| Anti-Inflammatory
& Anti-Allergy Agents in Medicinal Chemistry
ISSN: 1871-5230

Current Medicinal Chemistry
- Anti-Infective and Anti-Allergy Agents
Volume 4, Number 1, February 2005
Contents

Editorial
Nobutaka Suzuki
[Editorial
In PDF]
Toll-like Receptors and their Adaptors in Innate
Immunity Pp.3-11
Kiyoshi Takeda
[Abstract] [Full
text article]
IRAKs: Key Regulatory Kinases of Innate Immunity
Pp.13-20
Nobutaka Suzuki, Shinobu Suzuki and Takashi Saito
[Abstract] [Full
text article]
SIGIRR/TIR8: A Negative Regulator of Toll-IL-1R
Signaling Pp.21-27
Xiaoxia Li and Jinzhong Qin
[Abstract] [Full
text article]
Innate Immune Receptors and IRF Family Transcription
Factors Pp.29-33
Takashi Fujita and Mitsutoshi Yoneyama
[Abstract] [Full
text article]
Rip2: A Key Molecule that Regulates both Innate
and Acquired Immunity Pp.35-42
Arnold I. Chin, Paul W. Dempsey and Genhong Cheng
[Abstract] [Full
text article]
The Molecular Functions of Nod Proteins and their
Associated Diseases Pp.43-51
Junya Masumoto, and Naohiro Inohara
[Abstract] [Full
text article]
DNAM-1 (CD226): A Two-Sword Fencer for Innate
and Adaptive Immunity Pp.53-58
Akira Shibuya, Satoko Tahara-Hanaoka and Kazuko Shibuya
[Abstract] [Full
text article]
NKT Cells: A Regulator in Both Innate and Acquired
Immunity Pp.59-64
Ken-ichiro Seino and Masaru Taniguchi
[Abstract] [Full
text article]
General Articles
Effects of Natural Products on Contact Dermatitis Pp.65-80
J.L. Rios, E. Bas and M.C. Recio
[Abstract] [Full
text article]
Antihistamines as Important Tools for Regulating
Inflammation Pp.81-89
E. Nettis, M.C. Colanardi, A. Ferrannini and A.Tursi
[Abstract] [Full
text article]
Novel Therapeutic Targets for Somatostatin in
Inflammatory Chronic Diseases Pp.91-104
N. Vaysse, H. Lahlou, G. Ferjoux and C. Susini
[Abstract] [Full
text article]
Abstracts

[Back to top]
Editorial
Nobutaka Suzuki
[Editorial
In PDF]
In general, there are two types of immune systems: innate
immunity and acquired immunity. The innate immune system provides
the first line of defense against many common microorganisms
including bacteria and virus. This primitive immune system
provides broad but relatively non-specific host defense that
lacks the properties of antigenic specificity and immunological
memory. In contrast, the acquired immune system is more sophisticated
and is mediated by T and B cells, both of which generate their
own receptors and specificities through DNA rearrangement,
and is observed only in highly organized organisms. This highly
sophisticated system has received much more attention and
been studied more extensively in the past than the innate
immune system. However, innate immunity is very important
because of the following two reasons: 1) only innate immunity
can respond to infections early on because it takes three
to seven days before the initial adaptive immune response
takes effect; and 2) recent studies have revealed that the
innate immune response is vital to the activation of acquired
immunity. For example, innate immune signaling such as Toll-like
receptor (TLR) mediated signaling influences T cell activation
and differentiation through dendritic cells (DCs) (Scheme
1). DCs are the most important antigen-presenting cells and
are involved in the activation of naïve T cells. Upon
infection, DCs recognize invariant molecular structures called
pathogen-associated molecular patterns (PAMPs) that are expressed
by many pathogens but not by hosts. TLRs in DCs recognize
PAMPs. Upon PAMP stimulation, TLRs mostly form homodimers,
resulting in a conformational change in their cytoplasmic
TLR/IL-1R/plant R (TIR) domain and the subsequent recruitment
of an adaptor protein, MyD88. MyD88 associates with TLRs via
the TIR domain. MyD88 then recruits downstream IL-1 receptor
associated kinase-4 (IRAK-4) via its death domain (DD). Four
IRAKs have been identified so far, namely, IRAK-1, IRAK-2,
IRAK-M and IRAK-4. Of these, IRAK-4 is the most indispensable
to TLR signaling according to knockout mouse studies. The
TNF receptor associated factor 6 (TRAF6) is activated, which
in turn activates such nuclear transcription factors as NF-κB
and AP-1 through the IKK complex and JNK, respectively. NF-κB
and AP-1 finally induce the activation of immune response
genes, resulting in the production of inflammatory cytokines.
These cytokines are involved in the differentiation of naïve
T cells. On the other hand, TLR signaling also induces the
expression of MHC and costimulatory molecules on the surface
of DCs in order to induce clonal expansion and differentiation
of the recipient naïve T cells. Naïve T cells finally
differentiate into Th1 and Th2 cells that influence macrophage
activation and Ag-specific B cell activation, respectively.
These T cell responses are classified under the acquired immune
system. Scheme 1 shows an example of how the innate immune
system is linked to acquired immunity. Recently, it has been
recognized that innate immunity is a fundamental and critical
system for triggering acquired immunity.
Dr. Takeda has summarized TLRs that are specific for innate
immune responses, and has discussed adaptor molecules that
can bind to TLRs. Our group has summarized IL-1 receptor associated
kinases (IRAKs), which are the regulatory kinases of innate
immune signaling. We have also discussed how IRAKs, in particular
IRAK-4, effect acquired immunity and human disease. On the
other hand, Dr. Li has summarized signal transduction in innate
immunity by concentrating on a critical TLR negative regulator,
SIGIRR. Dr. Fujita’s group has given us a more detailed
scheme of innate immune signaling by paying attention to the
IRF family. Dr. Cheng’s group has introduced Rip2, a
kinase crucial to both innate and acquired immunity. Dr. Inohara’s
group has introduced Nod proteins, which are important for
innate immunity and apoptosis. Dr. Shibuya’s group has
summarized DNAM-1, a leukocyte adhesion molecule considered
to be a two-sword fencer in innate and adaptive immunity.
Dr. Taniguchi’s group has summarized NKT cells, which
are bridging cells between innate and acquired immunity.
The objectives of this review are to: 1) summarize most recent
knowledge of innate immunity; and 2) present lines of evidence
indicating that innate immunity is indispensable to acquired
immunity. This new concept of the innate immune system poses
a challenge to the current views on pathogenesis and the treatment
of infectious diseases, immune diseases, allergenic diseases,
and cancers.
Nobutaka Suzuki
Guest Editor
Laboratory for Cell Signaling
RIKEN Research Center for Allergy and Immunology
1-7-22 Suehiro-cho, Tsurumi-ku
Yokohama, Kanagawa 230-0045
Japan
Tel: +81-45-503-7039
Fax: +81-45-503-7036
E-mail: nobu@rcai.riken.jp
[Back to top]
Toll-like Receptors and their Adaptors in Innate Immunity
Kiyoshi Takeda
[Full
text article]
Toll-like receptors (TLRs) recognize specific molecular patterns
of pathogenic microorganisms, including bacteria, fungi, protozoa,
and virus. Stimulation of TLRs triggers gene expression involved
in innate immune response and further instructs development
of antigen-specific adaptive immunity. Molecular mechanisms
by which TLRs activate innate immunity are now being elucidated
through analysis of TLR-mediated signaling pathways. TLR signaling
originates from the cytoplasmic Toll/IL-1 receptor (TIR) domain,
which is conserved among all TLRs. In addition, recent evidence
indicates that TIR domain-containing adaptors, such as MyD88,
TRIF, TIRAP, and TRAM, play essential roles in TLR signaling.
MyD88 is essential for inflammatory cytokine production via
all TLRs, whereas TRIF mediates a MyD88-independent induction
of type I IFNs via TLR3 and TLR4. TIRAP is specifically
involved in TLR2-, and TLR4-mediated MyD88-dependent pathway,
and TRAM acts in the TLR4-mediated TRIF-dependent pathway.
Therefore, the specific functions of individual TLRs can be
elicited by utilizing different combinations of TIR domain-containing
adaptors. These recent progresses have made us aware of the
fact that innate immunity possesses a skillful system to detect
microbial invasion in the host and trigger appropriate immune
responses.
[Back to top]
IRAKs: Key Regulatory Kinases of Innate Immunity
Nobutaka Suzuki, Shinobu Suzuki and Takashi Saito
[Full
text article]
Toll-like receptors (TLRs), interleukin 1 receptor (IL-1R),
IL-18 receptor (IL-18R) and plant R are vital to the induction
of acute inflammation as well as various adaptive immune responses
upon invasion of microorganisms. These receptors share a common
cytoplasmic domain called the TIR (TLR/IL-1R/plant R) domain
and the signaling cascade involving the TIR domain is conserved
from invertebrate to vertebrate.
The engagement of TIR domain containing receptors initiates
their signaling through several intermediate proteins including
serine-threonine kinase IL-1 receptor associated kinases (IRAKs).
The IRAK family has four members and the newest member, IRAK-4,
is indispensable to the TIR-mediated signaling pathway. The
improper regulation of TIR receptor signaling leads to the
development of such severe inflammatory diseases as sepsis,
asthma, rheumatoid arthritis and even cancer. Therefore, it
is very important to determine precisely the implications
of TIR signaling in those inflammatory diseases for appropriate
medical treatment and drug development. As IRAK-4 is the critical
molecule for TIR-mediated signaling, it is a promising therapeutic
target for many inflammatory diseases. In this review, we
discuss the functions of the IRAK family members with focus
on IRAK-4, to seek the possibility of yielding new therapeutic
strategies.
[Back to top]
SIGIRR/TIR8: A Negative Regulator of Toll-IL-1R Signaling
Xiaoxia Li and Jinzhong Qin
[Full
text article]
Toll-like receptors (TLRs) belong to the Toll-IL-1 receptor
superfamily, which is defined by a common intracellular Toll-IL-1
receptor (TIR)-domain. These receptors employ related yet
distinct signaling components and downstream pathways, leading
to activation of the transcription factors NFκB,
ATF and IRF3. Recent studies have also begun to unravel how
these pathways are negatively regulated. SIGIRR (also known
as TIR8), a member of Toll-IL-1R superfamily that does not
activate the transcription factors NFkB, ATF and IRF3, instead
negatively modulates responses. Inflammation is enhanced in
SIGIRR-null mice as measured by enhanced chemokine induction
after IL-1 injection and a reduced threshold for lethal endotoxin
challenge. SIGIRR-deficient mice are more susceptible to DSS-induced
inflammatory bowel disease. Cells from SIGIRR-null mice show
enhanced activation in response to either IL-1 or certain
Toll ligands. Therefore, SIGIRR functions as a biologically
important modulator of Toll-IL-1R signaling.
[Back to top]
Innate Immune Receptors and IRF Family Transcription
Factors
Takashi Fujita and Mitsutoshi Yoneyama
[Full
text article]
Toll like receptors (TLRs) function as signaling receptors
for pathogen-derived molecules and provoke innate immune responses,
which are preparatory for initiating acquired immunity. Each
TLR triggers both common and unique signals, resulting in
the activation of a specific set of transcription factors
and hence the activation of common and specific target genes.
Some members of the Interferon Regulatory Factor (IRF) family
of transcription factors are specifically activated by TLR
signaling and participate in the critical processes of innate
immunity. Recently, a non-TLR receptor that recognizes viral
double stranded RNA and participates in the antiviral innate
responses was identified.
[Back to top]
Rip2: A Key Molecule that Regulates both Innate and Acquired
Immunity
Arnold I. Chin, Paul W. Dempsey and Genhong Cheng
[Full
text article]
The Receptor interacting protein-2 (Rip2, also called RICK,
CARDIAK) is an intracellular serine-threonine kinase that
contains a carboxy-terminal caspase activation and recruitment
domain (CARD). The initial biochemical analysis emphasized
a role for Rip2 in the activation of nuclear factor-kappaB
(NF-κB)
and apoptosis when overexpressed. The subsequent generation
of mice with a targeted deletion of the gene for Rip2 and
the description of a possible target for Rip2 kinase activity
has clarified the role of Rip2. Following infectious challenges,
the activation of a protective immune response relies on the
coordinated interplay of contextual stimulation and inflammatory
processes. All mammals must balance the need to combat dangerous
pathogens from the destructive potential for mistaking autologous
cells or proteins as appropriate targets for response. Rip2
has carved out an evolutionary niche serving as a regulator
of inflammatory responses. Rip2 helps to direct or propagate
signals towards cell-mediated immune responses and resolution
of infection by modifying signals from pathogen recognition
receptors (PRRs) such as Toll-like receptors (TLRs) and nucleotide-binding
oligomerization domain (Nod) family members of innate immunity,
the T cell receptor (TCR) complex of acquired immunity, and
cytokine signaling of the interleukin (IL)-1 receptor family
and IL-12 signaling pathways. Here we wish to outline the
progress made in describing the biological significance of
Rip2 and the mode of regulation of this kinase. Further studies
considering Rip2 as a target of intervention have the potential
to be of great clinical value.
[Back to top]
The Molecular Functions of Nod Proteins and their Associated
Diseases
Junya Masumoto, and Naohiro Inohara
[Full
text article]
Nod proteins are defined as proteins carrying nucleotide-oligomerization
domains (NODs) and are involved in regulation of immune responses
and apoptosis. The Nod protein family contains 23 human members
including Nod1, Nod2, cryopyrin, Ipaf, Apaf-1 and CIITA, as
well as thousands of plant proteins, which are involved in
pathogen-specific defense responses. A Nod protein generally
contains an amino-terminal domain for binding downstream effector
molecules, a central NOD and a carboxyl-terminal ligand recognition
domain (LRD). Nod1 and Nod2 are involved in host recognition
of small molecules that are components of bacterial peptidoglycan
and activate nuclear factor κB
(NF-κB)
in response to sensing these molecules. This NF-κB
activation occurs in a RICK- and IKK-dependent manner. The
core ligand structure for Nod2 is muramyl dipeptide, a structural
motif common in all bacteria, whereas the ligand for Nod1
is a dipeptide designated as iE-DAP, a motif found in only
certain subgroups of bacteria. These molecules and their derivatives
mediate host innate responses against bacteria and also function
as immunostimulatory adjuvants through induction of cytokine
secretion and co-stimulatory molecule expression. Although
the mechanism is unknown, genetic and functional defects of
Nod proteins are associated with several inflammatory diseases
and immunodeficiency. These include susceptibility for Crohn’s
disease and Blau syndrome (Nod2), three related inflammatory
diseases (cryopyrin) and type II bare lymphocyte syndrome
(CIITA). Functional analyses of mutant Nod proteins suggest
a common molecular basis for these diseases.
[Back to top]
DNAM-1 (CD226): A Two-Sword Fencer for Innate and Adaptive
Immunity
Akira Shibuya, Satoko Tahara-Hanaoka and
Kazuko Shibuya
[Full
text article]
The leukocyte adhesion molecule DNAM-1 (CD226) is a member
of the immunoglobulin superfamily and constitutively expressed
on the majority of CD4+ and CD8+ T lymphocytes,
natural killer (NK) cells, monocytes/macrophages, platelets
and megakaryocytes and a subset of B lymphocytes. The poliovirus
receptor (CD155) and its family member nectin 2 (CD112) have
recently been identified as the ligands for DNAM-1. Interaction
of DNAM-1 with the ligands induces NK cell- and CD8+
T cell-mediated cytotoxicity and cytokine secretion. Upon
antigen recognition by the T cell receptor, DNAM-1 physically
associates with the αLβ2
integrin adhesion molecule LFA-1 and plays an essential role
for LFA-1-mediated costimulatory signals for differentiation
from naïve CD4+ T cells toward Th1 cells.
Moreover, DNAM-1 is involved in macrophage and platelet activation
and adhesion to vascular endothelial cells. Thus, DNAM-1 is
involved in a variety of hematopoietic cell functions for
innate and adaptive immunities.
[Back to top]
NKT Cells: A Regulator in Both Innate and Acquired
Immunity
Ken-ichiro Seino and Masaru Taniguchi
[Full
text article]
CDd-restricted NKT cells are a unique subset of lymphocytes
bridging innate and acquired immunity and mediating both effector
and regulatory functions in immune responses. NKT cells are
essential for the protection against pathogens or tumors,
and also play a regulatory role in transplantation tolerance
and autoimmune disease development. This review focuses on
the various functions of NKT cells and discusses fundamental
mechanisms in NKT cell biology.
[Back to top]
Effects of Natural Products on Contact Dermatitis
J.L. Rios, E. Bas and M.C. Recio
[Full
text article]
Some medicinal plants, which are known to produce allergic
reactions, are also specifically used as anti-inflammatory
agents. Among the more relevant plants, we report species
with cinnamaldehyde, cinnamic alcohol, geraniol, hydroxycitronellal,
eugenol and isoeugenol are all potential allergens. In addition,
fragrances, which are mixtures of small-molecular-weight compounds,
may induce allergic contact dermatitis due to fragrance-specific
CD4+ and CD8+ T lymphocytes. Plants
from the Asteraceae family used in folk medicine as anti-inflammatories
can cause allergic contact dermatitis because of its content
in sesquiterpene lactones, which have been reported as the
anti-inflammatory principles in this species.
Species with flavonoids, iridoids, terpenoids and alkaloids
have been described as inhibitors of contact dermatitis.
Scrophularia auriculata, Poria cocos, Santolina chamaecyparissus,
Ranunculus sceleratus and Helichrysum italicum
all showed activity in different experimental protocols of
contact dermatitis, thus justifying the potential use of these
medicinal plants as anti-allergens and inhibitors of contact
dermatitis reactions produced by allergens and chemicals.
Hydroquinone derivatives such as 1-O-β-glucopyranosyl-2-(3’-hydroxymethyl-3’-methylallyl)
hydroquinone and arbutin, flavonoids such as kaempferol, apigenin
and genistein, sesquiterpene lactones such as helenalin, diterpenes
such as triptonide, triterpenes such as tripterine and bryonolic
acid, iridoids such as scrovalentinoside, alkaloids such as
indirubin, dehydrocorydaline, magnoflorine hydroxide and phellodendrine
acetate, and polysaccharides such as fucoidin have been reported
as inhibitors of contact dermatitis reactions.
[Back to top]
Antihistamines as Important Tools for Regulating Inflammation
E. Nettis, M.C. Colanardi, A. Ferrannini and
A.Tursi
[Full
text article]
Allergic disorders are characterized by typical symptoms
and an infiltrate of cells, including Th2 lymphocytes, eosinophils
and mast cells. Activated mast cell mediators cause the early
appearance of symptoms, and cytokines induce a cascade of
inflammatory events. Both resident and infiltrating cells
are important sources of those mediators and cytokines which
maintain and enhance the allergic inflammatory response.
The predominant preformed mediator released by mast cells
and basophils is histamine, which binds to specific cell receptors
to produce its clinical effects. Therapeutic intervention
in allergic disease has thus commonly focused on blocking
the action of histamine. Ever since Arunlakshana demonstrated,
in 1953, the ability of antihistamines to inhibit histamine
release by mast cells, numerous studies have been conducted,
both in vivo and in vitro, to determine
the H1 antihistamines additional properties which contribute
to their clinical efficacy in the treatment of allergic disease.
It has been reported that some antihistamines can also regulate
the expression and/or release of cytokines, chemokines, adhesion
molecules, and or/inflammatory mediators. Such properties
make these agents important tools for the continuous long-term
regulation of both early and late-phase allergic reactions.
It appears likely that antihistamines exert these anti-inflammatory
effects by means of both receptor-dependent and receptor-independent
mechanisms. The receptor-dependent mechanisms seem to involve
inhibition of the generation of NF-κB
dependent cytokines and adhesion proteins. The latter mechanisms,
which require higher drug concentrations, appear to include
the release by inflammatory cells of pre-formed mediators,
such as histamine and eosinophil proteins as well as eicosanoid
generation and oxygen free radicals production.
Herein, we review the current state of knowledge of the anti-inflammatory
properties of antihistamines and their mechanisms.
[Back to top]
Novel Therapeutic Targets for Somatostatin in Inflammatory
Chronic Diseases
N. Vaysse, H. Lahlou, G. Ferjoux and C. Susini
[Full
text article]
Somatostatin binds to five receptors sst1-sst5, belonging
to the G-protein coupled receptor super family. So far, only
sst2 preferring analogs, presenting also high affinity for
sst5 and moderate affinity for sst3, are available for clinical
use to treat certain hormonal disorders and tumors (pituitary
adenomas and gastroenteropancreatic tumors) with long-lasting
efficacy and minimal side-effects as observed in patients
with acromegaly. Recent strategies based on sequence modifications,
such as D-substitutions, deletions, backbone cyclisation technology,
novel thiourea scaffolds, along with combinatorial chemistry,
lead to the discovery of peptide and non peptide compounds,
with either combined affinities for two or more receptor subtypes,
or exclusive selectivity for one of them, or a universal profile
binding, more stable than the natural peptides. A large field
of potential novel drugs has been open. Molecular mechanisms
for anti-inflammatory properties of somatostatin and analogs
involve anti-secretory, anti-proliferative and anti-angiogenic
properties, which may be receptor selective. The great diversity
of new analogs and major progress in the understanding of
biological activity of somatostatin and receptors support
strategies for targeting somatostatin to treat some chronic
inflammatory diseases which are still a major cause of disability.
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