A new C5a receptor antagonist, the cyclic peptide Phe-[Orn-Pro-D-cyclohexyl
alanine-Trp-Arg], (F-[OPdChaWR]), was tested for its ability to antagonize
the neutropenic effects of both C5a and endotoxin in rats. Human recombinan
t C5a (2 mu g kg(-1) i.v.) caused rapid neutropenia, characterized by an 83
% decrease in circulating polymorphonuclear leukocytes (PMNs) at 5 min. Adm
inistration of F-[OPdChaWR] (0.3-3 mg kg(-1) i.v.), did not affect the leve
ls of circulating PMNs but, when given 10 min prior to C5a, it inhibited th
e C5a-induced neutropenia by up to 70%. Administration of E. Coli lipopolys
accharide (LPS, I mg kg(-1) i.v.) also caused neutropenia with an 88% decre
ase in circulating PMNs after 30 min. When rats were pretreated with F-[OPd
ChaWR] (0.3-10 mg kg(-1) i.v.) 10 min prior to LPS, there was a dose-depend
ent antagonism of the neutropenia caused by LPS, with up to 69% reversal of
neutropenia observed 30 min after LPS administration. These findings sugge
st that C5a receptor antagonists may have therapeutic potential in the many
diseases known to involve either endotoxin or C5a.