, 10 µg/ml) is shown in the first column as a mechanistic control. Data represent the mean of three replicate wells ± the SE.



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FIGURE 2. Selective inhibition of LFA-1-dependent binding events. BIRT 377 inhibits the binding of SKW3 cells to plate-immobilized ICAM-1 (upper left panel) but not to plate-immobilized fibronectin (upper right panel). BIRT 377 also inhibits the production of IL-2 from human PBMCs stimulated by SEB in an LFA-1-dependent process (lower left panel) but not via the LFA-1-independent pathways induced by stimulation with PMA and ionomycin (lower right panel). Anti LFA-1 (R 3.1, 10 µg/ml) is shown in the first column as a mechanistic control. Data represent the mean of three replicate wells ± the SE.

 
Inhibition of Ab binding to LFA-1 by BIRT 377

BIRT 377 was evaluated in a competitive assay for its ability to block the binding of various anti-LFA-1 mAbs to immobilized, micellar LFA-1. LFA-1 (50 µl) was immobilized onto a microtiter plate by adsorption at ~3 µg/ml in the assay buffer (dPBS (Life Technologies, Rockville, MD) + 2 mM MgCl2) for 1 h at room temperature. Nonspecific sites were then blocked for 30 min with 200 µl of 2% BSA in buffer. Purified mAb (50 µl at 10 µg/ml), and 50 µl of BIRT 377 or its enantiomer (5 µM in assay buffer) were then added and allowed to bind for 1 h at 37°C. The plate was then washed four times with assay buffer (200 µl) and 50 µl of a goat anti-mouse/HRP conjugate (Zymed) was added at a 1/4000 dilution in 1% BSA in buffer. After 20 min at 37°C, the plate was washed and 200 µl of ABTS reagent was added to visualize binding. After ~15 min, absorbance was measured at 405 nm. Bars (see Fig. 3Go) represent the mean of duplicate wells ± the SE.



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FIGURE 3. Binding of anti-CD18- (upper panel) and anti-CD11a- (lower panel) specific mAbs to immobilized LFA-1 in the presence of BIRT 377. The binding site of BIRT 377 was narrowed down to the CD11a chain of LFA-1 by assessing the ability of the compound (5 µM) to block the binding of anti-CD18 (upper panel) and anti-CD11a (lower panel) to plate-immobilized LFA-1. The binding of two anti-CD11a (R 3.1 and R 7.1) were selectively inhibited by the compound. The enantiomer of BIRT 377 was used as a control for nonspecific effects.

 
Inhibition of IL-2 production in vivo

Female BALB/c mice (eight per group) obtained from The Jackson Laboratory (Bar Harbor, ME) (7- to 8-wk-old, weighing between 20 and 23 g), were dosed by oral gavage with BIRT 377 or vehicle control. One hour after dosing, each animal was challenged with 5 µg SEB (i.p., 0.2 ml from a 0.025 mg/ml stock; Sigma, St. Louis, MO). Blood was obtained from metophane-anesthetized mice 3 h after challenge, and plasma IL-2 levels were measured using a mouse IL-2 ELISA kit (R&D Systems). Data represent the mean of 15–16 mice ± SE for the BIRT 377 study and the mean of 8 mice ± SE for the anti-LFA-1 and enantiomer studies. Statistics were performed using Student’s t test.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Screening, identification, and biological characterization of BIRT 377

To identify compounds that directly antagonize the target protein-protein interaction, a high throughput screen was established which measured the binding of purified LFA-1 to plate-immobilized sICAM-1. This molecular assay had significantly increased sensitivity compared with a cell-based homotypic aggregation assay (22). Presumably, antagonists of the molecular assay must only prevent monomeric LFA-1/ICAM-1 interactions, whereas the cellular assay must overcome the high avidity of the multivalent presentation of LFA-1 on leukocytes interacting with the multivalent presentation of ICAM-1 on target cells. Consequently, the molecular assay allows for the detection of antagonists with a wider range of potencies, including weak antagonists that might be amenable to productive chemical modification.

Examination of a proprietary chemical collection through the high throughput screen produced an initial hit (Fig. 1Goa) that inhibited the association LFA-1 and ICAM-1 with a Kd of 3.5 ± 1.0 µM. Structure-activity relationship studies were performed around this hit and they successfully increased the potency of the molecule resulting in BIRT 377 (Fig. 1Gob, m.w. = 442), a compound with a Kd of 25.8 ± 6.3 nM. BIRT 377 is a single stereoisomer and is ~35-fold more potent than its enantiomer, indicating the occurrence of a true binding event as opposed to inhibition of the assay via nonspecific detergent effects. Furthermore, the binding of LFA-1 to ICAM-1 was restored upon removal of BIRT 377 from the system, demonstrating that the molecule binds reversibly and does not covalently modify either protein.



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FIGURE 1. Chemical structures of initial screening hit (a) and BIRT 377 (b).

 
BIRT 377 appears to be highly selective for LFA-1-mediated events. For example, the compound does not inhibit Mac-1/ICAM-1 interactions as measured in a similar protein-protein binding assay (no inhibition up to 225 µM; data not shown). Further selectivity is seen in that BIRT 377 inhibits the LFA-1-mediated binding of SKW3 cells to immobilized ICAM-1 (Fig. 2Go, upper left panel; IC50 = 2.6 ± 0.5 µM) but not the ß1 integrin (very late Ag-4, VLA-4)-mediated binding of SKW3 cells to fibronectin (Fig. 2Go, upper right panel; IC50 > 250 µM). The SKW3 cell assays confirm that BIRT 377 is not acutely toxic to the cell nor does it exert its action nonspecifically by inhibiting cellular metabolism or by disrupting cytoskeletal integrity.

Binding site studies

To date, several small molecules designed to antagonize the binding of other integrins (e.g., gpIIbIIIa, VLA-4, {alpha}4ß7) have been derived from peptide epitopes known through mutagenesis studies to be critical for binding (23, 24, 25). BIRT 377 was the optimized product of a screening hit and, hence, nothing was known originally about the location of its binding site. Furthermore, the lipophilic chemical nature of BIRT 377 separated it from other integrin antagonists that were derived from highly charged peptide leads and suggested the possibility that BIRT 377 might be acting via allosteric means. Binding site identification studies were initiated to resolve these issues.

The LFA-1/ICAM-1 complex comprises the following three protein chains: CD54 (ICAM-1), CD18 (ß2 integrin common chain), and CD11a (LFA-1 {alpha}-chain). Several experiments were undertaken to determine which protein(s) contained the binding site for BIRT 377.

Analysis of the shape of the dose-response curve in the protein-protein binding assay (for an explanation of this technique, see Ref. 26), as well as results from a competitive radioligand binding assay (data not shown), provided preliminary evidence that BIRT 377 binds to LFA-1 and not to ICAM-1. To solidify this finding and to determine whether the binding site for BIRT 377 was formed from one or both subunits of LFA-1, an ELISA was established which measured the ability of the antagonist to prevent the binding of a series of mAbs with known specificity for either the {alpha}-chain (CD11a) or ß-chain (CD18) chain (Fig. 3Go). BIRT 377 (5 µM) inhibited the binding of two of the seven anti-CD11a Abs but did not inhibit the binding of any of the seven anti-CD18 Abs, despite the fact that most of the Abs inhibit LFA-1-mediated adhesion. These data, in conjunction with the data showing that BIRT 377 does not inhibit Mac-1/ICAM-1 binding, provide strong evidence that the binding site of BIRT 377 lies solely on the CD11a chain.

Knowledge of the epitopes on CD11a that recognize each of the Abs in this study provides further information relevant to the binding of BIRT 377. The CD11a subunit of LFA-1 is proposed to have a ß-propeller unit interrupted by an ~200-amino acid "inserted-" or "I-"domain (27). Mutagenesis (28) and binding studies (29, 30) indicate that the I-domain contains residues critical to support LFA/ICAM interactions. Most Abs directed against CD11a that also block LFA-1-dependent cellular adhesion appear to bind to one of a number of epitopes on the I-domain (29, 30). Of the Abs used in this study, TS 2/4 binds to the ß-propeller region and does not substantially inhibit cell aggregation (28). The blocking Abs MHM 24, TS 1/22, and mAb 38, which are not affected by BIRT 377, have previously been reported to bind to I-domain (28, 29, 30). The two Abs that are prevented from binding to LFA-1 by the addition of BIRT 377 (R 3.1 and R 7.1) block the homotypic aggregation of JY-cells and also bind to purified I-domain (K. Last-Barney and R. Rothlein, unpublished results). Thus, it appears that BIRT 377 affects the presentation of some, but not all, I-domain-based epitopes, providing possible mechanistic insight into how the compound antagonizes ICAM binding. However, it cannot be ascertained from the current study whether this inhibition is a result of the direct binding of BIRT 377 to the I-domain or if it is a consequence of a remote allosteric event.

In vitro and in vivo profile

BIRT 377 blocks several in vitro assays that are known to be LFA-1 dependent. For example, the compound inhibits the phorbol ester (PMA)-induced homotypic aggregation of JY cells (22) with an IC50 of 0.24 ± 0.13 µM (data not shown). To confirm that the inhibition of leukocyte function is due to the interference with cell adhesion events and not due to peripheral inhibition of other activation factors, the production of IL-2 from stimulated leukocytes was measured under LFA-1-dependent and LFA-1-independent conditions (Fig. 2Go, lower panels). BIRT 377 is effective in inhibiting the LFA-1-dependent production of IL-2 by human peripheral blood lymphocytes that have been stimulated with superantigen (SEB; IC50 = 0.85 ± 0.03 µM). However, the compound does not inhibit IL-2 production in the same cells stimulated with PMA and ionomycin, conditions that induce activation while bypassing the need for LFA-1-mediated interactions. Similar results were observed with mouse splenocytes (data not shown), indicating that BIRT 377 is also active against murine LFA-1.

Low m.w. heterocyclic compounds have a potential advantage over protein therapeutics in that, generally, they can be formulated more easily for oral dosing. To assess in vivo efficacy and oral bioavailability, BIRT 377 was tested in a mouse model that measures the inhibition of SEB-induced production of IL-2. The data in Fig. 4Go demonstrate that the compound does inhibit in this model in a dose-dependent manner and that 25 and 50 mg/kg oral doses of BIRT 377 are efficacious with the higher dose reducing the level of serum IL-2 by ~64% (p < 0.001). At the higher dose, this compound inhibits the assay on the same level as an anti-LFA-1 Ab (M17.2, 200 µg i.p.; 66% inhibition vs saline control, p < 0.01; data not shown). The production of IL-2, however, is not affected by the nonbinding enantiomer of BIRT 377 (50 mg/kg per os; -7% inhibition vs oil control (not significant); data not shown).



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FIGURE 4. Inhibition of in vivo IL-2 production by BIRT 377. Oral dosing of BIRT 377 inhibited the production of IL-2 in mice stimulated with SEB at 25 and 50 mg/kg (p < 0.001). Data represent the mean of 15–16 mice ± SE. Statistics were performed using Student’s t test. Control experiments (data not shown); anti-LFA-1 (M17.2, 200 µg i.p.), 66% inhibition vs saline control (p < 0.01); enantiomer of BIRT 377 (50 mg/kg per os), -8% inhibition vs oil control (not significant).

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In summary, we have identified a unique molecule that selectively blocks the binding of LFA-1 to ICAM-1 and we have shown that this activity is reflected in cellular potency and whole animal efficacy. Furthermore, these studies validate the use of molecular screens for identifying weak inhibitors of protein-protein interactions that can be improved through structure-activity relationship studies. Finally, we have demonstrated that the known specificity of Abs can be used to identify the target protein of small molecules in a multiprotein system.

Cell adhesion plays a critical role in immunological function. There is strong evidence from the immunosuppressive effects of anti-cell adhesion Abs and anti-sense oligonucleotides that the inhibition of LFA-1 and ICAM-1 may well lead to therapeutically useful agents. The data presented herein demonstrate that a small, noncharged molecule can also block this large protein-protein interaction and, because this molecule inhibits leukocyte function both in vitro and in vivo, the prospects for developing an orally bioavailable anti-LFA-1 therapy are improved.


    Acknowledgments
 
We thank Drs. Kei Kishimoto and Maurice Morelock for helpful discussions.


    Footnotes
 
1 Address correspondence and reprint requests to Dr. Terence A. Kelly, Boehringer Ingelheim Pharmaceuticals, Inc., Research and Development Center, 900 Ridgebury Road, P.O. Box 368, Ridgefield, CT 06877. E-mail address: Back

2 Abbreviations used in this paper: BIRT 377, (R)-5-(4-bromobenzyl)-3-(3,5-dichlorophenyl)-1,5-dimethylimidazolidine-2,4-dione; sICAM-1, soluble ICAM-1; ABTS, 2,2'-azino-bis(3-ethylbenzthiazoline-6-sulfonic acid); SEB, staphylococcal enterotoxin B. Back

Received for publication July 26, 1999. Accepted for publication September 14, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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