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Its lipid moiety, lipid A, the ‘endotoxic principle’ of LPS, carries two negatively charged phosphate groups and six acyl chain residues in a defined asymmetric distribution corresponding

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Physicochemical characterization of carboxymethyl lipid A derivatives in relation to biological activity

Ulrich Seydel1, Andra B Schromm1, Lore Brade1, Sabine Gronow1, Jo¨rg Andra¨1, Mareike Mu¨ller1, Michel H J Koch2, Koichi Fukase3, Mikayo Kataoka3, Masaya Hashimoto3, Shoichi Kusumoto3 and Klaus Brandenburg1

1 Forschungszentrum Borstel, Leibniz-Zentrum fu¨r Medizin und Biowissenschaften, Borstel, Germany

2 European Molecular Biology Laboratory, c ⁄ o DESY, Hamburg, Germany

3 Osaka University, Department of Chemistry, Osaka, Japan

Lipopolysaccharide (LPS, endotoxin), as a major

amphiphilic component of the outer leaflet of the outer

membrane of Gram-negative bacteria, exerts in an

isolated form a variety of biological activities in mam-mals [1] Chemically, LPS consists of a hydrophilic heteropolysaccharide, which is covalently linked to a

Keywords

endotoxic shock

lipopolysaccharide; signal transduction

Correspondence

U Seydel, Forschungszentrum Borstel,

Division of Biophysics Parkallee 10, D-23845

Borstel, Germany

Fax: +49 4537 188632

Tel: +49 4537 188232

E-mail: useydel@fz-borstel.de

(Received 6 September 2004, revised 3

November 2004, accepted 5 November

2004)

doi:10.1111/j.1742-4658.2004.04471.x

Lipopolysaccharide (LPS) from the outer membrane of Gram-negative bac-teria belongs to the most potent activators of the mammalian immune sys-tem Its lipid moiety, lipid A, the ‘endotoxic principle’ of LPS, carries two negatively charged phosphate groups and six acyl chain residues in a defined asymmetric distribution (corresponding to synthetic compound 506) Tetraacyl lipid A (precursor IVa or synthetic 406), which lacks the two hydroxylated acyl chains, is agonistically completely inactive, but is a strong antagonist to bioactive LPS when administered to the cells before LPS addition The two negative charges of lipid A, represented by the two phosphate groups, are essential for agonistic as well as for antagonistic activity and no highly active lipid A are known with negative charges other than phosphate groups We hypothesized that the phosphate groups could

be substituted by other negatively charged groups without changing the endotoxic properties of lipid A To test this hypothesis, we synthesized carboxymethyl (CM) derivatives of hexaacyl lipid A (CM-506 and Bis-CM-506) and of tetraacyl lipid A (Bis-CM-406) and correlated their physicochemical with their endotoxic properties We found that, similarly

to compounds 506 and 406, also for their carboxymethyl derivatives a par-ticular molecular (‘endotoxic’) conformation and with that, a parpar-ticular aggregate structure is a prerequisite for high cytokine-inducing capacity and antagonistic activity, respectively In other parameters such as acyl chain melting behaviour, antibody binding, activity in the Limulus lysate assay, and partially the binding of 3-deoxy-d-manno-oct-2-ulosonic acid transferase

1 , strong deviations from the properties of the phosphorylated compounds were observed These data allow a better understanding of endotoxic activity and its structural prerequisites

Abbreviations

ATR, attenuated total reflectance; CM, carboxymethyl; EU, endotoxin unit; FRET, fluorescence resonance energy transfer; GlcN,

D -glucosamine; Kdo, 3-deoxy-d-manno-oct-2-ulosonic acid; LAL, Limulus amebocyte lysate; LBP, lipopolysaccharide-binding protein; LPS, lipopolysaccharide; M-CSF, macrophage colony-stimulating factor; MNC, mononuclear cells; NBD, 7-Nitrobenz-2-oxa-1,3-diazol-4-yl;

PE, phosphatidylethanolamine; Rh, rhodamine; TLR, Toll-like receptor; TNF, tumor necrosis factor.

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hydrophobic lipid moiety, termed lipid A, which

anchors the molecule to the outer leaflet of the outer

membrane Because free lipid A has been shown to be

responsible for the biological activity of LPS in most

in vitroand in vivo test systems, it has been termed the

‘endotoxic principle’ of endotoxin [2] The specific

requirements for endotoxin to be biologically active

are still only partly defined It has been shown,

how-ever, that for the full expression of biological activity,

lipid A must possess a particular chemical composition

and primary structure like that found in

enterobacteri-al strains Thus, for example, lipid A from the

biolo-gically most potent LPS of the deep rough mutant

strain Escherichia coli F515 consists of a b-1,6-linked

d-glucosamine (GlcN) disaccharide carrying two

negat-ively charged phosphate groups in the 1- and

4¢-posi-tions and six saturated fatty acids in a defined

asymmetric distribution – four at the nonreducing and

two at the reducing GlcN Variation of this

composi-tion such as a reduccomposi-tion of the number of charges or

the number of acyl chains, a change in their

distribu-tion, or degree of saturadistribu-tion, results in a dramatic

reduction of biological activity [3,4] These

observa-tions could be interpreted to indicate that a variation

of the primary structure of endotoxin molecules

influ-ences their physicochemical behaviour, and that this

physicochemical behaviour is correlated to the

biologi-cal activity

Lipid A is an amphiphilic molecule and therefore

tends to form multimeric aggregates above a critical

concentration, which depends on its hydrophobicity

The structures of lipid A aggregates were found to be

either nonlamellar inverted (cubic, Q or hexagonal,

HII) or lamellar (L) depending on the primary chemical

structure and the molecular shape of the composing

molecules

3 [5] We have previously shown that a

pecu-liar molecular shape of the lipid A portion of endotoxin

is a prerequisite for the expression of endotoxic

activ-ity Thus, hexaacyl lipid A (or synthetic compound

506), which adopts a nonlamellar cubic aggregate

struc-ture, with a conical molecular shape, is biologically

highly active [6] Pentaacyl lipid A and tetraacyl lipid A

(synthetic compound 406) form lamellar structures,

which can be related to a cylindrical molecular shape,

and are agonistically inactive, but may be antagonistic,

i.e., block the action of agonistic LPS [6] Furthermore,

we have reported that nonlipid A amphiphiles with

cor-responding conical shape and two phosphates may also

induce cytokines This observation led us to propose a

‘generalized endotoxic principle’ [7]

For all these endotoxically active compounds, cell

activation takes place after binding to proteins such as

lipopolysaccharide-binding protein (LBP) and CD14

[8,9], which finally transport the compounds to integral membrane proteins such as Toll-like receptor 4 (TLR4) [10] or the K+-channel MaxiK [11]

It has been reported that a prerequisite for endo-toxic activity is a sufficiently high number of negative charges, i.e., essentially the phosphate groups in the lipid A region [12] However, no systematic study on the role of the kind of charges has been performed Thus, in the present study the phosphate groups in the synthetic tetraacyl and hexaacyl compounds (406 and

506, respectively) were replaced by carboxymethyl (CM) groups, and the corresponding compounds (Bis-CM-406, CM-506, and Bis-CM-506; chemical structures shown in Fig 1) were characterized physico-chemically and biologically We have found that important characteristics such as the aggregate struc-tures and the cytokine-inducing properties remain essentially unchanged or are modified only slightly Partially clear modifications are observed in the recog-nition by serum and cell-surface binding proteins However, other important features like Limulus activ-ity and antibody binding change upon replacement of the phosphate groups by the carboxymethyl groups These findings allow a more general understanding of endotoxin action

Results

Phase transition behaviour and intramolecular conformation

The b«a gel to liquid crystalline acyl chain melting transition, the conformation and molecular orientation

of particular molecular groups with respect to the

Te traacyl lipid A (406) Bis-CM-406 Hexaacyl lipid A (506)

CM - 506 Bis-CM-506

R 1

P

CH COOH P

CH COOH

2

2

CH COOH 2

R 2

OH OH

C -OH

C -OH

C -OH

12 12 12

R 3

OH OH

C -OH

C -OH

C -OH

14 14 14

R 4

P

CH COOH P P

2

CH COOH 2

OH O O O NH O

O

O

O HO

NH O

O O

OH

O

OH

R 3

R 4

Fig 1 Chemical structures of synthetic tetraacyl and hexaacyl lipid

A analogs P, phosphate groups; R 1 –R 4 , side groups as indicated.

26

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membrane plane of the synthetic compounds were

investigated as potentially important determinants of

bioactivity [13]

In Fig 2, the temperature dependence of the peak

position of the symmetric stretching vibrational band

vs(CH2) for the different compounds reveals a

con-siderable influence of the phosphate substitution in

the case of the tetraacyl compounds The phase

transition temperature Tc of compound 406 around

25C is shifted for compound Bis-CM-406 to 46 C,

concomitantly the wavenumber values in the gel

phase decrease from around 2851 cm)1 to lower than

2850 cm)1, indicating a higher state of order (lower

fluidity) In contrast, the Tc values of the hexaacyl

compounds are very similar and lie slightly above

50C The wavenumber values in the gel phase

decrease from 2850 cm)1 for compound 506 to

2849.5 for CM-506 and to 2849.0 cm)1 for

Bis-CM-506 The comparison of the different compounds at

the biologically relevant temperature 37C (vertical

line) shows the same sequence

Infrared spectra in the wavenumber range 1800–

1500 cm)1 of the amide and ester vibrational bands

are compared exemplarily for 406 and Bis-CM-406

(Fig 3) The peak positions of the ester band contours

are around 1740–1742 cm)1 and 1728–1731 cm)1,

respectively (obtained from the second derivative), and

thus similar for both The bandwidth, however, for

Bis-CM-406 is smaller, indicating less mobility of the

ester groups than those of phosphorylated 406

Importantly, also the amide I band, predominantly

resulting from C¼O stretching of the amide group, is

located at lower wavenumbers and is sharper,

indica-ting stronger water and⁄ or cation binding and, with

that, higher order Furthermore, the shoulder at 1600–

1607 cm)1 for Bis-CM-406 should correspond to the antisymmetric stretching of the negatively charged carboxylate group [vas(COO–)], showing the molecule

in the charged state at neutral pH

To determine the orientation of the diglucosamine group with respect to the membrane plane, infrared dichroic measurements on an attennuated total reflectance (ATR) plate were performed with hydra-ted lipid multilayers The dichroic ratios, R, were

2849 2850 2851 2852 2853

2854

406 Bis-CM-406 506 CM-506 Bis-CM-506

–1 )

Temperature (C°)

Fig 2 Gel to liquid crystalline phase

behav-ior of the hydrocarbon chains of the various

synthetic lipid A analogs The peak position

of the symmetric stretching vibration of the

methylene groups v s (CH 2 ) is plotted vs.

temperature In the gel phase it is located

around 2850 cm)1, in the liquid crystalline

phase around 2852.5 to 2853.0 cm)1.

Fig 3 Infrared spectra in the range 1800–1500 cm)1 for com-pounds 406 and Bis-CM-406, exhibiting the ester carbonyl band around 1730 cm)1, the amide I band (predominantly C¼O stretch-ing) in the range 1620–1660 cm)1, and amide II band (predomin-antly N–H bending) around 1550 cm)1 The band around 1602 cm)1 for compound Bis-CM-406 corresponds to the antisymmetric stretching vibration of the the negatively charged carboxylate group

vas(COO – ).

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measured for the diglucosamine ring vibrational

bands at 1170 and 1045 cm)1, allowing calculation of

the inclination angle of the diglucosamine ring plane

with respect to the membrane plane [14] In Table 1,

the data are summarized showing high R values for

the tetraacyl, corresponding to small inclination

angles (5–20), and much smaller R values for the

hexaacyl compounds corresponding to high

inclina-tion angles (47–48)

Supramolecular aggregate structures

The aggregate structure has been described to be an

essential determinant for the ability of endotoxins to

induce cytokines in immune cells [5] We have applied

small-angle X-ray diffraction using synchrotron

radiation to elucidate the aggregate structure of

Bis-CM-406 and Bis-CM-506 (Fig 4) For the tetraacyl

compound (Fig 4A), in the temperature range 20–

80C only one sharp diffraction peak at 4.72 nm is

observed, which can be assigned to the periodicity of a

multilamellar stack The diffraction pattern of the

hexaacyl compound (Fig 4B) is more complex At

40C, the main diffraction peak at 4.53 nm may be

assumed to result from a multilamellar aggregate The

further reflections at 2.46, 1.94, and 1.16 nm, however,

belong to a different type of aggregate structure Thus,

a superposition of a lamellar and a cubic phase is

sug-gested, because the relations 2.46 nmÆv5¼ 5.50 nm

and 1.94 nmÆv8¼ 5.50 nm hold At 80 C, the three

observable reflections are clearly indicative of an

inverted hexagonal HII structure, because 4.61 nm¼ 2.67 nmÆv3 and 4.61 nm¼ 2.31 nmÆv4 This phase is already observable at 60C (data not shown) Respect-ive data for the phosphorylated compounds show only (multi)lamellar structures for 406 [6], and a higher ten-dency of compound 506 towards a cubic structure (data not shown)

Incorporation into phospholipid cell membranes

As a prerequisite for agonistic as well as antagonistic activity, the intercalation of endotoxins into target cell membranes corresponding to the composition of the macrophage membrane mediated by the LBP has been described [15]

The results for the synthetic compounds are presen-ted in Fig 5, showing most pronounced intercalation

of the tetraacylated compound 406, and significantly lower efficiencies for the other compounds

Binding of monoclonal antibodies The reactivities of several lipid A monoclonal antibod-ies with compounds CM-506 and Bis-CM-506 were compared to compound 506 using an ELISA Selected antibodies recognize variations in the hydrophilic backbone as follows (Fig 6A): the monoclonal anti-bodies A6 and 8A1 recognize the bisphosphorylated backbone, mAb S1 binds to the 4¢-monophosphory-lated backbone and mAb A43 reacts with phosphoryl-ated as well as with phosphate-free compounds [16]

As one example, the data of the phosphate-dependent mAb A6 and of the phosphate-independent mAb A43 are shown in Fig 6B, displaying antibody binding curves determined by checkerboard titration The results show that both mAb’s bind with high affinity

to compound 506 mAb A43 binds with similarly high affinities to compounds 506, CM-506, and

Bis-CM-506, whereas mAb A6 binds with high affinity only to compound 506 Binding to compound CM-506 was observed only at much higher antibody concentrations and no binding was observed to Bis-CM-506 mAb 8A1 gave similar results as mAb A6 (data not shown) mAb S1, which recognizes the 4¢-monophosphorylated backbone, reacted not only with compound 506 but also with compound CM-506 although with somewhat lower affinity No binding of mAb S1 to compound Bis-CM-506 was observed

Limulus amebocyte lysate (LAL) The ability of the synthetic compounds to activate the clotting cascade of the horseshoe crab Limulus

Table 1 Dichroic ratio R, order parameter S, and inclination angle h

between diglucosamine ring plane and membrane plane for the

synthetic lipid A analogs The R values were evaluated from the

ratio of the band intensities of the 90 and 0 polarized infrared

spectra of the diglucosamine ring vibrations at 1045 and

1170 cm)1 The error of h results from calculating the Gaussian

error propagation by using the functional relation between R, S and

h [14].

Compound

Parameter

Dichroic

ratio R

Order parameter S

Inclination angle h ()

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polyphemus gave highest values for compound 406,

followed by 506 and CM-506 (Table 2) Considering

that the diglucosamine 4¢-phosphate backbone is the

recognition structure of the LAL assay [17,18], it

seems surprising that compounds CM406 and

Bis-CM-506 also showed high reactivity down to

10 ngÆmL)1

Cytokine-inducing capacity in macrophages

As a characteristic endotoxic reaction, the induction

of tumor necrosis factor a (TNFa) production in

human macrophages by the synthetic compounds was determined Concomitantly, the influence of the specific MaxiK channel blocker paxilline on TNFa production was monitored Data are shown for com-pounds 506 and Bis-CM-506 (Fig 7) revealing cyto-kine-inducing capacity down to 1 ngÆmL)1 for the former, whereas the activity of the latter is one order

of magnitude lower The activity of compound CM-506 is nearly the same as for compound 506 (data not shown) For both compounds inhibi-tion due to the addiinhibi-tion of paxilline can clearly

be observed, in particular at the lower lipid

Bis-CM-406

40 80

Bis-CM-506

1.16 nm 2.32 nm

2.46 nm

4.61 nm

1.94 nm 2.67 nm

4.53 nm

40 °C 80

s (nm-1)

A

B

Fig 4 Synchrotron radiation small-angle

X-ray diffraction patterns for compounds

Bis-CM-406 (A) and Bis-CM-506 (B) at high

water content (90%) and different

temperatures.

0.5 1.0 1.5 2.0 2.5

+ LBP

PL liposomes

Buffer CM-506 Bis-CM-506 506 Bis-CM-406 406

I /IDA

Time (s)

Fig 5 LBP-mediated intercalation of the

synthetic lipid A analogs into phospholipid

liposomes corresponding to the composition

of the macrophage membrane, derived from

the increase of the ratio of the donor

fluor-escence intensity, I D , to that of the

accep-tor, I A At 50 s, the lipid A analogs were

added to the liposomes, and at 100 s LBP

was added.

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concentrations, which is, however, significantly higher

for the CM- as compared to the phosphate-contaning

compound This observation allows one to conclude

that channel blocking leads to inhibition of signal transduction Again, similar results are found for CM-506

S1

A43

A

B

A6, 8A1

Fig 6 (A) Schematic representation of spe-cificities of various monoclonal antibodies against the lipid A backbone The recogni-tion structures of the mAbs A43, S1, and A6 ⁄ 8A1 are GlcNII, diglucosamine-4¢-phos-phate, and the entire backbone, respect-ively (B) Binding curves of monoclonal antibodies A6 (left column) and A43 (right column) to compounds 506 (top), CM-506 (middle), and Bis-CM-506 (bottom) ELISA plates were coated with 400 (d), 200 (m),

100 (j), 50 (r), 25 (s), 12.5 (n), 6.3 (h) and 3.1 (e) ng of compound per mL Antibody concentrations are indicated Values are the mean of quadruplicates with confidence values not exceeding 10%.

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Antagonistic activity Compound 406 is a well known effective antagonistic agent against agonistically active LPS and lipid A [19] The antagonistic action of compound Bis-CM-406 was compared to that of 406 by the addition of these com-pounds to mononuclear cells under serum-free condi-tions 15 min prior to the addition of deep rough mutant LPS in defined [antagonist]⁄ [LPS] molar ratios Figure 8 shows a strong cytokine-inhibiting activity of compound 406, which is also expressed, but to signifi-cantly lesser extent by compound Bis-CM-406

HEK cell system Similar to compound 506, compound Bis-CM-506 acti-vates HEK293 cells via TLR4⁄ MD2, but not via TLR2 (Fig 9) Thus, the change in the nature of charges does not cause changes in the affinity to recep-tors decisive for cell activation

Reactivity with Kdo transferases

To assess the lipid A analogs CM-506 and Bis-CM-506

in comparison to compound 506 as acceptors for 3-de-oxy-d-manno-oct-2-ulosonic acid (Kdo) transferases, they were submitted to in vitro enzyme assays, and the reaction products were detected with mAb A20, react-ing with a terminal Kdo residue (Fig 10) Kdo trans-ferases from Haemophilus influenzae (monofunctional; lane A) [20], E coli (bifunctional, lane B) [21],

Table 2 Endotoxic activity in endotoxin unitsÆmL)1 (EUÆmL)1) in

the chromogenic Limulus amebocyte lysate test for the synthetic

lipid A analogs at various concentrations The data are

representa-tive of three independent sets of measurements In the test,

14 EUÆmL)1corresponds to 1 ngÆmL)1of LPS from Escherichia coli

O55:B5.

Lipid

Concentration

1

lgÆmL)1

100 ngÆmL)1

10 ngÆmL)1

1 ngÆmL)1

100 pgÆmL)1

406 > 125 > 125 > 125 45.84 1.96

Fig 8 Antagonistic activity of compounds 406 and Bis-CM-406 Human mononuclear cells were incubated under serum-free condi-tions with the antagonistic compound, and after 15 min LPS from Salmonella minnesota R595 was added at the given molar ratios The data result from one representative experiment The mean and standard deviation are based on the data from the determination of TNFa in duplicate at two different dilutions.

Fig 7 Induction of TNFa production in human macrophages by

compounds 506 (A) and Bis-CM-506 (B) in the absence (left-hand

bars) and presence (right-hand bars) of the K + -channel blocker

paxil-line at different lipid concentrations The concentration of paxilpaxil-line

was 20 l M The data result from one representative experiment.

The mean and standard deviation are based on the data from the

determination of TNFa in duplicate at two different dilutions A

repetition of the experiments yielded the same dependences

except for the absolute amount of TNFa production which may vary

significantly between different donors.

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Burkholderia cepacia (bifunctional, lane C) [22], and

Chlamydia psittaci

tested for their ability to use the artificial lipid A

ana-logs as substrates All Kdo transferases gave a product

when compound 506 served as acceptor, and the same

were observed when compound CM-506 was offered

as acceptor (data not shown)

Bis-CM-506 was transformed to a Kdo-containing

product only when incubated with Kdo transferases

from H influenzae or E coli, but not with enzymes

from B cepacia or C psittaci The use of

monophos-phoryl compound 504 (having the 4¢-phosphate) and

505 (1-phosphate) showed that both phosphate resi-dues were necessary for binding of Kdo transferases from B cepacia and C psittaci, whereas those from

E coli and H influenzae were reactive with each of the monophosphoryl analogs (data not shown)

Discussion

The CM derivatives of lipid A exhibit in many aspects comparable behavior to that of the phosphate-contain-ing compounds The substitution of the 1-phosphate by

CM has already been shown not to alter the basic cyto-kine-inducing capacity of compound 506 [14], and this

is similarly true for the further substitution with the 4¢-CM group (Fig 7B) There is, however, a significant decrease of the activity in particular for the lower con-centrations 10 and 1 ngÆmL)1 (Fig 7), which could be confirmed in three independent experiments The observed aggregate structures may provide an explan-ation for this difference (Fig 4B and U Seydel, AB Schromm, L Brade, S Gronow, J Andra¨, M Mu¨ller, MHJ Koch, K Fukase, M Kataoka, M Hashimoto,

S Kusumoto & K Brandenburg, unpublished data)

Compound Bis-CM-506 adopts a mixed multilamellar⁄ zcubic aggregate structure at 40C According to previ-ous work, one main structural prerequisite for endo-toxic activity is the existence of a pure cubic or a mixed unilamellar⁄ cubic aggregate structure of the lipid A part of LPS [24], whereas multilamellar structures have been shown to reflect inactive lipid A Thus, the signifi-cant amount of a multilamellar portion within the aggregate may be responsible for the reduction of activ-ity as compared to natural lipid A or synthetic com-pound 506 Regarding the other prerequisites for endotoxin activity, no significant difference between the two compounds can be found For example, the incli-nation angle of the diglucosamine plane with respect to the membrane plane is very similar (Table 1) Thus, the interpretation is confirmed that the driving force for an optimal packing of the acyl chains is their linkage and distribution to the two glucosamines, causing the observed high inclination independent of the type of charges [14] Also, all compounds show an LBP-induced intercalation into phospholipid liposomes (Fig 5), for which the presence of negative charges is a prerequisite The presence of the infrared band around

1605 cm)1(Fig 3) clearly indicates that the carboxylate group is in the ionized state

Analogously to the agonistically active hexaacyl compounds is the antagonistic activity of the tetraacyl compounds: Bis-CM-406 is also antagonistic, although

to a significantly lower degree than 406 (Fig 8) Cor-responding to the data of the antagonistic activity

0

500

1000

1500

2000

no Compound

506 Compound Bis-CM-506

IL-1

Stimuli

Control

huTLR4/MD2

TLR2/MD2

Fig 9 Activation of HEK293 cells by compounds 506 and

Bis-CM-506 in dependence on TLR-expression HEK293 cell were

transi-ently transfected with a control plasmid (pcDNA3), cotransfected

with expression plasmids for human TLR4 and human MD2 or for

human TLR2 as described in Materials and methods After 24 h,

cells were stimulated with compounds 506, Bis-CM-506

(1 lgÆmL)1), or recombinant interleukin-1 (5 ngÆmL)1) for 24 h Cell

activation was determined by measuring the IL-8 concentration in

an ELISA test Transfections were performed in triplicate, and data

given are mean and standard deviation of one experiment

represen-tative of three.

506

CM-506

Bis-CM-506

406

Fig 10 In vitro assays of different Kdo transferases using

com-pounds 506, CM-506, Bis-CM-506 and 406 as lipid acceptors

Reac-tion products of Kdo transferases from H influenzae (A), E coli (B),

B cepacia (C), C psittaci (D) or controls without enzyme added (E)

were detected with mAb A20, recognizing a terminal Kdo residue.

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found for compound 406 [6], a pure multilamellar

aggregate structure is observed for Bis-CM-406

(Fig 4A), and the inclination angle of the

diglucosa-mine ring plane with respect to the membrane plane is

small (Table 1) Furthermore, LBP mediates the

inter-calation of compound 406 into phospholipid

mem-branes more effectively than compound Bis-CM-406

(Fig 5) This observation might be connected with the

much higher fluidity of compound 406 as compared

to compound Bis-CM-406: for these compounds the

behavior of the carboxymethyl derivatives is strongly

deviating from that of compounds substituted with

phosphate groups (Fig 2) The replacement of

phos-phate by carboxymethyl leads to an overall decrease of

the wavenumbers of vs(CH2) and concomitantly an

increase in Tc (Fig 2), i.e., a considerable ordering of

the hydrophobic moiety takes place This observation

may be understood in the light of a dramatically

increased water⁄ cation binding of the interface as

deduced from the red shift of the amide I band

(Fig 3), which is caused by the presence of the

carb-oxymethyl groups

These data are in accordance with the fact that the

most potent antagonists described so far [25,26] have

an extremely high fluidity This holds for lipid A from

Rhodobacter capsulatusand Rhodobacter sphaeroides as

well as for lipid A from Chromobacterium violaceum

([5] and U Seydel, AB Schromm, L Brade, S Gronow,

J Andra¨, M Mu¨ller, MHJ Koch, K Fukase, M

Kata-oka, M Hashimoto, S Kusumoto & K Brandenburg,

unpublished data)

The results from the LAL test for the bioactivity

(Table 2) are fundamentally different from those for

the cytokine-inducing capacity in human cells,

because in the former the tetra- and hexaacyl lipid A

CM-analogs exhibit similar activities except for minor

modifications, in that the biscarboxymethylated

com-pounds exhibit a lower activity than the

phosphate-containing compounds This may be understood by

considering previous findings that the main epitope in

the Limulus test is the GlcNII-4¢-phosphate region

in the lipid A backbone [17,18] A substitution of the

4¢-phosphate by another charge does not lead to a

complete inhibition, which implies that the Limulus

test recognizes patterns rather than a particular

charged group

The binding specificities of the monoclonal

antibod-ies A6, 8A1, S1, and A43 are determined by the

phos-phorylation pattern [16] So far it has not be

determined whether phosphate groups are specifically

required or whether they may be replaced by other

negatively charged groups By synthesizing compounds

CM-506 and Bis-CM-506, we are in the position to

answer this question The binding of mAb A43, which recognizes the nonreducing GlcN moiety in the back-bone of compound 506 is not influenced by the replacement of phosphate groups by CM residues This

is in agreement with the known specificity of mAb A43, which does not require the phosphate substitu-tion in either posisubstitu-tion The binding of mAb A6 and 8A1 to compound CM-506 (for the latter, data not shown) is considerably reduced as compared to com-pound 506 (Fig 6) This result is also not unexpected because previous data had already shown that binding

of both mAbs to 4¢-monophosphorylated lipid A required 30-fold higher antigen concentrations than those needed with bisphosphorylated lipid A [16] No binding of mAbs A6 and 8A1 was observed with Bis-CM-506 showing that the bisphosphorylated backbone

is a prerequisite for high affinity binding

In summary, the data confirm that lipid A antibod-ies, except mAb A43, recognize a distinct phosphoryla-tion pattern of the lipid A backbone and confirm that phosphates are part of the epitopes recognized, which cannot be replaced simply by other negatively charged groups This may be understood by different negative charge densities within the phosphate and the carboxy-methyl groups

Recently, it has been described that a blockade of the K+-channel, MaxiK, by the specific blocker paxil-line is connected to an inhibition of cytokine induc-tion in macrophages [11] The test of the synthetic hexaacyl compounds showed that although

Bis-CM-506 is less effective than Bis-CM-506 in the cytokine assay, the action of the K+-channel (MaxiK) blocker paxil-line is reversed: our data indicate a higher efficiency

in the case of the carboxylated compound; a complete blockade of the cytokine induction is observed already at 100 ngÆmL)1 for Bis-CM-506 (Fig 7) Together with the data of the activation of HEK cells (Fig 9), which indicate the involvement of the TLR4⁄ MD2 complex in cell activation, these data provide clear evidence that not a single molecular species but rather a complete receptor cluster [27] governs cell signalling

Interestingly, both lipid A analogs show different properties when used as acceptors for Kdo transfer-ases Whereas the enzymes from H influenzae and

E coli are not depending on either phosphate residue substituting the lipid A backbone and recognize both compounds CM-506 and Bis-CM-506 as acceptors, the respective enzymes from B cepacia and C psittaci are strongly depending on the phosphate group in position 4¢ Both Kdo transferases accept compound CM-506 but are not able to recognize compound Bis-CM-506 as a Kdo acceptor Presently, the reason for

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this distinctive behavior of Kdo transferases cannot

be explained completely, in particular with respect to

the similarity of the molecular conformations of

compounds 506 and Bis-CMz-506 (Table 1)

How-ever, together with the data of the monophosphoryl

lipid A compounds a necessary prerequisite for the

binding of Kdo transferases is the existence of a

charge at position 4¢ That two of the transferases

bind to both compounds 506 as well as Bis-CM-506

and the other two do not, may have to do with the

acyl chain substitution of the acceptor, which again

may play a decisive role for the molecular

conforma-tion It was shown that LPS from H influenzae

sim-ilar to that from E coli is hexaacylated [21], whereas

those from B cepacia [23] and C psittaci [28] are

pentaacylated

Conclusions

The mere presence of two negative charges but not their

kind within the lipid A backbone is essential for the

bioactivity of endotoxins, for the agonistic as well as

the antagonistic activities These findings confirm and

extend our ‘conformational concept’ of endotoxicity,

presuming for agonists a conical shape of the lipid A

moiety with a high inclination angle of the acyl chains

with respect to the membrane surface and for

antago-nists a cylindrical shape with a low inclination angle

For other effects, however, for which particular binding

epitopes are necessary, exchange of charges may largely

change the bioactivities This is valid for the recognition

by monoclonal antibodies, the binding of Kdo

trans-ferases, and the reactivity in the Limulus test

Materials and methods

Synthesis

The synthesis of hexaacyl lipid A compounds 506 [29,30],

CM-506 [30], and tetraacyl lipid A 406 [31,32] has been

pub-lished previously Monophosphoryl compounds 504

(4¢-phosphate) and 505 (1-phosphate), used in some cases,

were synthesized as described [29] The synthesis of

Bis-CM-506 and Bis-CM-406 will be reported elsewhere (K Fukase,

M Kataoka, M Hashimodo & S Kusumodo, unpublished

data)

8 Briefly, the 3-position of 1-O-allyl

4,6-O-benzylidene-

2-deoxy-2-(2,2,2-trichloroethoxycarbonylamino)-a-d-gluco-pyranoside was acylated with (R)-3-benzyloxytetradecanoic

acid The 2-N-Troc (Troc¼ 2,2,2-trichloroethoxycarbonyl)

group was cleaved, and the 2-amino group was then acylated

with (R)-3-benzyloxytetradecanoic acid The allyl group was

then oxidized with OsO4, and the resulting diol was

oxida-tively cleaved with Pb(OAc)4 to give 1-O-formylmethyl

glycoside, which was further oxidized with NaClO2 The resulting carboxyl group was protected with benzyl group by using phenyldioazomethane Deprotection of benzylidene gave the reducing-end GlcN moiety as a common glycosyl acceptor for the synthesis of Bis-CM-506 and Bis-CM-406 For the synthesis of the nonreducing-end GlcN moiety, the common intermediate 1-O-allyl 4,6-O-benzylidene-3- O-((R)-3-benzyloxytetradecanoyl)-2-deoxy-2-(2,2,2-trichloro-ethoxy carbonylamino)-a-d-glucopyranoside was treated under the conditions of regioselective reduction of benzylid-ene (BF3ÆOEt2

9 and Et3SiH) to give the 6-O-benzyl-4-OH GlcN derivative The benzyloxy carbonyl group was then introduced to the 4-O-position using Ag2O and ICH2

COO-Bn The 1-O-allyl group was then cleaved and transformed

to 1-O-trichloroacetimidate, which was used as a glycosyl donor for the synthesis of Bis-CM-406 Glycosylation of the above glycosyl acceptor with the glycosyl donor gave the desired a(1-6) disaccharide The 2¢-N-Troc group was cleaved, and the resulting amino group was acylated with (R)-3-benzyloxytetradecanoic acid to give the protected Bis-CM-406 The final catalytic hydrogenation gave the desired Bis-CM-406 (m⁄ z ¼ 1360.0 [(M-H)–])

For the synthesis of Bis-CM-506, the benzyl group of the benzyloxytetradecanoyl moiety in the above synthetic intermediate 1-O-allyl 6-O-benzyl-4-O-benzyloxycarbonyl- methyl-3-O-((R)-3-benzyloxytetradecanoyl)-2-deoxy-2-(2,2,2-trichloroethoxycarbonylamino)-a-d-glucopyra-noside was selectively cleaved using 2,3-dichloro-5,6-dicyanobenzoqui-none The resulting hydroxy group of the fatty acid moi-ety was then acylated with tetradecanoic acid After deprotection of the allyl group and formation of 1-O-trichloroacetoimidate, glycosylation of the acceptor with 1-O-trichloroacetoimidate gave the disaccharide, which was then transformed to Bis-CM-506 in a similar manner (m⁄ z ¼ 1753.1 [(M-H)–

])

The chemical structures of the synthesized compounds are plotted in Fig 1

Lipids and reagents Lipopolysaccharide from the deep rough mutant Escheri-chia coli strain WBB01 (kindly provided by W Brabetz, Biomet, Dresden, Germany)

phe-nol⁄ chloroform ⁄ petrol ether method [33] from bacteria grown at 37C, purified, and lyophilized Paxilline was purchased from Sigma (Deisenhofen, Germany) LBP was a kind gift of RL Dedrick (XOMA Co., Berkeley, CA, USA) LBP was stored at ) 70 C as a 1 mgÆmL)1 stock solution in 10 mm Hepes, pH 7.5, 150 mm NaCl, 0.002% (v⁄ v) Tween 80, 0.1% F68

The lipids 3-sn-phosphatidylserine, egg 3-sn-phosphatidyl-choline, sphingomyelin from bovine brain, and 3-sn-phos-phatidylethanolamine from E coli were from Avanti Polar Lipids (Alabaster, AL, USA)

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