C. Monfardini et al., RATIONAL DESIGN, ANALYSIS, AND POTENTIAL UTILITY OF GM-CSF ANTAGONISTS, Proceedings of the Association of American Physicians, 108(6), 1996, pp. 420-431
Granulocyte-macrophage colony-stimulating factor (GM-CSF) is an import
ant cytokine involved in many immune and inflammatory processes and is
believed to act in the early stages of immune responses. GM-CSF stimu
lates antigen-presenting cells, enhancing antigen presentation and ind
ucing macrophage tumoricidal activity. GM-CSF binds to specific cellul
ar receptors that are potential targets for pharmacological design. Ra
tional de sign of small-molecule mimics is an important approach to ph
armacophore design. One of the strategies in the development of small-
molecular mimics of larger polypeptyde ligands is analysis of alternat
ive ligands that bind the same site as does the native ligand. Molecul
ar studies of GM-CSF-receptor interactions have led to the development
of interaction site analogs and the development of an ''anti-anti-GM-
CSF'' recombinant antibody (rAb) analog of a site on GM-CSF important
for biological activity and receptor binding. This rAb and a peptide d
erived from the rAb first complementarity determining region (CDR) seq
uence bind to a monoclonal anti-GM-CSF antibody that mimics the GM-CSF
R alpha chain, compete with GM-CSF for binding to GM-CSF receptor alph
a chain (GM-CSFR alpha), and are specific biological antagonists. Mole
cular modeling of the rAb suggests structural similarity with a site p
reviously implicated in GM-CSF binding to the GM-CSFR alpha. Two cycli
c peptides, 1785 and 1786, also were developed on the basis of structu
ral analysis of the GM-CSF region mimicked by anti-anti-GM-CSF recombi
nant antibody (rAb) 23.2. These peptides were designed to mimic struct
urally the positions of specific residues on the B and C helicies of h
uman GM-CSF implicated in receptor binding and bioactivity. Both 1785
and 1786 were recognized specifically by polyclonal anti-GM-CSF antibo
dy. 1786 also competitively inhibited binding of GM-CSF to the GM-CSF
receptor and demonstrated antagonist bioactivity, as shown by its reve
rsal of GM-CSF's ability to inhibit apoptosis of the GM-CSF-dependent
cell line MO7E. These studies support the role of residues on the GM-C
SF B and C helicies in receptor binding and bioactivity and suggest st
rategies for mimicking binding sites on four-helix bundle proteins wit
h cyclic peptides.