2010
DOI: 10.1073/pnas.1002716107
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Allosteric inhibition of macrophage migration inhibitory factor revealed by ibudilast

Abstract: AV411 (ibudilast; 3-isobutyryl-2-isopropylpyrazolo-[1,5-a]pyridine) is an antiinflammatory drug that was initially developed for the treatment of bronchial asthma but which also has been used for cerebrovascular and ocular indications. It is a nonselective inhibitor of various phosphodiesterases (PDEs) and has varied antiinflammatory activity. More recently, AV411 has been studied as a possible therapeutic for the treatment of neuropathic pain and opioid withdrawal through its actions on glial cells. As descri… Show more

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Cited by 176 publications
(167 citation statements)
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“…The retention of these reduced activities is attributed to some (but not all) inherent conformational flexibility in WT MIF that remains at the enzymatic and receptor sites despite formation of an intersubunit disulfide. In this respect, extraordinary NMR HSQC chemical shifts in response to binding and mutations have been previously observed for WT MIF (18,33,34), suggesting an increased propensity for conformational flexibility of MIF compared with other soluble proteins. The absence of full flexibility in the LT explains the inability to activate the receptor.…”
Section: Discussionmentioning
confidence: 95%
“…The retention of these reduced activities is attributed to some (but not all) inherent conformational flexibility in WT MIF that remains at the enzymatic and receptor sites despite formation of an intersubunit disulfide. In this respect, extraordinary NMR HSQC chemical shifts in response to binding and mutations have been previously observed for WT MIF (18,33,34), suggesting an increased propensity for conformational flexibility of MIF compared with other soluble proteins. The absence of full flexibility in the LT explains the inability to activate the receptor.…”
Section: Discussionmentioning
confidence: 95%
“…An analog of the anti-inflammatory drug ibudilast binds to a region proximal to the catalytic site, whereas the anti-oxidant ebselen disaggregates MIF trimers (39,40). Encouraged by these findings, we sought to obtain additional allosteric MIF inhibitors that neither compete for nor covalently modify the active site.…”
Section: Macrophage Migration Inhibitory Factor (Mif)mentioning
confidence: 99%
“…Dose selection was based on previous animal pharmacology results 43 showing MN166 to be safe and well tolerated, yielding plasma concentrationtime profiles commensurate with high-dose regimens in clinical development. MN166 administered by this regimen yields plasma and CNS concentrations that are linked to molecular target actions, including, most potently, macrophage migration inhibitory factor (MIF) inhibition 44 and, secondarily, phosphodiesterases -4 and -10 inhibition. 45 The relevance of MIF inhibition in disorders of neuroimmune function, such as neuropathic pain, has recently been well demonstrated.…”
Section: Ibudilast (Mn166) Administrationmentioning
confidence: 99%