C5a is an integral glycoprotein of the complement system
that plays
an important role in inflammation and immunity. The physiological
concentration of C5a is observed to be elevated under various immunoinflammatory
pathophysiological conditions in humans. The pathophysiology of C5a
is linked to the “two-site” protein–protein interactions
(PPIs) with two genomically related receptors, such as C5aR1 and C5aR2.
Therefore, pharmacophores that can potentially block the PPIs between
C5a–C5aR1 and C5a–C5aR2 have tremendous potential for
development as future therapeutics. Notably, the FDA has already approved
antibodies that target the precursors of C5a (Eculizumab, 148 kDa)
and C5a (Vilobelimab, 149 kDa) for marketing as complement-targeted
therapeutics. In this context, the current study reports the structural
characterization of a pair of synthetic designer antibody-like peptides
(DePA and DePA1; ≤3.8 kDa) that bind to hotspot regions on
C5a and also demonstrates potential traits to neutralize the function
of C5a under pathophysiological conditions.