Synthesis and characterization of an anti-apoptotic immunosuppressive compound for improving the outcome of islet transplantation

Bioconjug Chem. 2013 Dec 18;24(12):2036-44. doi: 10.1021/bc400369t. Epub 2013 Nov 27.

Abstract

Mycophenolic acid (MPA) is a commonly used immunosuppressive drug for human islet transplantation. However, it is toxic to transplanted islets, causing primary nonfunction. We recently synthesized a quinic acid derivative, 1,3,4,5-tetrahydroxy-N-propylcyclohexanecarboxamide (KZ41), which has anti-inflammatory and anti-apoptotic effects. We hypothesized that the conjugate (E)-2,3,5-trihydroxy-5-(propylcarbamoyl) cyclohexyl 6-(4-ethoxy-6-methoxy-7-methyl-3-oxo-1,3-dihydroisobenzofuran-5-yl)-4-methylhex-4-enoate (JP-3-110), which is composed of KZ41 and MPA through esterification, can suppress the immune rejection while inducing less toxicity. Early characterization showed that the solubility of JP-3-110 was significantly higher than that of MPA, though JP-3-110 was still poorly water-soluble. The ester bond connecting KZ41 and MPA is stable for a limited duration (<4 weeks). Pharmacological studies demonstrated that JP-3-110 induced significantly less activated caspase 3 and apoptotic cell death of human islets than MPA, while maintaining an equally potent immunosuppressive effect. A similar immunosuppressive effect of JP-3-110 and MPA in humanized NOD.Cg-Prkdc(scid)Il2rg(tm1Wjl)/SzJ (NOD scid gamma, NSG) mice with adoptively transferred human immunity was observed. Taken together, our results demonstrated that JP-3-110 can be a safer immunosuppressive agent for human islet transplantation.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Apoptosis / drug effects*
  • B-Lymphocytes / drug effects
  • B-Lymphocytes / immunology
  • Benzofurans / chemical synthesis*
  • Benzofurans / pharmacology*
  • Cell Line, Tumor
  • Chemistry Techniques, Synthetic
  • Humans
  • Immunosuppressive Agents / chemical synthesis*
  • Immunosuppressive Agents / pharmacology*
  • Islets of Langerhans / drug effects
  • Islets of Langerhans / immunology
  • Islets of Langerhans / metabolism
  • Islets of Langerhans Transplantation / methods*
  • Mice
  • Mycophenolic Acid / analogs & derivatives*
  • Mycophenolic Acid / chemical synthesis
  • Mycophenolic Acid / pharmacology
  • NF-kappa B / metabolism
  • Quinic Acid / analogs & derivatives*
  • Quinic Acid / chemical synthesis
  • Quinic Acid / pharmacology
  • Rats
  • T-Lymphocytes / drug effects
  • T-Lymphocytes / immunology
  • Treatment Outcome

Substances

  • 2,3,5-trihydroxy-5-(propylcarbamoyl)cyclohexyl 6-(4-ethoxy-6-methoxy-7-methyl-3-oxo-1,3-dihydroisobenzofuran-5-yl)-4-methylhex-4-enoate
  • Benzofurans
  • Immunosuppressive Agents
  • NF-kappa B
  • Quinic Acid
  • Mycophenolic Acid