Scientists from Cincinnati Children’s Hospital Medical Center have developed a compound that in laboratory tests, blocks inflammation-causing molecules in blood cells known to fuel ailments without causing harmful toxicity.

Past attempts to identify new compounds that tamp down reactive oxygen species (ROS) molecules in cells have been complicated by toxicity issues and a lack of specificity in targeting molecular processes. Researchers have overcome the problem by using computer-assisted drug design—verified by laboratory tests on human and mouse inflammatory cells—to target a single component of an enzyme network. The NOX2 enzyme network drives ROS production in immune system white blood cells known as neutrophils.

The production of ROS in cells is a normal part of the body’s immune system, as oxidative enzymes are generated by white blood cells to attack illness-causing microorganisms. In a number of pathologic conditions, various environmental stressors can help trigger an overabundance of biochemical signaling. The signaling occurs through a regulatory pathway involving Rac GTPases, a family of intracellular signal transducers that amplify ROS production by the NOX2 enzyme network.

Normally, Rac GTPases maintain cell growth and survival programs in the body, including the NOX enzyme network and its activation of ROS production in cells. When signaling miscues occur they cause an unusually high burst of ROS production and release harmful superoxide chemicals. This up-regulation creates excessive inflammation that damages tissues and drives the onset of diseases like chronic obstructive pulmonary disease, ischemia-induced lung and brain damage and hypertension, among others.

Previous attempts to create compounds that target and stop harmful ROS production, including an earlier compound developed by Yi Zheng, PhD, director of experimental hematology/cancer biology at Cincinnati Children’s Hospital Medical Center’s laboratory, have been able to reduce inflammation in cells. Unfortunately, the compounds were not specific or efficient enough in targeting the Rac GTPase regulatory pathway, therefore the compounds inhibited several different cellular processes, leading to toxicity.

Zheng and his colleagues achieved greater specificity and efficiency through their design of small molecular inhibitors they named Phox-I1 and Phox-I2. The inhibitors target and block the binding of a signal sensor for the NOX2 enzyme called p67-phox to Rac GTPase. P67-phox has to bind with Rac GTPase to activate the oxidase enzyme complex of NOX2 (known as NADPH) that produces superoxide and causes inflammation.

In laboratory tests involving normal human blood cells, leukemic cells and mouse blood cells, Phox-l1blocked p67-phox binding with Rac. It did so in a dose-dependent manner with enough precision to shut down ROS production without causing unwanted toxicity in the cells. Investigators found that the Phox-I lead compounds are effective in blocking neutrophil mediated inflammation and damage.

Zheng says that although the study data describes an innovative approach that shows promise, a significant amount of additional research is needed before the Phox-I can be tested in humans. The research team continues to experiment with structural alterations to Phox-I to make the compounds more potent in inhibiting excessive ROS and superoxide production without being toxic to normal cells. Researchers are also expanding their tests in mouse models to see how effective the compounds are in safely shutting down the onset of simulated human diseases caused by inflammation.

Release Date: Feb. 23, 2012
Source: Cincinnati Children’s Hospital Medical Center