| Literature DB >> 35005973 |
Yingjun Cui1, Mengyi Zhang1, Honglei Xu1, Tingrong Zhang1, Songming Zhang1, Xiuhe Zhao1, Peng Jiang1, Jing Li1,2, Baijun Ye1, Yuanjun Sun1, Mukuo Wang1, Yangping Deng2, Qing Meng1, Yang Liu1, Qiang Fu3, Jianping Lin1,4, Liang Wang1,2, Yue Chen1,2.
Abstract
Acute lung injury/acute respiratory distress syndrome (ALI/ARDS) is one of the most common complications in COVID-19. Elastase has been recognized as an important target to prevent ALI/ARDS in the patient of COVID-19. Cyclotheonellazole A (CTL-A) is a natural macrocyclic peptide reported to be a potent elastase inhibitor. Herein, we completed the first total synthesis of CTL-A in 24 linear steps. The key reactions include three-component MAC reactions and two late-stage oxidations. We also provided seven CTL-A analogues and elucidated preliminary structure-activity relationships. The in vivo ALI mouse model further suggested that CTL-A alleviated acute lung injury with reductions in lung edema and pathological deterioration, which is better than sivelestat, one approved elastase inhibitor. The activity of CTL-A against elastase, along with its cellular safety and well-established synthetic route, warrants further investigation of CTL-A as a candidate against COVID-19 pathogeneses.Entities:
Mesh:
Substances:
Year: 2022 PMID: 35005973 PMCID: PMC8936052 DOI: 10.1021/acs.jmedchem.1c01583
Source DB: PubMed Journal: J Med Chem ISSN: 0022-2623 Impact factor: 7.446
Figure 1Schematic diagram of the mechanism of SARS-CoV-2 entry and virus-induced immune response. Release of the virus from host cells activates neutrophils and macrophages and increases circulation of inflammatory cytokines. Activated neutrophils produce large amounts of elastase, which induce membrane damage and epithelial injury.
Scheme 1Retrosynthetic Analysis of CTL-A
Scheme 2Synthesis of 11, 19, and 4
Scheme 3(A) Synthesis of CTL-A, (B) Model Reactions for Two Late-Stage Oxidations, and (C) Structure of Analogue 42
Figure 2Biological activities of CTL-A and related compounds. (A) Inhibition of elastase by CTL-A identified from fluorescence measurements. Elastase activities were determined using an EnzCHek elastase assay kit. Elastin substrate at 25 μg/mL, PPE at 0.4 U/mL, HNE at 0.2 U/mL, and increasing amounts of CTL-A or sivelestat were incubated for 40 min at room temperature. (B) Inhibition of elastase activity by MeOSu-AAPV-CMK, CTL-A, and seven analogues. Elastin and elastase were incubated with 2.5 μM of MeOSu-AAPV-CMK or 1.25 μM of the compounds. (C) Representative image modeled for the docking of HNE and CTL-A.
Figure 3Effects of CTL-A in an acute lung injury mouse model. (A) Body weight of animals. Experimental mice were separated into four groups: normal (vehicle treatment), ALI (4 mg/kg of BLM, vehicle treatment), CTL-A (4 mg/kg of BLM, 30 mg/kg of CTL-A treatment), and sivelestat (4 mg/kg of BLM, 30 mg/kg of sivelestat treatment). (B) Left lung wet/dry ratios of experimental animals (dead animals were not included). (C) Lung injury scores (inflammation level) of the four groups (dead animals were not included). Lung injury scores standard are listed in Table S2 in the Supporting Information. (D) Photographs of lungs from experimental animals showing the morphology. Death day of dead animals in different groups are shown in red. (E) Representative images (randomly picked) from HE-stained sections of the lungs with 200× magnification, scale bar = 50 μm. Data are representative of 8 mice; **p < 0.01.