Iguratimod, an allosteric inhibitor of macrophage migration inhibitory factor (MIF), prevents mortality and oxidative stress in a murine model of acetaminophen overdose

Background Macrophage migration inhibitory factor (MIF) is a pleiotropic cytokine that has been implicated in multiple inflammatory and non-inflammatory diseases, including liver injury induced by acetaminophen (APAP) overdose. Multiple small molecule inhibitors of MIF have been described, including the clinically available anti-rheumatic drug T-614 (iguratimod); however, this drug’s mode of inhibition has not been fully investigated. Methods We conducted in vitro testing including kinetic analysis and protein crystallography to elucidate the interactions between MIF and T-614. We also performed in vivo experiments testing the efficacy of T-614 in a murine model of acetaminophen toxicity. We analyzed survival in lethal APAP overdose with and without T-614 and using two different dosing schedules of T-614. We also examined MIF and MIF inhibition effects on hepatic hydrogen peroxide ($ H_{2} $$ O_{2} $) as a surrogate of oxidative stress in non-lethal APAP overdose. Results Kinetic analysis was consistent with a non-competitive type of inhibition and an inhibition constant ($ K_{i} $) value of 16 µM. Crystallographic analysis revealed that T-614 binds outside of the tautomerase active site of the MIF trimer, with only the mesyl group of the molecule entering the active site pocket. T-614 improved survival in lethal APAP overdose when given prophylactically, but this protection was not observed when the drug was administered late (6 h after APAP). T-614 also decreased hepatic hydrogen peroxide concentrations during non-lethal APAP overdose in a MIF-dependent fashion. Conclusions T-614 is an allosteric inhibitor of MIF that prevented death and decreased hepatic hydrogen peroxide concentrations when given prophylactically in a murine model of acetaminophen overdose. Further studies are needed to elucidate the mechanistic role of MIF in APAP toxicity..

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:30

Enthalten in:

Molecular medicine - 30(2024), 1 vom: 27. März

Sprache:

Englisch

Beteiligte Personen:

Bloom, Joshua [VerfasserIn]
Pantouris, Georgios [VerfasserIn]
He, Mingzhu [VerfasserIn]
Aljabari, Bayan [VerfasserIn]
Mishra, Lopa [VerfasserIn]
Manjula, Ramu [VerfasserIn]
Parkins, Andrew [VerfasserIn]
Lolis, Elias J. [VerfasserIn]
Al-Abed, Yousef [VerfasserIn]

Links:

Volltext [kostenfrei]

BKL:

44.00

Themen:

Acetaminophen
Drug discovery
Drug screening
Enzyme
Iguratimod
Inflammation
MIF
Toxicology

Anmerkungen:

© The Author(s) 2024

doi:

10.1186/s10020-024-00803-0

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

SPR055317561