Understanding integrin receptors
Integrin receptors are long-established treatment targets, with six approved therapeutics for treatment of multiple sclerosis, ulcerative colitis, dry eye disease and blood clots. Integrin receptors jump into action when they receive an internal signal and go into a ligand-binding state, when a molecule or atom irreversibly binds to a cell receptor and initiates different responses. Then, they transmit other signals back to the cell—an important process in human health and for the development of drugs to treat diseases. The problem is that some of the drugs that target integrin receptors may also initiate unwanted, potentially harmful physiological responses.
Evolution of research
Early research determined that peptides could block the ligand-binding mechanism and therefore prevent unwanted physiological responses. However, five phase III clinical trials failed, with high rates of mortality and some patients developing antibodies to the drug they were prescribed. Research was shut down, but over time, new information came to light about a new class of ligands that blocked receptor responses, rather than initiating them.
During their research to better understand this process, Dr. Zhu and the rest of the team hypothesized that they would be able to uncover a chemical principle that would enable a drug to bind to specific integrin receptors without turning on their signaling capabilities, and that this could be used on other integrin receptors that are potential targets for therapies.
Unlocking the answer
The key chemical compound to emerge was something relatively simple: water. By stabilizing a key water molecule, researchers were able to prevent integrin receptors from activating and sending unwanted signals. This marks a key turning point in the future of drug development, as researchers will be able to repurpose existing blockers for integrin receptor activation and use them to develop new drugs to treat autoimmune diseases, bleeding and clotting disorders, cancer, and more.
Jieqing Zhu, PhD, is a Senior Investigator at Versiti Blood Research Institute and a Professor of Biochemistry at the Medical College of Wisconsin.
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