Integrins α4β1/
α9β1 are important in the
pathogenesis and progression of inflammatory and autoimmune diseases
by their roles in leukocyte activation and trafficking. Natalizumab,
a monoclonal antibody selectively targeting α4β1 integrin
and blocking leukocyte trafficking to the central nervous system,
is an immunotherapy for multiple sclerosis (MS). However, due to its
adverse effects associated with chronic treatment, alternative strategies
using small peptide mimetic inhibitors are being sought. In the present
study, we synthesized and characterized visabron
c
(4–4), a backbone cyclic octapeptide based on the sequence
TMLD, a non-RGD unique α4β1 integrin recognition sequence
motif derived from visabres, a proteinous disintegrin from the viper
venom. Visabron
c
(4–4) was selected from
a minilibrary with conformational diversity based on its potency and
selectivity in functional adhesion cellular assays. Visabron
c
(4–4)’s serum stability, pharmacokinetics,
and therapeutic effects following ip injection were assessed in an
experimental autoimmune encephalomyelitis (EAE) animal model. Furthermore,
visabron
c
(4–4)’s lack of toxic effects
in mice was verified by blood analysis, tissue pathology, immunogenicity,
and “off-target” effects, indicating its significant
tolerability and lack of immunogenicity. Visabron
c
(4–4) can be delivered systemically. The
in vitro
and
in vivo
data justify visabron
c
(4–4) as a safe alternative peptidomimetic lead compound/drug
to monoclonal anti-α4 integrin antibodies, steroids, and other
immunosuppressant drugs. Moreover, visabron
c
(4–4)
design may pave the way for developing new therapies for a variety
of other inflammatory and/or autoimmune diseases.