RT Journal Article SR Electronic T1 A Novel CD206 Targeting Peptide Inhibits Bleomycin Induced Pulmonary Fibrosis in Mice JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.07.27.218115 DO 10.1101/2020.07.27.218115 A1 Ghebremedhin, Anghesom A1 Salam, Ahmad Bin A1 Adu-Addai, Benjamin A1 Noonan, Steve A1 Stratton, Richard A1 Ahmed, Md. Shakir Uddin A1 Khantwal, Chandra A1 Martin, George R A1 Lin, Huixian A1 Andrews, Chris A1 Karanam, Balasubramanyam A1 Rudloff, Udo A1 Lopez, Henry A1 Jaynes, Jesse A1 Yates, Clayton YR 2020 UL http://biorxiv.org/content/early/2020/07/29/2020.07.27.218115.abstract AB Activated M2 polarized macrophages are drivers of pulmonary fibrosis in several clinical scenarios such as Acute Respiratory Disease Syndrome (ARDS) and Idiopathic Pulmonary Fibrosis (IPF), through the production of inflammatory and fibrosis-inducing cytokines. In this study, we investigated the effect of targeting the CD206 receptor with a novel fragment of a Host Defense Peptide (HDP), RP-832c to decrease cytokines that cause fibrosis. RP-832c selectively binds to CD206 on M2 polarized bone marrow derived macrophages (BMDM) in vitro, resulting in a time-dependent decrease in CD206 expression, and a transient increase in M1 marker TNFα, which resolves over a 24hr period. To elucidate the antifibrotic effect of RP-832c, we used a murine model of bleomycin (BLM) -induced early-stage pulmonary fibrosis. RP-832c significantly reduced bleomycin-induced fibrosis in a dosage dependent manner, as well as decreased CD206, TGF-β1 and α-SMA expression in mouse lungs. Interestingly we did not observe any changes in the resident alveolar macrophage marker CD170 expression. Similarly, in an established model of lung fibrosis, RP-832c significantly decreased fibrosis in the lung, as well as significantly decreased inflammatory cytokines TNFα, IL-6, IL-10, INF-γ, CXCL1/2, and fibrosis markers TGF-β1 and MMP-13. In comparison with FDA approved drugs, Nintedanib and Pirfenidone, RP-832c exhibited a similar reduction in fibrosis compared to Pirfenidone, and to a greater extent than Nintedanib, with no apparent toxicities observed on body weight or blood chemistry. In summary, RP-832c is a potential agent to mitigate the overactivity of M2 macrophages in pathogenesis several pulmonary fibrotic diseases, including SARS-CoV-2 induced lung fibrosis.Competing Interest StatementRiptide Biosciences, 941 Railroad Ave Vallejo, California 94592 Murigenics Inc., 941 Railroad Ave Vallejo, California 94592