Inhibition of vascular calcification by inositol phosphates derivatized with ethylene glycol oligomers

Nat Commun. 2020 Feb 5;11(1):721. doi: 10.1038/s41467-019-14091-4.

Abstract

Myo-inositol hexakisphosphate (IP6) is a natural product known to inhibit vascular calcification (VC), but with limited potency and low plasma exposure following bolus administration. Here we report the design of a series of inositol phosphate analogs as crystallization inhibitors, among which 4,6-di-O-(methoxy-diethyleneglycol)-myo-inositol-1,2,3,5-tetrakis(phosphate), (OEG2)2-IP4, displays increased in vitro activity, as well as more favorable pharmacokinetic and safety profiles than IP6 after subcutaneous injection. (OEG2)2-IP4 potently stabilizes calciprotein particle (CPP) growth, consistently demonstrates low micromolar activity in different in vitro models of VC (i.e., human serum, primary cell cultures, and tissue explants), and largely abolishes the development of VC in rodent models, while not causing toxicity related to serum calcium chelation. The data suggest a mechanism of action independent of the etiology of VC, whereby (OEG2)2-IP4 disrupts the nucleation and growth of pathological calcification.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 6-Phytase / metabolism
  • Adenine / adverse effects
  • Animals
  • Cells, Cultured
  • Drug Evaluation, Preclinical / methods
  • Dynamic Light Scattering
  • Ethylene Glycol / chemistry
  • Humans
  • Injections, Subcutaneous
  • Inositol Phosphates / chemistry*
  • Inositol Phosphates / pharmacokinetics
  • Inositol Phosphates / pharmacology*
  • Male
  • Muscle, Smooth, Vascular / cytology
  • Muscle, Smooth, Vascular / drug effects
  • Rats, Sprague-Dawley
  • Uremia / drug therapy
  • Uremia / physiopathology
  • Vascular Calcification / chemically induced
  • Vascular Calcification / drug therapy*
  • X-Ray Diffraction

Substances

  • Inositol Phosphates
  • 6-Phytase
  • Ethylene Glycol
  • Adenine