Edited by Dennis R. Voelker Cytokine macrophage migration inhibitory factor-2 (MIF-2 or D-dopachrome tautomerase) is a recently characterized second member of the MIF cytokine superfamily in mammalian genomes. MIF-2 shares pro-inflammatory and tumorigenic properties with the clinical target MIF (MIF-1), but the precise contribution of MIF-2 to immune physiology or pathology is unclear. Like MIF-1, MIF-2 has intrinsic keto-enol tautomerase activity and mediates biological functions by engaging the cognate, common MIF family receptor CD74. Evidence that the catalytic site of MIF family cytokines has a structural role in receptor binding has prompted exploration of tautomerase inhibitors as potential biological antagonists and therapeutic agents, although few catalytic inhibitors inhibit receptor activation. Here we describe the discovery and biochemical characterization of a selective small-molecule inhibitor of MIF-2. An in silico screen of 1.6 million compounds targeting the MIF-2 tautomerase site yielded several hits for potential catalytic inhibitors of MIF-2 and identified 4-(3-carboxyphenyl)-2,5-pyridinedicarboxylic acid (4-CPPC) as the most functionally potent compound. We found that 4-CPPC has an enzymatic IC 50 of 27 M and 17-fold selectivity for MIF-2 versus MIF-1. An in vitro binding assay for MIF-1/MIF-2 to the CD74 ectodomain (sCD74) indicated that 4-CPPC inhibits MIF-2-CD74 binding in a dosedependent manner (0.01-10 M) without influencing MIF-1-CD74 binding. Notably, 4-CPPC inhibited MIF-2-mediated activation of CD74 and reduced CD74-dependent signal transduction. These results open opportunities for development of more potent and pharmacologically auspicious MIF-2 inhibitors to investigate the distinct functions of this MIF family member in vivo. Macrophage migration inhibitory factor (MIF or MIF-1) 2 is a widely expressed multifunctional cytokine that mediates the immune response to infection, contributes to the development of autoimmune disorders, and has role in the inflammatory pathogenesis of cancer. MIF-1's pathogenic role is supported by both experimental and clinical studies, including human genetic findings that link a commonly occurring, functional promoter polymorphism with different autoimmune disorders (1-3), infectious conditions (4-6) and tumors (7). The threedimensional X-ray crystal structure of MIF-1 was elucidated in 1996 and led to the description of a new structural superfamily with MIF-1 as its defining member (8, 9). A second family member, D-dopachrome tautomerase (D-DT or MIF-2), with 34% sequence identity and a three-dimensional structure nearly identical to MIF-1, was defined structurally by Sugimoto et al. (10) and recently characterized biologically (11, 12). Both MIF-1 and MIF-2 are released from activated monocytes/ macrophages and signal through the surface receptor CD74, leading to recruitment of CD44 into a signaling complex and subsequently initiating the ERK1/2 mitogen-activated protein kinase pathway (13, 14). In addition, MIF-1 exerts chemokinelike functions thro...