The identification and optimization of orally efficacious, small molecule VLA-4 antagonists

Curr Top Med Chem. 2004;4(14):1473-84. doi: 10.2174/1568026043387467.

Abstract

The identification of orally active, small molecule antagonists of the alpha4beta1 integrin, VLA-4, could lead to therapeutic agents with utility in a number of clinical settings, including asthma, multiple sclerosis and IBD. Starting from CDR3 sequences conserved among neutralizing alpha4 antibodies, peptides were identified that antagonized VLA-4 mediated adhesion in vitro. Through a series of structural modifications, these peptides evolved into small molecules that exhibited high potency and selectivity for VLA-4 in cell adhesion assays. Finally, through the optimization of physical and pharmacokinetic properties, compounds were identified that exhibited oral activity in animal models of asthma and multiple sclerosis.

Publication types

  • Review

MeSH terms

  • Animals
  • Asthma / drug therapy
  • Cell Adhesion / drug effects
  • Dipeptides / administration & dosage
  • Dipeptides / pharmacokinetics*
  • Dipeptides / pharmacology
  • Humans
  • Integrin alpha4beta1 / antagonists & inhibitors*
  • Multiple Sclerosis / drug therapy
  • Structure-Activity Relationship

Substances

  • Dipeptides
  • Integrin alpha4beta1