CP-195543 [(+)-2-(3-benzyl-4-hydroxy-chroman-7-yl)-4-trifluoromethyl-
benzoic acid] is a structurally novel, selective and potent
leukotriene B4 (
LTB4) receptor antagonist. In vitro
CP-195543 inhibited [3H]
LTB4 binding to high-affinity
LTB4 receptors on human neutrophils (HN) and murine spleen membranes with IC50 values of 6.8 nM (Ki = 4.9 nM) and 37.0 nM (Ki = 26.9 nM), respectively.
CP-195543 inhibited human and mouse neutrophil chemotaxis mediated by
LTB4 with IC50 values of 2.4 nM and 7.5 nM, respectively. Evidence of noncompetitive antagonist effects on the HN high-affinity
LTB4 receptor was obtained by Scatchard analysis of [3H]
LTB4 binding to and chemotaxis of HN to
LTB4. Scatchard analyses of [3H]
LTB4 binding to low-affinity receptors on HN indicated that
CP-195543 acted as a competitive antagonist at this receptor, and inhibition of LTB4-mediated CD11b up-regulation on HN was inhibited competitively by
CP-195543 (pA2 = 7.66). In whole blood,
CP-195543 also blocked CD11b up-regulation on HN (pA2 = 7.12) and murine neutrophils (pA2 = 7.06) with a similar potency. LTB4-mediated CD11b up-regulation on human monocytes and eosinophils in whole blood were inhibited by
CP-195543 with IC50 values of 270 nM and 420 nM, respectively.
CP-195543 at 10 microM failed to inhibit HN chemotaxis and CD11b up-regulation mediated through alternative (i.e.,
complement fragment 5a,
interleukin-8,
platelet-activating factor)
G-protein-coupled
chemotactic factor receptors. In vivo, after
oral administration,
CP-195543 blocked LTB4-mediated neutrophil infiltration in guinea pig and murine skin with ED50 values of 0.1 mg/kg and 2.8 mg/kg p.o., respectively. When administered in osmotic pumps,
CP-195543 reduced the clinical symptoms and attendant
weight loss in an IL-1-exacerbated murine model of
collagen-induced arthritis with half-maximal effects associated with plasma
drug levels of 0.4 to 0.5 microg/ml. Collectively these data provide evidence of the in vitro potency and in vivo efficacy of a novel
LTB4 antagonist and support its clinical evaluation in a variety of inflammatory diseases in man.