Synthesis and evaluation of selectin antagonists targeting acute inflammation

The first step for leukocyte adhesion and rolling along the vascular endothelium during the immune system inflammatory response involves the recognition of the tetrasaccharide sialyl LewisX (sLeX) by selectin glycoproteins. Dysfunction of the immune response, a consequence of several pathologies of inflammatory disease, leads to an excessive influx of leukocytes that necessitates therapeutic intervention. The development of glycomimetics, small molecule therapeutics that imitate complex glycans, is a promising strategy for treating inflammation. Specifically, a targeted approach amenable to severe acute inflammation, such as in hospitalized patients suffering from vaso-occlusive crises (VOC) or acute respiratory distress syndrome (ARDS). Building off the first generation of selectin antagonists developed by our laboratory, the aim of this work was to synthesize and evaluate the potency of a new class of sLeX glycomimetics for use as selectin antagonists targeting acute inflammation. This work describes the development of two novel strategies for sLeX glycomimetics incorporating a challenging trans-bicyclo[4.4.0] 3-O,4-C-fused galactopyranoside scaffold with a conformationally restricted carboxylate moiety. In the first approach, the key bicyclic galactopyranoside intermediate was accessed through a 13-step sequence with 19% overall yield from D-galactose pentaacetate. An unprecedented intramolecular cyclization reaction provided the desired axially configured bicyclic intermediate independent of the precursor stereochemistry. The origin of stereoselectivity was proposed to be under Curtin-Hammett kinetic control; a hypothesis supported by an experimental study and theoretical DFT calculations. The equatorial carboxylate series was also prepared using a desilylation strategy capitalizing on the migration of an β,γ-unsaturated ester. The second approach is highlighted by an orthogonal dual-glycosidation strategy that takes advantage of the conformationally restricted scaffold. The key bicyclic intermediate, bearing an α-configured C9 nitrile moiety, was prepared in 12 steps with a 53% overall yield. This approach led to a series of selectin antagonists incorporating axially-locked amide, amine, and tetrazole modifications at the C9 position, as well as an analogue incorporating a C6-benzamide. The modular galactopyranoside framework achieved using this approach can be exploited to prepare additional carboxylic acid bioisosteres for future SAR studies. A hybrid analogue was prepared, that combines the bicyclic galactopyranoside scaffold and a synthetic approach to selectin antagonists incorporating sidechain modifications to the first-generation tartrate diester. This synthetic route was also elaborated to access sLeX glycomimetics bearing a benzophenone-based photoaffinity probe. This analogue will serve as a valuable tool in the photoaffinity labeling of selectin proteins to elucidate key active site residues. The second-generation analogues were evaluated for their ability to inhibit selectin adhesion. A qualitative method to rank the binding strength towards recombinant P- and E-selectin proteins using SPR biosensor technology was developed, as well as a preliminary competitive inhibition in solution experiment with immobilized PSGL-1. Several compounds were also evaluated using an in vitro HL-60 cell adhesion assay, and a live-cell imaging experiment. An in vivo peritoneal lavage cellular migration assay was used to validate the potency of our lead compounds at inhibiting neutrophil recruitment in an acute inflammation model. Key results from the biological evaluations include an improvement in activity by restricting the conformation of the carboxylate moiety to the axial configuration, as well as an enhancement in potency over the lead compound from the first-generation series. Remarkably, specificity for P-selectin inhibition was observed with the galactopyranoside series, while the arabinopyranoside series, incorporating a tetrazole bioisostere, displayed significant activity towards E-selectin. The combination of the two modifications yielded remarkable pan-selectin activity that warrants further investigation.

Keyphrases: Inflammation, Selectins, Sialyl Lewis X, Glycomimetics, Carbohydrates, Total synthesis, Intramolecular cyclization, Glycosidation