Therapeutic antagonists and the conformational regulation of the beta2 integrins

Curr Top Med Chem. 2004;4(14):1485-95. doi: 10.2174/1568026043387575.

Abstract

The beta2 integrins are validated therapeutic targets for inflammatory disorders. Two distinct mechanistic classes of small molecule inhibitors, termed alpha I allosteric and alpha/beta I-like allosteric antagonist, have recently been developed. The alpha I allosteric antagonists bind underneath the C-terminal helix of the I domain and stabilize the I domain in the inactive closed conformation. By contrast, the alpha/beta I-like allosteric antagonists bind to the beta2 I-like domain MIDAS and disrupt conformational signal transmission between the I and the I-like domain, leaving the I domain in a default inactive form. Furthermore, the two classes of the antagonists have opposite effects on integrin conformation; the alpha I allosteric antagonists stabilize the bent conformation, whereas the alpha/beta I-like allosteric antagonists induce the extended conformation with inactive I domain. The small molecule antagonists to the beta2 integrin highlight the importance of the structural linkages within and between integrin domains for transmission of the conformational signals and regulation of the overall conformation.

Publication types

  • Review

MeSH terms

  • Allosteric Regulation / drug effects*
  • CD18 Antigens / chemistry
  • CD18 Antigens / drug effects*
  • Heterocyclic Compounds / chemistry
  • Heterocyclic Compounds / pharmacology*
  • Heterocyclic Compounds / therapeutic use
  • Humans
  • Inflammation / drug therapy
  • Protein Conformation / drug effects
  • Structure-Activity Relationship

Substances

  • CD18 Antigens
  • Heterocyclic Compounds