Selective abrogation of Th1 response by STA-5326, a potent IL-12/IL-23 inhibitor

Blood. 2007 Feb 1;109(3):1156-64. doi: 10.1182/blood-2006-04-019398. Epub 2006 Oct 19.

Abstract

The interleukin-12 (IL-12) cytokine induces the differentiation of naive T cells to the T helper cell type 1 (Th1) phenotype and is integral to the pathogenesis of Th1-mediated immunologic disorders. A more recently discovered IL-12 family member, IL-23, shares the p40 protein subunit with IL-12 and plays a critical role in the generation of effector memory T cells and IL-17-producing T cells. We introduce a novel compound, STA-5326, that down-regulates both IL-12 p35 and IL-12/IL-23 p40 at the transcriptional level, and inhibits the production of both IL-12 and IL-23 cytokines. Oral administration of STA-5326 led to a suppression of the Th1 but not Th2 immune response in mice. In vivo studies using a CD4+CD45Rbhigh T-cell transfer severe combined immunodeficiency (SCID) mouse inflammatory bowel disease model demonstrated that oral administration of STA-5326 markedly reduced inflammatory histopathologic changes in the colon. A striking decrease in interferon-gamma (IFN-gamma) production was observed in ex vivo culture of lamina propria cells harvested from animals treated with STA-5326, indicating a down-regulation of the Th1 response by STA-5326. These results suggest that STA-5326 has potential for use in the treatment of Th1-related autoimmune or immunologic disorders. STA-5326 currently is being evaluated in phase 2 clinical trials in patients with Crohn disease and rheumatoid arthritis.

MeSH terms

  • Animals
  • Arthritis, Rheumatoid / drug therapy
  • Colon / pathology
  • Crohn Disease / drug therapy
  • Down-Regulation / drug effects
  • Haplorhini
  • Humans
  • Hydrazones
  • Inflammation / drug therapy
  • Interleukin-12 / antagonists & inhibitors*
  • Interleukin-12 / genetics
  • Interleukin-23 / antagonists & inhibitors*
  • Interleukin-23 / genetics
  • Mice
  • Mice, SCID
  • Morpholines / administration & dosage
  • Morpholines / pharmacology*
  • Protein Subunits
  • Pyrimidines
  • Th1 Cells / drug effects*
  • Th1 Cells / immunology
  • Transcription, Genetic / drug effects
  • Triazines / administration & dosage
  • Triazines / pharmacology*

Substances

  • Hydrazones
  • Interleukin-23
  • Morpholines
  • Protein Subunits
  • Pyrimidines
  • Triazines
  • Interleukin-12
  • apilimod