Glucocorticoid receptor modulators CpdX and CpdX-D3 exhibit the same in vivo antiinflammatory activities as synthetic glucocorticoids

Proc Natl Acad Sci U S A. 2019 Jul 9;116(28):14191-14199. doi: 10.1073/pnas.1908258116. Epub 2019 Jun 21.

Abstract

We previously reported that the nonsteroidal compound CpdX, which was initially characterized 20 y ago as a possible gestagen and, shortly afterward, as a possible drug for treatments of inflammatory diseases, selectively triggers the NFκB/AP1-mediated tethered indirect transrepression function of the glucocorticoid receptor (GR), and could therefore be a selective glucocorticoid receptor agonistic modulator (SEGRAM). We now demonstrate that, upon administration to the mouse, CpdX and one of its deuterated derivatives, CpdX-D3, repress as efficiently as a synthetic glucocorticoid (e.g., Dexamethasone) an induced skin atopic dermatitis, an induced psoriasis-like inflammation, a house dust mite (HDM)-induced asthma-like allergic lung inflammation, a collagen-induced arthritis, an induced ulcerative colitis, and an ovalbumin-induced allergic conjunctivitis. Interestingly, in the cases of an HDM-induced asthma-like allergic lung inflammation and of a collagen-induced arthritis, the CpdX antiinflammatory activity was selectively exerted by one of the two CpdX enantiomers, namely, CpdX(eA) or CpdX-D3(eA).

Keywords: CpdX; antiinflammatory drug; glucocorticoids; inflammatory diseases; selective glucocorticoid receptor agonistic modulators.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / chemistry
  • Anti-Inflammatory Agents / pharmacology*
  • Arthritis, Experimental / drug therapy
  • Arthritis, Experimental / genetics
  • Arthritis, Experimental / pathology
  • Asthma / drug therapy
  • Asthma / genetics
  • Asthma / pathology
  • Conjunctivitis, Allergic / drug therapy
  • Conjunctivitis, Allergic / genetics
  • Conjunctivitis, Allergic / pathology
  • Dermatitis, Atopic / chemically induced
  • Dermatitis, Atopic / drug therapy
  • Dermatitis, Atopic / genetics
  • Dermatitis, Atopic / pathology
  • Dexamethasone / pharmacology
  • Disease Models, Animal
  • Glucocorticoids / genetics
  • Glucocorticoids / pharmacology*
  • Humans
  • Inflammation / drug therapy*
  • Inflammation / genetics
  • Inflammation / pathology
  • Mice
  • NF-kappa B / genetics
  • Ovalbumin / toxicity
  • Progestins / chemistry
  • Progestins / pharmacology
  • Receptors, Glucocorticoid / agonists
  • Receptors, Glucocorticoid / chemistry
  • Receptors, Glucocorticoid / genetics*
  • Skin / drug effects
  • Skin / pathology
  • Transcriptional Activation / drug effects

Substances

  • Anti-Inflammatory Agents
  • Glucocorticoids
  • NF-kappa B
  • Progestins
  • Receptors, Glucocorticoid
  • Dexamethasone
  • Ovalbumin