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Vol. 297, Issue 1, 458-466, April 2001
Departments of Pulmonary Research (F.W.B., C.J.M., G.A.S., H.-M.J.)
and Medicinal Chemistry (R.A.), Boehringer Ingelheim Pharma KG,
Ingelheim, Germany
BIIL 284 is a new LTB4 receptor antagonist. It is a prodrug
and has negligible binding to the LTB4 receptor. However,
ubiquitous esterases metabolize BIIL 284 to the active metabolites BIIL
260 and BIIL 315, the glucuronidated form of BIIL 260. Both metabolites have high affinity to the LTB4 receptor on isolated human
neutrophil cell membranes with Ki values of
1.7 and 1.9 nM, respectively. On vital human neutrophilic granulocytes
Ki was around 1 nM. BIIL 260 and BIIL 315 interact with the LTB4 receptor in a saturable, reversible,
and competitive manner. BIIL 260 and its glucuronide BIIL 315 also
potently inhibited LTB4-induced intracellular
Ca2+ release in human neutrophils (IC50 values
of 0.82 and 0.75 nM, respectively) as measured with Fura-2. High
efficacy of BIIL 284 has been demonstrated in various in vivo models.
BIIL 284 inhibited LTB4-induced mouse ear inflammation with
ED50 = 0.008 mg/kg p.o., LTB4-induced
transdermal chemotaxis in guinea pigs with ED50 = 0.03 mg/kg p.o., LTB4-induced neutropenia in various species
(monkey: ED50 = 0.004 mg/kg p.o.), and
LTB4-induced Mac1-expression in monkeys
(ED50 = 0.05 mg/kg p.o. in Tylose). Full blockade of
LTB4 receptors over 24 h was achieved by 0.3 mg/kg
BIIL 284 after single oral dose as measured by LTB4-induced
neutropenia or Mac1-expression in the monkey model. BIIL 284 is an
unusually potent and long-acting orally active LTB4
antagonist, and is therefore under clinical development as a novel
anti-inflammatory principle.
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