1. A novel phosphocholine-mimetic inhibits a pro-inflammatory conformational change in C-reactive protein
- Author
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Zeller, J, Shing, KSCT, Nero, TL, McFadyen, JD, Krippner, G, Bogner, B, Kreuzaler, S, Kiefer, J, Horner, VK, Braig, D, Danish, H, Baratchi, S, Fricke, M, Wang, X, Kather, MG, Kammerer, B, Woollard, KJ, Sharma, P, Morton, CJ, Pietersz, G, Parker, MW, Peter, K, Eisenhardt, SU, Zeller, J, Shing, KSCT, Nero, TL, McFadyen, JD, Krippner, G, Bogner, B, Kreuzaler, S, Kiefer, J, Horner, VK, Braig, D, Danish, H, Baratchi, S, Fricke, M, Wang, X, Kather, MG, Kammerer, B, Woollard, KJ, Sharma, P, Morton, CJ, Pietersz, G, Parker, MW, Peter, K, and Eisenhardt, SU
- Abstract
C-reactive protein (CRP) is an early-stage acute phase protein and highly upregulated in response to inflammatory reactions. We recently identified a novel mechanism that leads to a conformational change from the native, functionally relatively inert, pentameric CRP (pCRP) structure to a pentameric CRP intermediate (pCRP*) and ultimately to the monomeric CRP (mCRP) form, both exhibiting highly pro-inflammatory effects. This transition in the inflammatory profile of CRP is mediated by binding of pCRP to activated/damaged cell membranes via exposed phosphocholine lipid head groups. We designed a tool compound as a low molecular weight CRP inhibitor using the structure of phosphocholine as a template. X-ray crystallography revealed specific binding to the phosphocholine binding pockets of pCRP. We provide in vitro and in vivo proof-of-concept data demonstrating that the low molecular weight tool compound inhibits CRP-driven exacerbation of local inflammatory responses, while potentially preserving pathogen-defense functions of CRP. The inhibition of the conformational change generating pro-inflammatory CRP isoforms via phosphocholine-mimicking compounds represents a promising, potentially broadly applicable anti-inflammatory therapy.
- Published
- 2023