C-C趋化因子受体4是羟氯喹的免疫调节靶点。

The C-C Chemokine Receptor Type 4 Is an Immunomodulatory Target of Hydroxychloroquine.

作者信息

Beck Tyler C, Beck Kyle R, Holloway Calvin B, Hemings Richard A, Dix Thomas A, Norris Russell A

机构信息

Dix Laboratory, Department of Drug Discovery & Biomedical Sciences, Medical University of South Carolina, Charleston, SC, United States.

Norris Laboratory, Department of Regenerative Medicine and Cell Biology, Medical University of South Carolina, Charleston, SC, United States.

出版信息

Front Pharmacol. 2020 Aug 28;11:1253. doi: 10.3389/fphar.2020.01253. eCollection 2020.

Abstract

The emergence of a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2; COVID-19) in China, reported to the World Health Organization on December 31, 2019, has led to a large global pandemic and is a major public health issue. As a result, there are more than 200 clinical trials of COVID-19 treatments or vaccines that are either ongoing or recruiting patients. One potential therapy that has garnered international attention is hydroxychloroquine; a potent immunomodulatory agent FDA-approved for the treatment of numerous inflammatory and autoimmune conditions, including malaria, lupus, and rheumatoid arthritis. Hydroxychloroquine has demonstrated promise and is currently under investigation in clinical trials for the treatment of COVID-19. Despite an abundance of empirical data, the mechanism(s) involved in the immunomodulatory activity of hydroxychloroquine have not been characterized. Using the unbiased chemical similarity ensemble approach (SEA), we identified C-C chemokine receptor type 4 (CCR4) as an immunomodulatory target of hydroxychloroquine. The crystal structure of CCR4 was selected for molecular docking studies using the SwissDock modeling software. , hydroxychloroquine interacts with Thr-189 within the CCR4 active site, presumably blocking endogenous ligand binding. However, the CCR4 antagonists compound 18a and K777 outperformed hydroxychloroquine , demonstrating energetically favorable binding characteristics. Hydroxychloroquine may subject COVID-19 patients to QT-prolongation, increasing the risk of sudden cardiac death. The FDA-approved CCR4 antagonist mogalizumab is not known to increase the risk of QT prolongation and may serve as a viable alternative to hydroxychloroquine. Results from this report introduce additional FDA-approved drugs that warrant investigation for therapeutic use in the treatment of COVID-19.

摘要

2019年12月31日向世界卫生组织报告的中国出现的严重急性呼吸综合征冠状病毒2(SARS-CoV-2;新型冠状病毒肺炎)已导致全球大流行,是一个重大的公共卫生问题。因此,有200多项关于新型冠状病毒肺炎治疗或疫苗的临床试验正在进行或正在招募患者。一种引起国际关注的潜在疗法是羟氯喹;一种经美国食品药品监督管理局批准用于治疗多种炎症和自身免疫性疾病(包括疟疾、狼疮和类风湿性关节炎)的强效免疫调节剂。羟氯喹已显示出前景,目前正在进行治疗新型冠状病毒肺炎的临床试验研究。尽管有大量的经验数据,但羟氯喹免疫调节活性所涉及的机制尚未明确。使用无偏化学相似性集合方法(SEA),我们确定C-C趋化因子受体4(CCR4)是羟氯喹的免疫调节靶点。选择CCR4的晶体结构使用SwissDock建模软件进行分子对接研究。羟氯喹与CCR4活性位点内的苏氨酸-189相互作用,可能会阻断内源性配体结合。然而,CCR4拮抗剂化合物18a和K777的表现优于羟氯喹,显示出能量上有利的结合特性。羟氯喹可能会使新型冠状病毒肺炎患者出现QT间期延长,增加心源性猝死的风险。美国食品药品监督管理局批准的CCR4拮抗剂莫加珠单抗不存在增加QT间期延长的风险,可能是羟氯喹的可行替代品。本报告的结果引入了其他经美国食品药品监督管理局批准的药物,值得对其在新型冠状病毒肺炎治疗中的治疗用途进行研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b90/7482581/050e6b5d2852/fphar-11-01253-g001.jpg

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