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Article
Nature Medicine  8, 366 - 372 (2002)
doi:10.1038/nm0402-366


There is an Erratum (June 2002) associated with this Article.

Efomycine M, a new specific inhibitor of selectin, impairs leukocyte adhesion and alleviates cutaneous inflammation

Michael P. Schön1, Thomas Krahn2, Margarete Schön1, Maria-L. Rodriguez3, Horst Antonicek3, Jeanette E. Schultz4, Ralf J. Ludwig4, Thomas M. Zollner4, Erwin Bischoff2, Klaus-D. Bremm2, Matthias Schramm2, Kerstin Henninger2, Roland Kaufmann4, Harald P. M. Gollnick1, Christina M. Parker5 & W.-Henning Boehncke4

1  Department of Dermatology, Otto-von-Guericke-University, Magdeburg, Germany

2  Pharmaceutical Research, Bayer AG, Wuppertal, Germany

3  Central Research, Bayer AG, Leverkusen, Germany

4  Department of Dermatology, Johann-Wolfgang-Goethe University, Frankfurt, Germany

5  Division of Rheumatology, Immunology, & Allergy, Brigham & Women's Hospital, Boston, USA

Correspondence should be addressed to Michael P. Schön michael.schoen@medizin.uni-magdeburg.de or W.-Henning Boehncke boehncke@em.uni-frankfurt.de
Specific interference with molecular mechanisms guiding tissue localization of leukocytes may be of great utility for selective immunosuppressive therapies. We have discovered and characterized efomycines, a new family of selective small-molecule inhibitors of selectin functions. Members of this family significantly inhibited leukocyte adhesion in vitro. Efomycine M, which was nontoxic and showed the most selective inhibitory effects on selectin-mediated leukocyte-endothelial adhesion in vitro, significantly diminished rolling in mouse ear venules in vivo as seen by intravital microscopy. In addition, efomycine M alleviated cutaneous inflammation in two complementary mouse models of psoriasis, one of the most common chronic inflammatory skin disorders. Molecular modeling demonstrated a spatial conformation of efomycines mimicking naturally occurring selectin ligands. Efomycine M might be efficacious in the treatment of human inflammatory disorders through a similar mechanism.

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Nature Medicine
ISSN: 1078-8956
EISSN: 1546-170X
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