Folic acid derived-P5779 mimetics regulate DAMP-mediated inflammation through disruption of HMGB1:TLR4:MD-2 axes
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Updated: Feb 14, 2026

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Shan Sun1, Mingzhu He1, Yongjun Wang2
1Center for Molecular Innovation, The Feinstein Institute for Medical Research, Manhasset, New York, United States of America.
Abstract:
High mobility group box 1 (HMGB1) is a damage-associated molecular pattern (DAMP) protein that mediates inflammatory responses after infection or injury. Previously, we reported a peptide inhibitor of HMGB1 (P5779) that acts by directly interrupting HMGB1/MD-2 binding. Here, fingerprint similarity search and docking studies suggest folic acid derived-drugs function as P5779 mimetopes. Molecular dynamic (MD) simulation studies demonstrate that folic acid mimics the binding of P5779 at the TLR4 and MD-2 intersection. In surface plasmon resonance (SPR) studies, these drugs showed direct binding to TLR4/MD-2 but not HMGB1. Furthermore, these P5779 mimetopes inhibit HMGB1 and MD-2 binding and suppress HMGB1-induced TNF release in human macrophages in the nanomolar range. We assert from our findings that their demonstrated anti-inflammatory effects may be working through TLR4-dependent signaling.
Insights
Folic acid drugs mimic a peptide inhibitor, blocking inflammatory protein HMGB1 binding to TLR4/MD-2. These compounds suppress inflammation in human cells, suggesting a new therapeutic strategy for inflammatory diseases.
Area of Science:
- Immunology
- Molecular Biology
- Pharmacology
Background:
- High mobility group box 1 (HMGB1) is a key mediator of inflammatory responses, acting as a damage-associated molecular pattern (DAMP).
- A previously identified peptide inhibitor, P5779, blocks HMGB1's inflammatory activity by disrupting its binding to MD-2.
Purpose of the Study:
- To identify novel inhibitors of HMGB1/MD-2 binding.
- To investigate folic acid-derived drugs as potential P5779 mimetopes for anti-inflammatory therapy.
Main Methods:
- Computational methods including fingerprint similarity search and molecular docking studies.
- Molecular dynamic (MD) simulations to analyze binding interactions.
- Surface plasmon resonance (SPR) assays to confirm direct binding.
- In vitro assays using human macrophages to assess inhibition of HMGB1-induced TNF release.
Main Results:
- Folic acid-derived drugs were identified as potential P5779 mimetopes.
- MD simulations confirmed folic acid mimics P5779 binding at the TLR4/MD-2 interface.
- SPR studies showed direct binding of these drugs to TLR4/MD-2, but not HMGB1.
- These mimetopes effectively inhibited HMGB1/MD-2 binding and suppressed HMGB1-induced TNF release in human macrophages at nanomolar concentrations.
Conclusions:
- Folic acid-derived drugs act as functional mimetopes of the HMGB1 inhibitor P5779.
- These compounds exert anti-inflammatory effects by inhibiting HMGB1 binding to TLR4/MD-2.
- The findings suggest a potential therapeutic strategy targeting TLR4-dependent signaling pathways for inflammatory conditions.
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