High-mobility group box 1 (HMGB1) is a multifunctional
protein.
Upon injury or infection, HMGB1 is passively released from necrotic
and activated dendritic cells and macrophages, where it functions
as a cytokine, acting as a ligand for RAGE, a major receptor of innate
immunity stimulating inflammation responses including the pathogenesis
of cerebral ischemia/reperfusion (I/R) injury. Blocking the HMGB1/RAGE
axis offers a therapeutic approach to treating these inflammatory
conditions. Here, we describe a synthetic antibody (SA), a copolymer nanoparticle (NP) that binds HMGB1. A lightly cross-linked N-isopropylacrylamide (NIPAm) hydrogel copolymer with nanomolar
affinity for HMGB1 was selected from a small library containing trisulfated
3,4,6S-GlcNAc and hydrophobic N-tert-butylacrylamide (TBAm) monomers. Competition binding experiments
with heparin established that the dominant interaction between SA and HMGB1 occurs at the heparin-binding domain. In vitro studies established that anti-HMGB1-SA inhibits HMGB1-dependent ICAM-1 expression and ERK phosphorylation
of HUVECs, confirming that SA binding to HMGB1 inhibits
the proteins’ interaction with the RAGE receptor. Using temporary
middle cerebral artery occlusion (t-MCAO) model rats, anti-HMGB1-SA was found to accumulate in the ischemic brain by crossing
the blood–brain barrier. Significantly, administration of anti-HMGB1-SA to t-MCAO rats dramatically reduced brain damage caused
by cerebral ischemia/reperfusion. These results establish that a statistical
copolymer, selected from a small library of candidates synthesized
using an “informed” selection of functional monomers,
can yield a functional synthetic antibody. The knowledge gained from
these experiments can facilitate the discovery, design, and development
of a new category of drug.