We have previously shown that
complement factor 5a (C5a) plays a role in the pathogenesis of
2,4,6-trinitrobenzene sulfonic acid (TNBS)-induced
colitis in rats by using the selective, orally active C5a antagonist
AcF-[OP(d-Cha)WR]. This study tested the efficacy and potency of a new C5a antagonist, hydrocinnamate (
HC)-[OP(d-Cha)WR], which has limited intestinal lumenal metabolism, in this model of
colitis. Analogs of
AcF-[OP(d-Cha)WR] were examined for their susceptibility to alimentary metabolism in the rat using intestinal mucosal washings. One metabolically stable analog,
HC-[OP(d-Cha)WR], was then evaluated pharmacokinetically and investigated at a range of doses (0.03-10 mg/kg/day p.o.) in the 8-day rat TNBS-
colitis model, against the comparator
drug AcF-[OP(d-Cha)WR]. Using various amino acid substitutions, it was determined that the AcF moiety of
AcF-[OP(d-Cha)WR] was responsible for the metabolic instability of the compound in intestinal mucosal washings. The analog
HC-[OP(d-Cha)WR], equiactive in vitro to
AcF-[OP(d-Cha)WR], was resistant to intestinal metabolism, but it displayed similar oral bioavailability to
AcF-[OP(d-Cha)WR]. However, in the rat TNBS-
colitis model,
HC-[OP(d-Cha)WR] was effective at reducing mortality, colon
edema, colon macroscopic scores, and increasing food consumption and
body weights,
at 10- to 30-fold lower oral doses than
AcF-[OP(d-Cha)WR]. These studies suggest that resistance to intestinal metabolism by
HC-[OP(d-Cha)WR] may result in increased local concentrations of the
drug in the colon, thus affording efficacy with markedly lower oral doses than
AcF-[OP(d-Cha)WR] against TNBS-
colitis. This large increase in potency and high efficacy of this compound makes it a potential candidate for clinical development against
intestinal diseases such as
inflammatory bowel disease.