Targeting the P-selectin/PSGL-1 pathway: discovery of disease-modifying therapeutics for disorders of thromboinflammation

Samira Escopy , Elliot L. Chaikof
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Abstract

P-selectin is a membrane glycoprotein and a member of the selectin family of cell adhesion molecules. It is prestored in α-granules of platelets and Weibel-Palade bodies of endothelial cells and is rapidly expressed on their surfaces upon activation during the course of an inflammatory response. Although a critical component of the innate immune system, the interaction of P-selectin with its cognate ligand, P-selectin glycoprotein ligand 1 (PSGL-1) may mediate maladaptive events central to the pathophysiology of venous thromboembolism, cardiovascular disease, stroke, metabolic syndrome, and sickle cell disease, among other disorders. As a consequence, a growing understanding of the significance of P-selectin and PSGL-1 in human disease has motivated the design of inhibitors that target the P-selectin/PSGL-1 pathway. Herein, we review the development and evaluation of both biologic and small-molecule inhibitors, including preclinical studies and clinical trials that have evaluated therapeutic potential of these agents for a variety of diseases linked to dysregulated inflammatory and thrombotic responses.

以 P-选择素/PSGL-1通路为靶点:发现治疗血栓性炎症疾病的疾病调节疗法
摘要P-选择素是一种膜糖蛋白,属于细胞粘附分子选择素家族。它预存于血小板的α-颗粒和内皮细胞的Weibel-Palade体中,并在炎症反应过程中被激活时迅速在其表面表达。虽然 P-选择素是先天性免疫系统的一个重要组成部分,但它与其同源配体 P-选择素糖蛋白配体 1(PSGL-1)的相互作用可能会介导不良事件,而这些不良事件是静脉血栓栓塞、心血管疾病、中风、代谢综合征和镰状细胞病等疾病的病理生理学的核心。因此,随着人们对 P 选择素和 PSGL-1 在人类疾病中的重要性的认识不断加深,设计出了针对 P 选择素/PSGL-1 通路的抑制剂。在此,我们回顾了生物制剂和小分子抑制剂的开发和评估,包括临床前研究和临床试验,这些研究评估了这些制剂对与炎症和血栓反应失调有关的各种疾病的治疗潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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