A novel phosphocholine-mimetic inhibits a pro-inflammatory conformational change in C-reactive protein.

Johannes Zeller; Karen S Cheung Tung Shing; Tracy L Nero; James D McFadyen; Guy Krippner; Balázs Bogner; Sheena Kreuzaler; Jurij Kiefer; Verena K Horner; David Braig; Habiba Danish; Mark Fricke; Xiaowei Wang; Michel G Kather; Bernd Kammerer; Kevin J Woollard; Prerna Sharma; Craig J Morton; Geoffrey Pietersz; Michael W Parker; Karlheinz Peter; Steffen U Eisenhardt; Sara Baratchi
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.
Journal EMBO MOLECULAR MEDICINE
ISSN 1757-4684
Published 11 Jan 2023
Volume 15
Issue 1
Pages e16236 e16236
DOI 10.15252/emmm.202216236
Type Journal Article | Research Support, Non-U.S. Gov't
Sponsorship NHMRC: 1185314