Treatment of experimental adjuvant arthritis with a novel folate receptor-targeted folic acid-aminopterin conjugate 英文参考文献.docVIP
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Treatment of experimental adjuvant arthritis with a novel folate receptor-targeted folic acid-aminopterin conjugate 英文参考文献
Luetal.ArthritisResearchTherapy2011,13:R56
/content/13/2/R56
RESEARCH ARTICLE
OpenAccess
Treatmentofexperimentaladjuvantarthritiswith
anovelfolatereceptor-targetedfolicacid-
aminopterinconjugate
YingjuanLu1,TorianWStinnette1,ElaineWestrick1,PatrickJKlein1,MarkAGehrke1,VickyACross1,
IontchoRVlahov1,PhilipSLow2andChristopherPLeamon1*
Abstract
Introduction:Folatereceptor(FR)-expressingmacrophageshavebeenshowntoaccumulateatsitesof
inflammation,wheretheypromotedevelopmentofinflammatorysymptoms.Totargetsuchamacrophage
population,wedesignedandevaluatedthebiologicactivityofEC0746,anovelfolicacidconjugateofthehighly
potentantifolate,aminopterin.
Methods:UsingaFR-positivesubcloneofmurinemacrophage-derivedRAW264.7cellsandratthioglycollate-
elicitedmacrophages,westudiedtheeffectofEC0746ondihydrofolatereductaseactivity,cellproliferation,and
cellularresponsetowardsbacteriallipopolysaccharideaswellasIFNgactivation.TheEC0746anti-inflammatory
activity,pharmacokinetics,andtoxicitywerealsoevaluatedinnormalratsorinratswithadjuvant-inducedarthritis;
thatis,aFR-positivemacrophagemodelthatcloselyresemblesrheumatoidarthritisinhumans.
Results:EC0746suppressestheproliferationofRAW264.7cellsandpreventstheabilityofnonproliferatingrat
macrophagestorespondtoinflammatorystimuli.Inthemacrophage-richratarthritismodel,brieftreatmentwith
subcutaneouslyadministeredEC0746isshowntomediateanFR-specificanti-inflammatoryresponsethatismore
potentthaneitherorallyadministeredmethotrexateorsubcutaneouslydeliveredetanercept.Moreimportantly,
EC0746therapyisalsoshowntobe~40-foldlesstoxicthanunmodifiedaminopterin,withfewerbonemarrow
andgastrointestinalproblems.
Conclusions:EC0746isthefirsthighFR-bindingdihydrofolatereductaseinhibitorthatdemonstratesFR-specific
anti-inflammatoryactivitiesbothinvitroandinvivo.Ourdatarevealthatarelativelytoxicanti-inflammatorydrug,
suchasaminopterin,canbetargetedwithfolicacidtoinflammatorymacrophagesandtherebyrelieve
inflammatorysymptomswithgreatlyreducedtoxicity.
Introduction
rolei
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