Development of heparan sulfate-based therapeutics to treat inflammatory diseases - Abstract
The goal of this SBIR phase I project is aimed at completing a larger synthesis scale and
pharmacokinetic studies for 18-mer, a lead candidate anti-inflammatory heparan sulfate
oligosaccharide. 18-mer decreased neutrophil infiltration in murine diseases model of peritonitis,
liver ischemia/reperfusion injury, and acetaminophen-induced acute liver failure (APAP-induced
ALF). 18-mer targets to high mobility group box 1 (HMGB1) protein and attenuates HMGB1-
mediated inflammation characterized by neutrophil infiltration to the injury site. In addition to
these disease models, HMGB1 is involved a numerous local and systemic inflammation
disorders including sepsis and trauma injury. Currently, there are no approved therapeutics
targeting HMGB1-mediated inflammation.
This work is focused on developing 18-mer as a therapeutic for APAP-induced ALF. Confidence
to pursue 18-mer stems from screening experiments using other oligosaccharides in the APAP
model that were ineffective compared to 18-mer and demonstrating 18-mer’s anti-inflammatory
effect is multiple inflammatory mouse models. This SBIR phase I application contains two
specific aims. In Aim 1, we plan to increase the synthetic scale to 10 g, about 30-fold increase
from the current production scale. The improved synthesis will use a 12-mer intermediate as
the starting material, shortening the synthetic steps to 16 from 36. Aim 2 is to develop a LC-
MS/MS based method to quantify the 18-mer in blood and urine. This method will allow us to
obtain pharmacokinetic parameters in the subsequent preclinical development. In the phase II
studies, we will focus on increasing the scale-up synthesis to 100g, IND-enabling studies and
tissue distribution of the oligosaccharides. The success of this project will provide a new
approach to treat drug induced liver toxicity by targeting to HMGB1-mediated inflammation.