Abstract
Introduction
Retinoic Acid Related Orphan Nuclear Receptor gamma T (RORγT) is a lineage specifying transcription factor for IL-17 expressing cells, which may contribute to the pathogenesis of Inflammatory Bowel Disease (IBD). VPR-254 is a selective in vitro inhibitor of RORγT.
Aims
The main goals of our study were twofold: (1) To determine if ex vivo treatment with VPR-254 reduced relevant cytokine (IL-17 and IL-21) secretion from colonic strips of mice with colitis; (2) To determine if treatment of mice with VPR-254 attenuated parameters of colitis, using three murine IBD models.
Methods
VPR-254 was evaluated ex vivo in a colonic strip assay, using tissue from mice with Dextran sulfate sodium (DSS)-induced colitis. In vivo, VPR-254 was evaluated for efficacy in DSS, Trintirobenzenesulfonic acid (TNBS) and Anti-CD40 antibody-induced murine models of colitis.
Results
VPR-254 reduced the production of key pro-inflammatory cytokines (e.g., IL-17) in ex vivo and in vivo models of colitis. This small molecule inhibitor of RORγT also improved various morphometric and histological parameters associated with three diverse murine models of IBD.
Conclusion
Our results support the concept that an inhibitor of ROR-gamma T may have potential utility for the treatment of IBD.
Similar content being viewed by others
References
Araki A, Nara H, Rahman M, Onoda T, Li J, Juliana FM, Jin L, Murata K, Takeda Y, Asao H (2013) Role of interleukin 21 isoform in dextran sulfate sodium (DSS)-induced colitis. Cytokine 62:262–271. https://doi.org/10.1016/j.cyto.2013.03.006
Bassolas-Molina H, Raymond E, Labadia M, Wahle J, Ferrer-Picón E, Panzenbeck M, Zheng J, Harcken C, Hughes R, Turner M, Smith D, Calderón-Gómez E, Esteller M, Carrasco A, Esteve M, Dotti I, Corraliza AM, Masamunt MC, Arajol C, Guardiola J, Ricart E, Nabozny G, Salas A (2018) An RORγt oral inhibitor modulates IL-17 responses in peripheral blood and intestinal mucosa of Crohn’s disease patients. Front Immunol 9:2307. https://doi.org/10.3389/fimmu.2018.02307
Buonocore S, Ahern PP, Uhlig HH, Ivanov II, Littman DR, Maloy KJ, Powrie F (2010) Innate lymphoid cells drive interleukin-23-dependent innate intestinal pathology. Nature 464:1371–1375. https://doi.org/10.1038/nature08949
Busman-Sahay KO, Walrath T, Huber S, O’Connor W (2015) Cytokine crowdsourcing: multicellular production of TH17-associated cytokines. J Leukoc Biol 97:499–510. https://doi.org/10.1189/jlb.3RU0814-386R
Chen Q-Q, Yan L, Wang C-Z, Wang W-H, Shi H, Su B-B, Zeng Q-H, Du H-T, Wan J (2013) Mesenchymal stem cells alleviate TNBS-induced colitis by modulating inflammatory and autoimmune responses. World J Gastroenterol 19:4702–4717. https://doi.org/10.3748/wjg.v19.i29.4702
Dambacher J, Beigel F, Zitzmann K, De Toni EN, Göke B, Diepolder HM, Auernhammer CJ, Brand S (2009) The role of the novel Th17 cytokine IL-26 in intestinal inflammation. Gut 58:1207–1217. https://doi.org/10.1136/gut.2007.130112
Ding NS, Hart A, De Cruz P (2016) Systematic review: predicting and optimising response to anti-TNF therapy in Crohn’s disease—algorithm for practical management. Aliment Pharmacol Ther 43:30–51. https://doi.org/10.1111/apt.13445
Eken A, Singh AK, Treuting PM, Oukka M (2014) IL-23R+ innate lymphoid cells induce colitis via interleukin-22-dependent mechanism. Mucosal Immunol 7:143–154. https://doi.org/10.1038/mi.2013.33
Fina D, Sarra M, Fantini MC, Rizzo A, Caruso R, Caprioli F, Stolfi C, Cardolini I, Dottori M, Boirivant M, Pallone F, Macdonald TT, Monteleone G (2008) Regulation of gut inflammation and th17 cell response by interleukin-21. Gastroenterology 134:1038–1048. https://doi.org/10.1053/j.gastro.2008.01.041
Fitzpatrick LR (2012) Novel pharmacological approaches for inflammatory bowel disease: targeting key intracellular pathways and the IL-23/IL-17 Axis. Int J Inflam 2012:389404. https://doi.org/10.1155/2012/389404
Fitzpatrick LR (2015) Ror-gamma T inhibition as a pharmacological approach for inflammatory bowel disease. Med Res Arch. https://doi.org/10.18103/mra.v0i4.334
Fitzpatrick LR, Small J, Hoerr R, Bostwick EF, Maines L, Koltun WA (2008) In vitro and in vivo effects of the probiotic Escherichia coli strain M-17: immunomodulation and attenuation of murine colitis. Br J Nutrit 100:530–541. https://doi.org/10.1017/S0007114508930373
Fitzpatrick LR, Ludwig D, Hofmann C, Small JS, Groeppel M, Hamm S, Lemstra S, Leban J, Ammendola A (2010) 4SC-101, a novel immunosuppressive drug, inhibits IL-17 and attenuates colitis in two murine models of inflammatory bowel disease. Inflamm Bowel Dis 16:1763–1777. https://doi.org/10.1002/ibd.21264
Fitzpatrick LR, Small JS, Doblhofer R, Ammendola A (2012) Vidofludimus inhibits colonic interleukin-17 and improves hapten-induced colitis in rats by a unique dual mode of action. J Pharmacol Exp Ther 342:850–860. https://doi.org/10.1124/jpet.112.192203
Fitzpatrick LR, Stonesifer E, Small JS, Liby KT (2014) The synthetic triterpenoid (CDDO-Im) inhibits STAT3, as well as IL-17, and improves DSS-induced colitis in mice. Inflammopharmacology 22:341–349. https://doi.org/10.1007/s10787-014-0203-2
Fitzpatrick LR, Zapf J, Flood EM, Ravula SB, Lingardo LK, Small J, Tucci F, Buhr CA, Alton G (2015) 90 Efficacy of a novel small molecule RORgt inverse agonist in mouse DSS and TNBS models of inflammatory bowel disease. Gastroenterology 148:S-26. https://doi.org/10.1016/S0016-5085(15)30090-1
Fitzpatrick LR, O’Connell R, Talbott G, Bendele P, Alton G, Zapf J (2017) A novel ROR-gamma T inhibitor (VPR-254) attenuates key parameters of innate immune colitis in mice. Gastroenterology 152:S30–S31. https://doi.org/10.1016/S0016-5085(17)30468-7
Geremia A, Arancibia-Cárcamo CV, Fleming MPP, Rust N, Singh B, Mortensen NJ, Travis SPL, Powrie F (2011) IL-23-responsive innate lymphoid cells are increased in inflammatory bowel disease. J Exp Med 208:1127–1133. https://doi.org/10.1084/jem.20101712
Goldberg R, Prescott N, Lord GM, MacDonald TT, Powell N (2015) The unusual suspects–innate lymphoid cells as novel therapeutic targets in IBD. Nat Rev Gastroenterol Hepatol 12:271–283. https://doi.org/10.1038/nrgastro.2015.52
Huh JR, Littman DR (2012) Small molecule inhibitors of RORγt: targeting Th17 cells and other applications. Eur J Immunol 42:2232–2237. https://doi.org/10.1002/eji.201242740
Igaki K, Nakamura Y, Tanaka M, Mizuno S, Yoshimatsu Y, Komoike Y, Uga K, Shibata A, Imaichi H, Takayuki S, Ishimura Y, Yamasaki M, Kanai T, Tsukimi Y, Tsuchimori N (2019) Pharmacological effects of TAK-828F: an orally available RORγt inverse agonist, in mouse colitis model and human blood cells of inflammatory bowel disease. Inflamm Res 68:493–509. https://doi.org/10.1007/s00011-019-01234-y
Johnson TW, Dress KR, Edwards M (2009) Using the Golden Triangle to optimize clearance and oral absorption. Bioorg Med Chem Lett 19:5560–5564. https://doi.org/10.1016/j.bmcl.2009.08.045
Kanai T, Mikami Y, Sujino T, Hisamatsu T, Hibi T (2012) RORγt-dependent IL-17A-producing cells in the pathogenesis of intestinal inflammation. Mucosal Immunol 5:240–247. https://doi.org/10.1038/mi.2012.6
Leppkes M, Becker C, Ivanov II, Hirth S, Wirtz S, Neufert C, Pouly S, Murphy AJ, Valenzuela DM, Yancopoulos GD, Becher B, Littman DR, Neurath MF (2009) ROR gamma-expressing Th17 cells induce murine chronic intestinal inflammation via redundant effects of IL-17A and IL-17F. Gastroenterology 136:257–267. https://doi.org/10.1053/j.gastro.2008.10.018
Lochner M, Ohnmacht C, Presley L, Bruhns P, Si-Tahar M, Sawa S, Eberl G (2011) Microbiota-induced tertiary lymphoid tissues aggravate inflammatory disease in the absence of RORgamma t and LTi cells. J Exp Med 208:125–134. https://doi.org/10.1084/jem.20100052
Martin M, Kesselring RK, Saidou B, Brunner SM, Schiechl G, Mouris VF, Wege AK, Rümmele P, Schlitt HJ, Geissler EK, Fichtner-Feigl S (2015) RORγt (+) hematopoietic cells are necessary for tumor cell proliferation during colitis-associated tumorigenesis in mice. Eur J Immunol 45:1667–1679. https://doi.org/10.1002/eji.201444915
Pandya VB, Kumar S, Sachchidan A, Sharma R, Desai RC (2018) Combatting autoimmune diseases with retinoic acid receptor-related orphan receptor-γ (RORγ or RORc) inhibitors: hits and misses. J Med Chem. https://doi.org/10.1021/acs.jmedchem.8b00588
Pearson C, Thornton EE, McKenzie B, Schaupp A-L, Huskens N, Griseri T, West N, Tung S, Seddon BP, Uhlig HH, Powrie F (2016) ILC3 GM-CSF production and mobilisation orchestrate acute intestinal inflammation. Elife 5:e10066. https://doi.org/10.7554/eLife.10066
Salou M, Legoux F, Gilet J, Darbois A, du Halgouet A, Alonso R, Richer W, Goubet A-G, Daviaud C, Menger L, Procopio E, Premel V, Lantz O (2019) A common transcriptomic program acquired in the thymus defines tissue residency of MAIT and NKT subsets. J Exp Med 216:133–151. https://doi.org/10.1084/jem.20181483
Segall MD (2012) Multi-parameter optimization: identifying high quality compounds with a balance of properties. Curr Pharm Des 18:1292–1310. https://doi.org/10.2174/138161212799436430
Shen Y-M, Zhao Y, Zeng Y, Yan L, Chen B-L, Leng A-M, Mu Y-B, Zhang G-Y (2012) Inhibition of Pim-1 kinase ameliorates dextran sodium sulfate-induced colitis in mice. Dig Dis Sci 57:1822–1831. https://doi.org/10.1007/s10620-012-2106-7
Shibata A, Uga K, Sato T, Sagara M, Igaki K, Nakamura Y, Ochida A, Kono M, Shirai J, Yamamoto S, Yamasaki M, Tsuchimori N (2018) Pharmacological inhibitory profile of TAK-828F, a potent and selective orally available RORγt inverse agonist. Biochem Pharmacol 150:35–45. https://doi.org/10.1016/j.bcp.2018.01.023
Sun M, He C, Chen L, Yang W, Wu W, Chen F, Cao AT, Yao S, Dann SM, Dhar TGM, Salter-Cid L, Zhao Q, Liu Z, Cong Y (2019) RORγt represses IL-10 production in Th17 cells to maintain their pathogenicity in inducing intestinal inflammation. J Immunol 202:79–92. https://doi.org/10.4049/jimmunol.1701697
Uhlig HH, McKenzie BS, Hue S, Thompson C, Joyce-Shaikh B, Stepankova R, Robinson N, Buonocore S, Tlaskalova-Hogenova H, Cua DJ, Powrie F (2006) Differential activity of IL-12 and IL-23 in mucosal and systemic innate immune pathology. Immunity 25:309–318. https://doi.org/10.1016/j.immuni.2006.05.017
Wang H, Chao K, Ng SC, Bai AH, Yu Q, Yu J, Li M, Cui Y, Chen M, Hu J-F, Zhang S (2016) Pro-inflammatory miR-223 mediates the cross-talk between the IL23 pathway and the intestinal barrier in inflammatory bowel disease. Genome Biol 17:58. https://doi.org/10.1186/s13059-016-0901-8
Withers DR, Hepworth MR, Wang X, Mackley EC, Halford EE, Dutton EE, Marriott CL, Brucklacher-Waldert V, Veldhoen M, Kelsen J, Baldassano RN, Sonnenberg GF (2016) Transient inhibition of ROR-γt therapeutically limits intestinal inflammation by reducing TH17 cells and preserving group 3 innate lymphoid cells. Nat Med 22:319–323. https://doi.org/10.1038/nm.4046
Yang XO, Pappu BP, Nurieva R, Akimzhanov A, Kang HS, Chung Y, Ma L, Shah B, Panopoulos AD, Schluns KS, Watowich SS, Tian Q, Jetten AM, Dong C (2008) T helper 17 lineage differentiation is programmed by orphan nuclear receptors ROR alpha and ROR gamma. Immunity 28:29–39. https://doi.org/10.1016/j.immuni.2007.11.016
Zeng B, Shi S, Ashworth G, Dong C, Liu J, Xing F (2019) ILC3 function as a double-edged sword in inflammatory bowel diseases. Cell Death Dis 10:315. https://doi.org/10.1038/s41419-019-1540-2
Zhang Z, Zheng M, Bindas J, Schwarzenberger P, Kolls JK (2006) Critical role of IL-17 receptor signaling in acute TNBS-induced colitis. Inflamm Bowel Dis 12:382–388. https://doi.org/10.1097/01.MIB.0000218764.06959.91
Zhang H, Zhong W, Zhou G, Ding X, Chen H (2012) Expression of chemokine CCL20 in ulcerative colitis. Mol Med Rep 6:1255–1260. https://doi.org/10.3892/mmr.2012.1088
Zhang Y, Luo X, Wu D, Xu Y (2015) ROR nuclear receptors: structures, related diseases, and drug discovery. Acta Pharmacol Sin 36:71–87. https://doi.org/10.1038/aps.2014.120
Acknowledgements
This work was supported by: NIH SBIR Grant numbers 1R43 DK099896 & 2R44 DK098896. We would also like to acknowledge the research personnel at Antibodies Incorporated (Davis, CA) for their help with the animal husbandry associated with our ex vivo DSS colitis study. We also aknowledge the technical contributions of Laura Lingardo and Chris Buhr (Visionary Pharmaceuticals, San Diego, CA).
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Electronic supplementary material
Below is the link to the electronic supplementary material.
10787_2019_643_MOESM1_ESM.tif
Supplemental Fig. 1A and 1B: Panel A shows the antagonist activity of VPR-254 against RORγt Ligand Bindind Domain (LBD) in a GAL4 luciferase reporter assay. VPR-254 inhibition of RORγt driven (open red circle, EC50 = 0.28 µM) and VP-16 driven (open blue diamond, EC50 ≥ 10 µM) luciferase activity are shown. Panel B shows that VPR-254 specifically inhibits the production of IL-17 and not that of other inflammatory cytokines, TNF-α and IFN-γ. Error bars represent the standard deviation seen between 3 replicate measurements of cytokine in cell supernatants. (TIF 127 kb)
10787_2019_643_MOESM2_ESM.tif
Supplemental Fig. 2: Panel A illustrates a negative colonic Immunohistochemistry (IHC) control from a histology slide an animal treated with VPR 254/CD40 antibody. The slide was not exposed to the primary antibody for IL-17. No brown immunostaining is evident in the figure. Similar negative control staining was obtained for GM-CSF (not shown). Panel B shows an example of the grid overlay method that was used to detect the area of immunostaining for IL-17. The picture was taken from a colonic histology slide of a Naïve (untreated) mouse. The area of mucosal GM-SCF staining (34.3%) was calculated from 12 boxes with detectable brown staining divided by 35 evaluable colonic mucosal boxes. The same type of method was used to detect the area of IL-17 immunostaining from colonic histology slides (image(s) not shown). (TIF 1191 kb)
Rights and permissions
About this article
Cite this article
Fitzpatrick, L.R., Small, J., O’Connell, R. et al. VPR-254: an inhibitor of ROR-gamma T with potential utility for the treatment of inflammatory bowel disease. Inflammopharmacol 28, 499–511 (2020). https://doi.org/10.1007/s10787-019-00643-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10787-019-00643-z