Discovery of Amphipathic Dynorphin A Analogues to Inhibit the Neuroexcitatory Effects of Dynorphin A through Bradykinin Receptors in the Spinal Cord
- Yeon Sun Lee ,
- Dhanasekaran Muthu ,
- Sara M. Hall ,
- Cyf Ramos-Colon ,
- David Rankin ,
- Jackie Hu ,
- Alexander J. Sandweiss ,
- Milena De Felice ,
- Jennifer Yanhua Xie ,
- Todd W. Vanderah ,
- Frank Porreca ,
- Josephine Lai , and
- Victor J. Hruby
Abstract

We hypothesized that under chronic pain conditions, up-regulated dynorphin A (Dyn A) interacts with bradykinin receptors (BRs) in the spinal cord to promote hyperalgesia through an excitatory effect, which is opposite to the well-known inhibitory effect of opioid receptors. Considering the structural dissimilarity between Dyn A and endogenous BR ligands, bradykinin (BK) and kallidin (KD), this interaction could not be predicted, but it allowed us to discover a potential neuroexcitatory target. Well-known BR ligands, BK, [des-Arg10, Leu9]-kallidin (DALKD), and HOE140 showed different binding profiles at rat brain BRs than that previously reported. These results suggest that neuronal BRs in the rat central nervous system (CNS) may be pharmacologically distinct from those previously defined in non-neuronal tissues. Systematic structure–activity relationship (SAR) study at the rat brain BRs was performed, and as a result, a new key structural feature of Dyn A for BR recognition was identified: amphipathicity. NMR studies of two lead ligands, Dyn A-(4–11) 7 and [des-Arg7]-Dyn A-(4–11) 14, which showed the same high binding affinity, confirmed that the Arg residue in position 7, which is known to be crucial for Dyn A’s biological activity, is not necessary, and that a type I β-turn structure at the C-terminal part of both ligands plays an important role in retaining good binding affinities at the BRs. Our lead ligand 14 blocked Dyn A-(2–13) 10-induced hyperalgesic effects and motor impairment in in vivo assays using naïve rats. In a model of peripheral neuropathy, intrathecal (i.th.) administration of ligand 14 reversed thermal hyperalgesia and mechanical hypersensitivity in a dose-dependent manner in nerve-injured rats. Thus, ligand 14 may inhibit abnormal pain states by blocking the neuroexcitatory effects of enhanced levels of Dyn A, which are likely to be mediated by BRs in the spinal cord.
Introduction
Figure 1

Figure 1. The structures of Dyn A and Dyn A-(2–13).
Results and Discussion
Structure–Activity Relationships (SAR) Study
| BRa, [3H]DALKD | |||
|---|---|---|---|
| no. | ligand | log [IC50]b | IC50 (nM) |
| 1 | Dyn A-(3–6) | –6.02 ± 0.08 | 960 |
| 2 | Dyn A-(3–7) | –5.01 ± 0.10 | 9800 |
| 3 | Dyn A-(3–8) | –5.63 ± 0.27 | 2300 |
| 4 | Dyn A-(3–9) | –6.11 ± 0.09 | 780 |
| 5 | Dyn A-(3–10) | –6.09 ± 0.28 | 810 |
| 6 | Dyn A-(3–11) | –6.88 ± 0.08 | 130 |
| 7 | Dyn A-(4–11) | –6.86 ± 0.06 | 140 |
| 8 | Dyn A-(5–11) | –6.55 ± 0.06 | 280 |
| 9 | Dyn A-(5–12) | –5.15 ± 0.09 | 7100 |
| 10 | Dyn A-(2–13)c | –6.78 ± 0.09 | 170 |
| 11 | Dyn A-(3–13) | –6.50 ± 0.07 | 320 |
| 12 | Dyn A-(4–13) | –6.41 ± 0.13 | 390 |
| 13 | Dyn A-(5–13) | –6.33 ± 0.16 | 470 |
| 14 | H-Phe-Leu-Arg-Ile-Arg-Pro-Lys-OHc | –6.71 ± 0.11 | 190 |
| 15 | H-Phe-Leu-Arg-Arg-Ile-Arg-Pro-Lys-NH2 | –5.19 ± 0.20 | 6500 |
| 16 | Ac- Phe-Leu-Arg-Ile-Arg-Pro-Lys-OH | –6.92 ± 0.28 | 120 |
| 17 | Ac- Phe-Leu-Arg-Ile-Arg-Pro-DLys-OH | –6.20 ± 0.15 | 630 |
| 18 | Ac-DPhe-Leu-Arg-Ile-Arg-Pro-Lys-OH | –6.44 ± 0.13 | 360 |
| 19 | H-Phe-Leu-Arg-Ile-Arg-Pro-Arg-OH | –6.67 ± 0.15 | 210 |
| 20 | Ac- Phe-Leu-Arg-Ile-Arg-Pro-Arg-OH | –6.86 ± 0.20 | 140 |
| 21 | Ac-DPhe-Leu-Arg-Ile-Arg-Pro-Arg-OH | –6.84 ± 0.12 | 150 |
| 22 | H-Phe-Nle-Arg-Nle-Arg-Pro-Arg-OH | –6.86 ± 0.12 | 140 |
| 23 | Ac-Phe-Nle-Arg-Nle-Arg-Pro-Arg-OH | –6.85 ± 0.08 | 140 |
| 24 | Ac-DPhe-Nle-Arg-Nle-Arg-Pro-Arg-OH | –6.70 ± 0.29 | 200 |
| 25 | H-Phe-Ala-Arg-Ala-Arg-Pro-Arg-OH | –6.35 ± 0.18 | 450 |
| 26 | H-Phe-Leu-Arg-Arg-Ile-Arg-Arg-Pro-Lys-OH | –6.96 ± 0.20 | 110 |
| BK | H-Arg-Pro-Pro-Gly-Phe-Ser-Pro-Phe-Arg-OHc | –6.93 ± 0.08 | 120 |
| DALKD | H-Arg-Pro-Pro-Gly-Phe-Ser-Pro-Leu-OH | –7.12 ± 0.11 | 76 |
Competition assays were carried out at pH 7.4 using rat brain membranes.
Logarithmic values determined from the nonlinear regression analysis of data collected from at least two independent experiments in duplicate.
10: log [IC50] = −7.29 ± 0.21, IC50 = 51 nM. 14: log [IC50] = −6.85 ± 0.04, IC50 = 140 nM. BK: log [IC50] = −7.81 ± 0.17, IC50 = 15 nM at pH 6.8 in competition assays using [3H]BK, and transfected HEK 293 cells expressing the human B2R.
Heterogeneity of Bradykinin 2 Receptors (B2Rs)
NMR Structures
Figure 2

Figure 2. NOE summary and temperature coefficient values for 7 and 14. The thickness of the line corresponds approximately to the intensity of NOE cross peaks.
Figure 3

Figure 3. Chemical shift deviation of observed CαH values from the random coil values (CSI plot). It should be noted here that peptide 14 does not contain the Arg4 residue.
Figure 4

Figure 4. Lowest energy structure and overlay of 10 low energy structures of 7 (lower) and 14 (upper) from the simulated annealing molecular dynamics calculations. The hydrogen atoms are not shown for clarity. The ribbon diagram shows the secondary structure of the peptide. RMSD between structures is 2.013 Å (1.694 Å for 14) when all the atoms are considered but is reduced significantly to 0.502 Å (0.155 Å for 7) when only backbone atoms are considered.
Binding Affinities and pH Sensitivity
Figure 5

Figure 5. Inhibition of [3H]DALKD binding to rat brain membrane at pH 6.8. Rat brain membrane was incubated with [3H]DALKD and increasing concentrations of ligands. Data for each nonlinear regression analysis were collected from at least two independent experiments.
| [3H]DALKD, pH 7.4 | [3H]DALKD, pH 6.8 | |||
|---|---|---|---|---|
| ligand | log [IC50] | IC50 (nM) | log [IC50] | IC50 (nM) |
| 7 | –6.86 ± 0.06 | 140 | –7.16 ± 0.16 | 69 |
| 10 | –6.78 ± 0.09 | 170 | –7.67 ± 0.05 | 21 |
| 14 | –6.71 ± 0.11 | 190 | –7.16 ± 0.09 | 69 |
| 26 | –6.96 ± 0.20 | 110 | –7.13 ± 0.04 | 74 |
| BK | –6.93 ± 0.08 | 120 | –7.01 ± 0.05 | 98 |
| DALKD | –7.12 ± 0.11 | 76 | –6.98 ± 0.10 | 100 |
Details described in Table 1.
| BR, [3H]DALKD | |||
|---|---|---|---|
| no. | structure | log [IC50] | IC50 (nM) |
| 27 | H-Leu-Arg-Ile-Arg-Pro-Lys-Leu-Lys-OH | –7.52 ± 0.09 | 30 |
| 28 | H-Nle-Lys-Nle-Lys-Pro-Lys-Nle-Lys-OH | –7.04 ± 0.10 | 91 |
| 29 | H- Lys-Nle-Lys-Pro-Lys-Nle-Lys-OH | –7.07 ± 0.16 | 85 |
| 30 | H-Nle-Lys-Pro-Lys-Nle-Lys-OH | –7.11 ± 0.14 | 78 |
| 31 | H- Lys-Pro-Lys-Nle-Lys-OH | –6.64 ± 0.13 | 230 |
| 32 | H- Arg-Pro-Lys-Leu-Lys-OH | –7.24 ± 0.12 | 58 |
| 33 | H-Pro-Lys-Leu-Lys-OH | –6.68 ± 0.10 | 210 |
Details described in Table 1.
Identification of Dyn A Pharmacophore for BRs
Figure 6

Figure 6. Pharmacophore of Dyn A for BRs.
Off-Target Screening and Functional Assay
Figure 7

Figure 7. Phosphatidylinositol (PI) assay. The effect of test drug on production of [3H]inositol phosphates was expressed as a ratio of stimulated over basal activity defined as the amount detected in the absence of test drug. EC50: concentration at 50% of maximal stimulation. Data are representative of 3 independent experiments.
In Vivo Assay: Toxic and Hyperalgesic Effects
Figure 8

Figure 8. Rotarod (left) and Hindlimb (right) tests by i.th. administration of 10 or/and 14 in naïve rats.
Figure 9

Figure 9. Effects of ligand 10 or/and 14 on thermal hyperalgesia (left, radiant heat test) and tactile hypersensitivity (right, von Frey test) 2 h after i.th. administration in naïve rats. Ligand 10 decreased thermal latency and tactile thresholds after i.th. administration. Ligand 14 blocked ligand 10-induced thermal hyperalgesia and tactile hypersensitivity after coadministration. Statistical significance was determined by 95% confidence interval (*P < 0.05, **P < 0.01, ***P < 0.001 vs vehicle; n ≥ 6).
Figure 10

Figure 10. Dose-dependent reversal of thermal hyperalgesia (left, radiant heat test) and tactile hypersensitivity (right, von Frey test) using varying doses of 14 (i.th.) in L5/L6 SNL-operated male SD rats. Statistical significance was determined by 95% confidence interval (*P < 0.05, **P < 0.01 vs vehicle; n ≥ 6).
Peripheral Effects: Paw Edema and Plasma Extravasation
Figure 11

Figure 11. Effect of i.pl. injection of BK, given alone or in combination with HOE140 or 14 on paw edema (left) and plasma extravasation (right). Values shown represent the differences between volumes (mL) of vehicle and drug combination (BK/vehicle, BK/HOE140, and BK/14) paws (left, *P < 0.05 vs vehicle) and the difference absorbance (percent) of two hind paws (one vehicle only, the other BK/vehicle, BK/HOE140, and BK/14) at 620 nm by the content of Evans Blue dye (right).
Conclusions
Experimental Section
Synthesis
NMR Spectroscopy Methods
Structure Calculation Methods
Radioligand Competition Binding Assays
Functional Assays
In Vivo Assays
Rotarod Test
Motor Function and Paralysis
Thermal Hypersensitivity Test (Radiant Heat)
Tactile Hypersensitivity Test (von Frey, Innocuous)
Measurement of Rat Paw Edema and Plasma Extravasation
Supporting Information
Analytical data, binding affinity data, NMR spectroscopy. This material is available free of charge via the Internet at http://pubs.acs.org.
Terms & Conditions
Most electronic Supporting Information files are available without a subscription to ACS Web Editions. Such files may be downloaded by article for research use (if there is a public use license linked to the relevant article, that license may permit other uses). Permission may be obtained from ACS for other uses through requests via the RightsLink permission system: http://pubs.acs.org/page/copyright/permissions.html.
Acknowledgment
We thank Jose Juan Ortiz Navarro, Ann Ngyuene, Alyssa Peake, Alice Cai, and Robert Kupp for their help in synthesis and bioassay of ligands. Off-target receptor screening was generously provided by the National Institute of Mental Health’s Psychoactive Drug Screening Program, Contract # HHSN-271-2008-025C (NIMH PDSP). The NIMH PDSP is directed by Bryan L. Roth at the University of North Carolina at Chapel Hill and Project Officer Jamie Driscol at NIMH, Bethesda MD, USA. This work was supported by the U.S. Public Health Services, NIH, and NIDA (P01DA006284).
References
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Abstract

Figure 1

Figure 1. The structures of Dyn A and Dyn A-(2–13).
Figure 2

Figure 2. NOE summary and temperature coefficient values for 7 and 14. The thickness of the line corresponds approximately to the intensity of NOE cross peaks.
Figure 3

Figure 3. Chemical shift deviation of observed CαH values from the random coil values (CSI plot). It should be noted here that peptide 14 does not contain the Arg4 residue.
Figure 4

Figure 4. Lowest energy structure and overlay of 10 low energy structures of 7 (lower) and 14 (upper) from the simulated annealing molecular dynamics calculations. The hydrogen atoms are not shown for clarity. The ribbon diagram shows the secondary structure of the peptide. RMSD between structures is 2.013 Å (1.694 Å for 14) when all the atoms are considered but is reduced significantly to 0.502 Å (0.155 Å for 7) when only backbone atoms are considered.
Figure 5

Figure 5. Inhibition of [3H]DALKD binding to rat brain membrane at pH 6.8. Rat brain membrane was incubated with [3H]DALKD and increasing concentrations of ligands. Data for each nonlinear regression analysis were collected from at least two independent experiments.
Figure 6

Figure 6. Pharmacophore of Dyn A for BRs.
Figure 7

Figure 7. Phosphatidylinositol (PI) assay. The effect of test drug on production of [3H]inositol phosphates was expressed as a ratio of stimulated over basal activity defined as the amount detected in the absence of test drug. EC50: concentration at 50% of maximal stimulation. Data are representative of 3 independent experiments.
Figure 8

Figure 8. Rotarod (left) and Hindlimb (right) tests by i.th. administration of 10 or/and 14 in naïve rats.
Figure 9

Figure 9. Effects of ligand 10 or/and 14 on thermal hyperalgesia (left, radiant heat test) and tactile hypersensitivity (right, von Frey test) 2 h after i.th. administration in naïve rats. Ligand 10 decreased thermal latency and tactile thresholds after i.th. administration. Ligand 14 blocked ligand 10-induced thermal hyperalgesia and tactile hypersensitivity after coadministration. Statistical significance was determined by 95% confidence interval (*P < 0.05, **P < 0.01, ***P < 0.001 vs vehicle; n ≥ 6).
Figure 10

Figure 10. Dose-dependent reversal of thermal hyperalgesia (left, radiant heat test) and tactile hypersensitivity (right, von Frey test) using varying doses of 14 (i.th.) in L5/L6 SNL-operated male SD rats. Statistical significance was determined by 95% confidence interval (*P < 0.05, **P < 0.01 vs vehicle; n ≥ 6).
Figure 11

Figure 11. Effect of i.pl. injection of BK, given alone or in combination with HOE140 or 14 on paw edema (left) and plasma extravasation (right). Values shown represent the differences between volumes (mL) of vehicle and drug combination (BK/vehicle, BK/HOE140, and BK/14) paws (left, *P < 0.05 vs vehicle) and the difference absorbance (percent) of two hind paws (one vehicle only, the other BK/vehicle, BK/HOE140, and BK/14) at 620 nm by the content of Evans Blue dye (right).
References
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- 17Dhanasekaran, M.; Palian, M. M.; Alves, I.; Yeomans, L.; Keyari, C. M.; Davis, P.; Bilsky, E. J.; Egleton, R. D.; Yamamura, H. I.; Jacobsen, N. E.; Tollin, G.; Hruby, V. J.; Polt, R. J. Am. Chem. Soc. 2005, 127, 5435– 5448
- 18Berthold, M.; Bartfai, T. Neurochem. Res. 1997, 22, 1023– 1031[Crossref], [PubMed], [CAS], Google Scholar18https://chemport.cas.org/services/resolver?origin=ACS&resolution=options&coi=1%3ACAS%3A528%3ADyaK2sXkslyjsLc%253D&md5=3008341f358efe19b7f77d1348b1aa2dModes of peptide binding in G protein-coupled receptorsBerthold, Malin; Bartfai, TamasNeurochemical Research (1997), 22 (8), 1023-1031CODEN: NEREDZ; ISSN:0364-3190. (Plenum)A review, with 57 refs., on data from studies on the localization of the binding site for a neuropeptides in their receptors and a comparison of this to the binding pockets for non-peptide ligands. Neuropeptide binding involves residues on the top of several transmembrane domains and in extracellular loops of the receptors while the non-peptide type ligands to the same receptors tend to bind deeper in the plane of the membrane, between several transmembrane domains-similarly to monoamines. Thus the antagonism exerted by most of the non-peptide type ligands is an allosteric phenomenon whereby binding of these to another site than the peptide binding site stabilizes a non-agonist binding, and for signaling inactive, conformation of the 7 transmembrane domain receptor.
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- 21Wishart, D. D.; Bigam, C. G.; Holm, A.; Hodges, R. R.; Sykes, B. D. J. Biomol. NMR 1995, 5, 67– 81[Crossref], [PubMed], [CAS], Google Scholar21https://chemport.cas.org/services/resolver?origin=ACS&resolution=options&coi=1%3ACAS%3A528%3ADyaK2MXjtlyju7o%253D&md5=99d5ae9432fa16d70a414fb60b496ebc1H, 13C and 15N random coil NMR chemical shifts of the common amino acids. I. Investigations of nearest-neighbor effectsWishart, David S.; Bigam, Colin G.; Holm, Arne; Hodges, Robert S.; Sykes, Brian D.Journal of Biomolecular NMR (1995), 5 (1), 67-81CODEN: JBNME9; ISSN:0925-2738. (ESCOM)In this study we report on the 1H, 13C and 15N NMR chem. shifts for the random coil state and nearest-neighbor sequence effects measured from the protected linear hexapeptide Gly-Gly-X-Y-Gly-Gly (where X and Y are any of the 20 common amino acids). We present data for a set of 40 peptides (of the possible 400) including Gly-Gly-X-Ala-Gly-Gly and Gly-Gly-X-Pro-Gly-Gly, measured under identical aq. conditions. Because all spectra were collected under identical exptl. conditions, the data from the Gly-Gly-X-Ala-Gly-Gly series provide a complete and internally consistent set of 1H, 13C and 15N random coil chem. shifts for all 20 common amino acids. In addn., studies were also conducted into nearest-neighbor effects on the random coil shift arising from a variety of X and Y positional substitutions. Comparisons between the chem. shift measurements obtained from Gly-Gly-X-Ala-Gly-Gly and Gly-Gly-X-Pro-Gly-Gly reveal significant systematic shift differences arising from the presence of proline in the peptide sequence. Similarly, measurement of the chem. shift changes occurring for both alanine and proline (i.e., the residues in the Y position) are found to depend strongly on the type of amino acid substituted into the X position. These data lend support to the hypothesis that sequence effects play a significant role in detg. peptide and protein chem. shift.
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- 24Chiva, C.; Vilaseca, M.; Giralt, E.; Albericio, F. J. Pept. Sci. 1999, 5, 131– 140[Crossref], [PubMed], [CAS], Google Scholar24https://chemport.cas.org/services/resolver?origin=ACS&resolution=options&coi=1%3ACAS%3A528%3ADyaK1MXit1Onu7Y%253D&md5=0341e14bfa3733147084926956fa748eAn HPLC-ESMS study on the solid-phase assembly of C-terminal proline peptidesChiva, Cristina; Vilaseca, Marta; Giralt, Ernest; Albericio, FernandoJournal of Peptide Science (1999), 5 (3), 131-140CODEN: JPSIEI; ISSN:1075-2617. (John Wiley & Sons Ltd.)DKP formation is a serious side reaction during the solid-phase synthesis of peptide acids contg. either Pro or Gly at the C-terminus. This side reaction not only leads to a lower overall yield, but also to the presence in the reaction crude of several deletion peptides lacking the first amino acids. For the prepn. of protected peptides using the Fmoc/tBu strategy, the use of a ClTrt-Cl-resin with a limited incorporation of the C-terminal amino acid is the method of choice. The use of resins with higher loading levels leads to more impure peptide crudes. The use of HPLC-ESMS is a useful method for analyzing complex samples, such as those formed when C-terminal Pro peptides are prepd. by non-optimized solid-phase strategies.
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- 27Largent-Milnes, T. M.; Yamamoto, T.; Nair, P.; Moulton, J. W.; Hruby, V. J.; Lai, J.; Porreca, F.; Vanderah, T. W. Br. J. Pharmacol. 2010, 161, 986– 1001[Crossref], [PubMed], [CAS], Google Scholar27https://chemport.cas.org/services/resolver?origin=ACS&resolution=options&coi=1%3ACAS%3A528%3ADC%252BC3cXhtl2ms7jN&md5=5ea51d658f8678e93d8e19a5f20802c1Spinal or systemic TY005, a peptidic opioid agonist/neurokinin 1 antagonist, attenuates pain with reduced toleranceLargent-Milnes, T. M.; Yamamoto, T.; Nair, P.; Moulton, J. W.; Hruby, V. J.; Lai, J.; Porreca, F.; Vanderah, T. W.British Journal of Pharmacology (2010), 161 (5), 986-1001CODEN: BJPCBM; ISSN:1476-5381. (Wiley-Blackwell)The use of opioids in treating pain is limited due to significant side effects including somnolence, constipation, analgesic tolerance, addiction and respiratory depression. Pre-clin. studies have shown that neurokinin 1 (NK1) receptor antagonists block opioid-induced antinociceptive tolerance and may inhibit opioid-induced rewarding behaviors. Here, we have characterized a bifunctional peptide with both opioid agonist and NK1 antagonist pharmacophores in a rodent model of neuropathic pain. Rats were evaluated for behavioral responses to both tactile and thermal stimuli in either an uninjured, sham- or nerve-injured state. TY005 (Tyr-DAla-Gly-Phe-Met-Pro-Leu-Trp-O-3,5-Bn(CF3)2) was delivered spinally or systemically to assess the antinociceptive effects after acute exposure. Motor skills were evaluated using the rotarod test to det. potential sedative effects. Spinal TY005 was given chronically to sham- or nerve-injured animals to det. the development of tolerance. Bolus injections of TY005 produced dose-dependent antinociception in non-injured animals and alleviated nerve injury-induced thermal and tactile hypersensitivities (i.e. antihyperalgesia) more effectively than morphine. Sedative effects were not evident from the rotarod test at doses that were antihyperalgesic, nor at doses 3-fold higher. Repeated administration of TY005 did not lead to the development of antihyperalgesic tolerance or alter sensory thresholds. Collectively, the data suggest that opioid agonist/NK1 antagonist bifunctional peptides represent a promising novel approach to the management of chronic pain without the development of tolerance, reducing the need for escalation of doses and unwanted side effects assocd. with opiates alone.
- 28Spampinato, S.; Romualdi, P.; Candeletti, S.; Cavicchini, E.; Ferri, S. Pain 1988, 35, 95– 104Google ScholarThere is no corresponding record for this reference.
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