The nucleotide-binding oligomerisation domain 2 receptor (NOD2), found mainly in immune cells, belongs to the pattern recognition receptor (PRR) family and is one of the most important receptors for detection of pathogenic microorganisms in our body. NOD2 recognises muramyl dipeptide (MDP), which is part of the bacterial cell wall, as its primary ligand. Binding of the ligand to the NOD2 receptor triggers both the innate and acquired immune system, and therefore NOD2 agonists have great therapeutic potential as adjuvants in vaccines as well as immunotherapeutics for the treatment of cancer. In recent years, researchers have also discovered an immunoregulatory role for NOD2 agonists, which could lead to future applications in the therapy of neurodegenerative diseases such as multiple sclerosis and Alzheimer's dementia. Currently, mifamurtide is registered on the European pharmaceutical market and is used in certain cases for the treatment of operable unresectable osteosarcoma.
In the scope of the Master's thesis, we aimed to improve the agonist activity of MDP desmuramyl derivatives on NOD2. Starting from the lead compound, we introduced differently oriented aromatic and heteroaromatic amino acids instead of the amino acid glycine into its structure, thereby introducing lipophilic elements of different sizes thus synthesising six final compounds. Their ability to activate NOD2 was verified by a reporter assay on HEK-Blue hNOD2 cells, and their cytotoxicity was also tested.
The results showed that final compounds with D-oriented aromatic amino acids were more active than their analogues with an L-configuration at the chiral centre, and homophenylalanine was found to be the most optimal amino acid. Indeed, compound 14, which contains D-homophenylalanine in its structure, exhibits NOD2 agonist activity in the femtomolar concentration range (EC50 = 16 fM), which represents an improvement in potency of more than five orders of magnitude over the most potent desmuramylpeptides to date, as well as muramylpeptides, and is by far the most potent synthetic NOD2 agonist to date.
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