Relationship between Structure and Effector Function
A R T I C L E S
on synthetic multivalent systems (mainly for antagonizing
unwanted biological processes) have clearly demonstrated that
it is possible through polyvalency to achieve tight binding with
ligands of low or modest surface areas.9-13 The possibility to
create molecules with effector functions through multivalency
has been recognized more recently.11-15 In the field of cytokine
and growth factor mimetics, dimeric peptides, C2-symmetric
organic molecules as well as dendrimers capable of dimerizing
and activating erythropoietin receptor (EPO-R), thrombopoietin
receptor (TPO-R), granulocyte-colony stimulating factor (G-
CSF) receptor, nerve growth factor (NGF) receptor TrkA, or
neurotrophin-3 (NT-3) receptor TrkC are worth mentioning.16,17
While protein-ligand induced dimerization is the mechanism
of activation of receptors for cytokines and growth factors,
signaling by members of the tumor necrosis factor receptor
(TNF-R) family involves receptor trimerization.18,19 The geom-
etry of the resulting ligand-receptor complex is favorable to
the formation of an intracellular signaling complex.4a,18 TNF-R
family members can transduce a variety of intracellular signals
culminating in cell proliferation, differentiation, survival, and
death. Most of the 19 ligands and 29 receptors of the TNF/
TNF-R superfamilies play an active role in the development,
maintenance, and function of the immune system.18 A few
members are also implicated in other physiological processes
such as bone remodeling or development of skin appendages.
CD40 is expressed on antigen-presenting cells (APCs) such as
dendritic cells (DCs) and B cells and, by interacting with its
ligand CD40L (CD154), leads to their activation and differentia-
tion.20 Blockade of the CD40/CD40L pathway is a potential
immunomodulatory strategy for B- and T-cell-mediated diseases.
Administration of anti-CD40L antibodies has given encouraging
results in the treatment of experimental autoimmune diseases
as well as in the treatment of allograft rejection.21,22 Alterna-
tively, triggering CD40 signaling in ViVo can be used to enhance
immunity against intracellular pathogens or tumor cells. The
use of agonistic anti-CD40 antibodies for example has been
shown to increase the efficacy of peptide-based antitumor
vaccines.23 These findings support a clinical use of CD40-
stimulating agents as components of anticancer immunotherapies
or anti-infectious vaccines. Like other members of the TNF
family, CD40L monomers self-assemble around a three-fold
symmetry axis to form noncovalent homotrimers that can each
bind three receptor molecules. The crystal structure of CD40L
extracellular domain homotrimers24 and a homology model of
the CD40L/CD40 complex25 have provided the basis for the
(17) (a) Wrighton, N. C.; Farrell, F. X.; Chang, R.; Kashyap, A. K.; Barbone,
F. P.; Mulcahy, L. S.; Johnson, D. L.; Barrett, R. W.; Jolliffe, L. K.; Dower,
W. J. Science 1996, 273, 458-463. (b) Livnah, O.; Stura, E. A.; Johnson,
D. L.; Middleton, S. A.; Mulcahy, L. S.; Wrighton, N. C.; Dower, W. J.;
Jolliffe, L. S. Wilson, I. A. Science 1996, 273, 464-471. (c) Johnson, D.
L.; Farrell, F. X.; Barbone, F. P.; McMahon, F. J.; Tullai, J.; Kroon, D.;
Freedy, J.; Zivin, R. A.; Mulcahy, L. S.; Jolliffe, L. K. Chem. Biol. 1997,
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Wagstrom, C. R.; Gates, C. M.; Singer, S. C.; Davis, A. M.; Tansik, R. L.;
Mattheakis, L. C.; Boytos, C. M.; Schatz, P. J.; Baccanari, D. P.; Wrighton,
N. C.; Barrett, R. W.; Dower, W. J. Science 1997, 276, 1696-1699. (e)
Qureshi, S. A.; Kim, A. M.; Konteatis, Z.; Biazzo, D. E.; Motamedi, H.;
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(12) Choi, S. K. Synthetic MultiValent Molecules: Concepts and Biochemical
Applications; Wiley-Interscience: Hoboken, NJ, 2004.
(13) For reviews, see: (a) Mammen, M.; Choi, S.-K.; Whitesides, G. M. Angew.
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L. L.; Pohl, N. L. Chem. Biol. 1996, 3, 71-77.
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(18) (a) Bodmer, J. L.; Schneider, P.; Tschopp, J. Trends Biochem. Sci. 2002,
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(19) Although the conventional view is that members with the TNF-R family
exist as independently diffusing monomeric species and trimerize upon
ligand binding, some evidence suggests however, that several of these
receptors may exist as pre-assembled oligomers prior to ligand binding. It
has been shown that a conserved domain in the extracellular region of TNF-
R, Trail receptor 1, and CD40, distal from the domain that interacts with
the ligand, serves as a preligand-binding assembly domain (PLAD). Chan,
F. K.; Chun, H. J.; Zheng, L.; Siegel, R. M.; Bui, K. L.; Lenardo, M. J.
Science 2000, 288, 2351-2354.
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67, 1-17. (b) Diehl, L.; Den, Boer, A. T.; van der Voort, E. I.; Melief, C.
J.; Offringa, R.; Toes, R. E. J. Mol. Med. 2000, 78, 363-371. (c) Grewal,
I. S.; Flavell, R. A. Annu. ReV. Immunol. 1998, 16, 111-135. (d) Van
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Immunity 1996, 4, 415-419.
(21) (a) Howard, L. M.; Miga, A. J.; Vanderlugt, C. L.; Dal Canto, M. C.; Laman,
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(22) Phase I/II studies in humans with lupus nephritis or multiple sclerosis
revealed significant immunomodulatory effects of anti-CD40L monoclonal
antibody treatment. However, because of some thromboembolic complica-
tions in early clinical trials, further human studies with anti-CD40L antibody
have been temporary halted, and future clinical use is uncertain. See
comment in: Couzin, J. Science 2005, 307, 1712-1715.
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