PEGylated and Acylated Elabela Analogues Show Enhanced Receptor Binding, Prolonged Stability, and Remedy of Acute Kidney Injury

J Med Chem. 2020 Dec 24;63(24):16028-16042. doi: 10.1021/acs.jmedchem.0c01913. Epub 2020 Dec 8.

Abstract

Acute kidney injury (AKI), mostly caused by renal ischemia-reperfusion (I/R) injury and nephrotoxins, is characterized by rapid deterioration in renal-functions without effective drug treatment available. Through activation of a G protein-coupled receptor APJ, a furin-cleaved fragment of Elabela (ELA[22-32], E11), an endogenous APJ ligand, protects against renal I/R injury. However, the poor plasma stability and relatively weak APJ-binding ability of E11 limit its application. To address these issues, we rationally designed and synthesized a set of E11 analogues modified by palmitic acid (Pal) or polyethylene glycol; improved plasma stability and APJ-binding capacity of these analogues were achieved. In cultured renal tubular cells, these analogues protected against hypoxia-reperfusion or cisplatin-caused injury. For renal I/R-injured mice, these analogues showed improved reno-protective effects than E11; notably, Pal-E11 showed therapeutic effects at 24 h post I/R injury. These results present ELA analogues as potential therapeutic options in managing AKI.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Kidney Injury / drug therapy*
  • Acute Kidney Injury / etiology
  • Acute Kidney Injury / metabolism
  • Acute Kidney Injury / pathology
  • Acylation
  • Animals
  • Antineoplastic Agents / toxicity
  • Apelin Receptors / metabolism*
  • Cisplatin / toxicity
  • Disease Models, Animal
  • Kidney Tubules / drug effects*
  • Kidney Tubules / injuries
  • Kidney Tubules / metabolism
  • Kidney Tubules / pathology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Peptide Fragments / chemistry
  • Peptide Fragments / pharmacology*
  • Peptide Hormones / chemistry*
  • Polyethylene Glycols / chemistry*
  • Reperfusion Injury / complications*

Substances

  • Antineoplastic Agents
  • Apela protein, mouse
  • Apelin Receptors
  • Aplnr protein, mouse
  • Peptide Fragments
  • Peptide Hormones
  • Polyethylene Glycols
  • Cisplatin