1. Academic Validation
  2. Old drugs with new skills: fenoprofen as an allosteric enhancer at melanocortin receptor 3

Old drugs with new skills: fenoprofen as an allosteric enhancer at melanocortin receptor 3

  • Cell Mol Life Sci. 2017 Apr;74(7):1335-1345. doi: 10.1007/s00018-016-2419-3.
Trinidad Montero-Melendez 1 Rachel A E Forfar 2 Jennifer M Cook 2 Jeffrey C Jerman 2 Debra L Taylor 2 Mauro Perretti 3
Affiliations

Affiliations

  • 1 The William Harvey Research Institute, Barts and The London School of Medicine, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK. t.monteromelendez@qmul.ac.uk.
  • 2 Medical Research Council Technology, Centre for Therapeutics Discovery, 1-3 Burtonhole Lane, Mill Hill, London, NW7 1AD, UK.
  • 3 The William Harvey Research Institute, Barts and The London School of Medicine, Queen Mary University of London, Charterhouse Square, London, EC1M 6BQ, UK.
Abstract

The efficiency of drug research and development has paradoxically declined over the last decades despite major scientific and technological advances, promoting new cost-effective strategies such as drug repositioning by systematic screening for new actions of known drugs. Here, we performed a screening for positive allosteric modulators (PAMs) at melanocortin (MC) receptors. The non-steroidal anti-inflammatory drug fenoprofen, but not the similar compound ibuprofen, presented PAM activity at MC3, MC4, and MC5 receptors. In a model of inflammatory arthritis, fenoprofen afforded potent inhibition while ibuprofen was nearly inactive. Fenoprofen presented anti-arthritic actions on cartilage integrity and synovitis, effects markedly attenuated in Mc3r-/- mice. Fenoprofen displayed pro-resolving properties promoting macrophage phagocytosis and efferocytosis, independently of cyclooxygenase inhibition. In conclusion, combining repositioning with advances in G-protein coupled receptor biology (allosterism) may lead to potential new therapeutics. In addition, MC3 PAMs emerged as a viable approach to the development of innovative therapeutics for joint diseases.

Keywords

Arthritis; Drug repositioning; GPCR; Inflammation; Resolution of inflammation.

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