Advances in Cancer Drug Targets: Volume 3

PREFACE

The 3rd volume of the book Series "Advances in Cancer Drug Targets" comprises eight chapters written by the leading experts in this field. It is an outstanding collection of well written chapters on cancer drug targets in the field of pharmacology, molecular biology and biochemistry.

Human neutrophil elastase (HNE) plays an important role in the development of chronic obstructive pulmonary diseases. In chapter 1, Alix et al., explain its involvement in non-small cell lung cancer progression. Natural compounds and/or synthesized agents which antagonize HNE activity have been comprehensively reviewed in this chapter. They also focus on substances (i.e. lipids and derivatives, phenolics) that exhibit an inhibitory bifunctionality towards HNE and matrix metalloproteinases (MMPs), particularly MMP-2.

The efficacy of cancer-immunotherapy with complement-activating monoclonal antibodies is restricted by over-expression of one or more membrane-bound complement regulatory proteins (mCRPs: CD46, CD55, CD59) that are present on the surface of neoplastic cells. Kirschfink et al., in chapter 2 discuss small interfering RNAs (siRNAs) for post-transcriptional gene knock down of CD46, CD55 and CD59 aiming to sensitize tumor cells.

Hepatocellular carcinoma (HCC) is the third most common cause of deaths from cancer worldwide. There is growing evidence that the deregulation of Wnt/β-catenin signaling pathway plays a critical role in hepatic oncogenesis and mainly occurs at the early stage of hepatocarcinogenesis. In chapter 3, Kim and Wands have summarized the potential molecular targets related to the Wnt/β-catenin signaling pathway along with their therapeutic applications.

A major challenge in treating ovarian cancer is to overcome intrinsic and acquired. Chapter 4 by Ahmed et al. presents the recent advances in our understanding of the cellular origin and the molecular mechanisms defining the basis of cancer initiation and malignant transformation with respect to epithelial-mesenchymal transition (EMT) of ovarian cancer cells.

Due to the high expression of Survivin in various carcinomas, it is one of the key anti-apoptotic proteins. It is also associated with their biologically aggressive characteristics and drug resistance. Bisen et al., in chapter 5 elaborate the efficacy of combination of oxaliplatin and paclitaxel as a potential strategy in controlling HNSCC cell proliferation. This review highlights the fact that the co-treatment of cells with paclitaxel and oxaliplatin results in a significantly higher cytotoxicity as compared to individual single drug treatment.

Melatonin has oncostatic effects on different neoplasias, particularly on estrogen-dependent breast cancer. The compound acts by interacting with estrogen-responsive pathways, thus behaving as an antiestrogenic hormone. In chapter 6 by Cos et al., evidence is presented that that melatonin could exert its antitumoral effects on hormone-dependent mammary tumors by down-regulating the sulfatase pathway of the tumoral tissue.

Recent studies have thrown light on the role of mammalian target of rapamycin (mTOR) in the regulation of tumor cell motility, invasion and cancer metastasis. Zhou and Huang in chapter 7 discuss the mTOR complexes and the role of mTOR signaling in tumor cell migration and invasion. The chapter also highlights the findings about the mechanism by which rapamycin inhibits cell migration, invasion and cancer metastasis.

It has been hypothesised that a phenyl hydroxylamine group linked to a second aromatic moiety generates a pharmacophore which can interact with Ras and inhibit its activation In chapter 8, Peri et al., present reports on the synthesis of a library of small molecules with arylamides and arylsulfonamides groups. They also explain their biological activity to inhibit nucleotide exchange on human Ras.

I hope that the current book volume, which provides insights into the development of new approaches to anti-cancer therapy for interested researchers and pharmaceutical scientists, will be received with the same enthusiasm as the previous volumes of this Series. I am grateful to the valuable contributions made by the authors. I greatly appreciate the assistance from the editorial staff, particularly Mr. Mahmood Alam (Director Publications) and Mr. Shehzad Naqvi (Senior Manager) for their hard work and determined efforts.

Prof. Atta-ur-Rahman, FRS

Kings College

University of Cambridge

Cambridge

UK

Neutrophil Elastase as a Target in Lung Cancer: the State of the Art

Gautier Moroy¹, Alain J.P. Alix², *, Janos Sapi³, William Hornebeck⁴, Erika Bourguet³

¹ Université Paris Diderot, Sorbonne Paris Cité , Molécules Thérapeutiques In Silico, Inserm UMR-S 973, 35 rue Hélène Brion, 75013 Paris, France

² Université de Reims Champagne-Ardenne, CNRS UMR 7312, Institut de Chimie Moléculaire de Reims & Laboratoire de Spectroscopies et Structures Biomoléculaires, Faculté des Sciences, SFR CAP-Santé BP 1039, 51687 Reims Cedex2, France

³ Université de Reims Champagne-Ardenne, CNRS UMR 7312, Institut de Chimie Moléculaire de Reims, Faculté de Pharmacie, SFR CAP-Santé 51 rue de Cognacq-Jay, 51096 Reims Cedex, France

⁴ Université de Reims Champagne-Ardenne, CNRS UMR 6237, Laboratoire de Biochimie Médicale, Faculté de Médecine, SFR CAP-Santé 51 rue de Cognacq-Jay, 51096 Reims Cedex, France

Abstract

Human neutrophil elastase (HNE), a main factor in the development of chronic obstructive pulmonary diseases, has been recently involved in non-small cell lung cancer progression. It can act at several levels (i) intracellularly, cleaving for instance the adaptor molecule insulin receptor substrate-1 (IRS-1) (ii) at the cell surface, hydrolyzing receptors as CD40 (iii) in the extracellular space, generating elastin fragments i.e. morphoelastokines which potently stimulate cancer cell invasiveness and angiogenesis.

Since decades, researchers identified natural compounds and/or synthesized agents which antagonize HNE activity that will be described in this review article. Some of these compounds might be of value as therapeutic agents in lung cancer.

However, it is now widely accepted that lung tumor invasion and metastasis involve proteolytic cascades. Accordingly, we will here mainly focus our attention to natural substances able to display a dual inhibitory capacity (i.e. lipids and derivatives, phenolics) towards HNE and matrix metalloproteinases (MMPs), particularly MMP-2. To that purpose, we had synthesized substances named LipoGalardin exhibiting such inhibitory bifunctionality. At last, we will propose an original synthetic scheme for designing a potent biheaded HNE/MMP-2 inhibitor.

Keywords: Bifunctionality, Caffeic acid phenethyl ester (CAPE), (Dual) inhibitors, Elafin, Elastokines, (-)-Epigallocatechin-3-gallate (EGCG), Flexible docking, Lipogalardin, Lung cancer, Molecular modelling, Neutrophil Elastase, (Potent) angiogenic molecules, Potent biheaded lnhibitor, (Potent) chemotactic activity.

* Address correspondence to Pr Alain J.P. Alix: Laboratoire de Spectroscopies et Structures Biomoléculaires & Institut de Chimie Moléculaire de Reims, CNRS UMR 7312, Faculté des Sciences Exactes et Naturelles, BP 1039, 51687 Reims Cedex2, France; Tel.: + 33 6 73 87 93 43; Fax : + 33 3 26 91 80 29; Email: alain.alix@univ-reims.fr.

1. INTRODUCTION: Neutrophil Elastase/α-1antitrypsin Imbalance as a Link between Chronic Obstructive Pulmonary Disease and Lung Cancer

Cigarette smoke is widely considered as the causative agent in chronic obstructive pulmonary disease (COPD) and lung cancer, two leading causes of death worldwide [1, 2]. This common initiating agent is able to generate in the lung reactive oxygen species resulting in NF-kappa B activation and inflammation [3] but consequences appear distinct in the two diseases. COPD is characterized mainly by matrix degradation, incomplete tissue repair with excessive apoptosis and impaired neovessel formation, while excessive DNA damage and its incomplete repair are hallmarks of lung cancer [2]. However, recent investigations pinpointed that smokers who suffer from COPD appear to be at increased risk for developing adenocarcinoma of the lung, suggesting that it might exist a link between these pathologies [4-6]. Such link between COPD and lung cancer has been clearly evidenced in population based study [7].

Alpha-1 antitrypsin (α-1AT) deficiency caused by the homozygous ZZ allele is responsible for liver disease in children and emphysema in young adults [8, 9]. These individuals have a shorter life span than the general population and lung cancer, an age-related disease, was not detected in patients. However, a 14 fold increased risk of lung cancer was evidenced in non-smokers α-1AT deficiency gene-carriers younger than 60 years of age [10]. Particularly the frequency of M1 allele and PiM1 α-1AT homozygotes in lung cancer patients was found to be significantly elevated as compared to healthy individuals [11, 12]. Alpha-1 Antitrypsin belongs to the serpin family, and it displays the highest affinity among serine proteinases for neutrophil elastase (NE) [13]. To that respect, since decades, the elastase/α-1 antitrypsin imbalance was considered as one pivotal mechanism in the formation of emphysematous lesions characterized by intense elastin fragmentation and airways enlargement [14]. Imbalance between enzyme and inhibitor might originate from genetic deficiency of α-1AT; alternatively, the oxidation of Met 358 in the α-1AT active site markedly impairs its interactions with NE. Also, Matrix Metalloproteinases (MMP), mainly matrilysin, as overexpressed in COPD and lung cancer, can further inactivate native or oxidized α-1AT by proteolysis [15]. Altogether, these mechanisms led to the generation of excess NE in pathological lung tissues. In the search of pathological biomarkers a recent in vivo study pointed out that Aα-Val360, an HNE specific fibrinogen degradation product may represent an ideal indicator for COPD disease severity and progression. This report is considered as the first in vivo data supporting physiopathological role of HNE in COPD [16]. Human NE (HNE: EC 3.4.21.37) gene encodes a 267 amino acid residues preprotein and its transcription is restricted to the promyelocytic stage of granulocyte development. Mature HNE contains 218 amino acid residues and two sites of N-glycosylation have been identified, but isoenzymes display similar kinetic constants with substrate and inhibitors. Enzyme at high concentration: 3 pg/cell is sequestered within azurophilic granules of polymorphonuclear neutrophils (PMN) and its activity is mainly controlled by compartmentalization [17, 18]. The main physiological function of NE, together with reactive oxygen species and other PMN proteases, consists in fighting against microbial action [13, 17]. Activation of PMN with bacterial products and cytokines only minimally influences NE release. On the contrary, frustrated phagocytosis or PMN necrosis as it occurred in COPD, leads to intense release of elastase from cells [17].

A recent mass spectrometric proteome analysis has evidenced that a histone H2A specific protease (H2Asp), discovered more than 35 years ago and implicated in the truncation of the histone H2A C-tail at V114 in myeloid cells is finally corresponds to HNE [19].

Several cancers arise from sites of infection and chronic inflammation [20]. The locally concentrated inflammatory cells as PMNs, participate actively in cancer progression and several data indicate that targeting elements of the inflammatory pathways as cyclooxygenase-2 (COX-2) and peroxisome proliferator-activated receptor (PPAR) gamma might be of beneficial value in cancer [21]. Neutrophils are highly concentrated in the alveolar lumen of bronchioalveolar carcinoma and secrete NE through IL-8-mediated mechanism. Importantly, the severity of such neutrophil alveolitis was associated with a poor prognosis [22].

Massive accumulation of lung tumor-associated neutrophils is linked to bad outcome. Depletion of neutrophils using an anti-neutrophil antibody in a K-ras mutant mouse model of lung cancer significantly reduced the lung tumor number. Quite importantly, crossing neutrophil elastase knock out-mice with the selective inhibitor SB332235Z given orally exhibits main influence on tumor cell and angiogenesis [23].

The concentration of immunoreactive NE in tumor extracts was also found associated with a poor prognosis in patients with breast cancer [24] and linked to the invasiveness of non-small cell lung cancer (NSCLC) [25]. Importantly, level of free enzyme was correlated with the extent of aortic invasion [26]. Besides, recent data indicated that the prevalence of the NE - 903 (T/T) and (T/G) genotype in its promoter might be indicative of an increased risk of lung cancer [27]. Of note, photodynamic therapy in cancer lung treatment results in a massive recruitment of neutrophils where increased neutrophil elastase activity can be detected by photodynamic therapy [28]; this radiation-induced lung injury can be nearly suppressed by sivelestat (sodium N-[2-[4-(2,2-dimethethyl-propio- nyloxy)phenylsulfonylamino]benzoyl]aminoacetate- tetrahydrate-(ONO-5046 Na) phenylsulfonylamino benzoyl aminoacetate tetrahydrate (ONO-5046 Na)-ElaspolR which, due to its short half life needs to be administrated several times following irradiation [29]. It has to be delineated that this inhibitor proved to also decrease breast cancer growths [30].

2. Multifaceted Functions of Neutrophil Elastase in Lung Cancer

NE is a potent elastolytic enzyme, participating actively in the disruption and perforation of elastic sheets in emphysematous lungs [14]. In the majority of adenocarcinoma of the lung, but also in some squamous cell carcinoma, degradation of elastic fiber is associated with intense deposition of newly form elastotic material [31] which appears disrupted with tumor growth [32]. Elastase-catalysed disruption of the elastic fibers barrier might favor cancer cell dissemination but it can also generate elastin fragments that exhibit cytokine-like properties: i.e. elastokines [33] including morphoelastokines which bind to their receptor, a splicing form of β-galactosidase (S-Gal) also named elastin binding protein (EBP), through a well-defined specific local conformation says a canonical type VIII β-turn [34, 35].

Elastokines may act at several levels in promoting the progression of lung cancer:

They can amplify the inflammatory response as displaying potent chemotactic activity for monocytes and to a lesser extent to neutrophils; interaction of elastokines with monocytes and PMNs also leads to increased secretion of gelatinase B and NE, thus creating amplified elastolysis loop. Similarly they can induce the expression of several MMPs by fibroblasts.

They are potent angiogenic molecules and stimulate IL-8 production by endothelial cells, a known potent chemoattractant for neutrophils.

Finally, they can act directly on cancer cells since elastokines were described to exhibit potent chemotactic activity for Lewis lung carcinoma cells and to stimulate the invasive property of several cancer cell lines through increased MMP expression [36-38].

All these effects are mediated through the binding of elastokines (and/or morphoelastokines) to cognate receptors. A series of EBPs have been identified: elastonectin, a spliced form of S-Gal, galectin-3 and αvβ3 integrin. In fibroblasts, S-Gal, together with two partners: cathepsin A and neuraminidase-1 serves as a chaperone molecule for tropoelastin secretion and elastogenesis. Of note, interaction of morphoelastokines, i.e. elastokines with a X-Gly-X-X-Pro-Gly consensus sequence adopting a canonical type VIII β-turn conformation on Gly-X-X-Pro and a no-turn on X-X-Pro-Gly [31, 35, 39] is able to stimulate the synthesis of tropoelastin. Therefore, elastokines might exhibit a dual influence on elastolysis (and collagenolysis) and over-deposition of elastin as observed in human lung cancer. Studies by Heinz et al. [40] by Maldi TOF/TOF analyses and nano HPLC-nano EST TO MS demonstrated that all three serine proteases from neutrophil were able to release peptides which contain the Gly-X-X-Pro-Gly motif responsible of the chemotactic activity of elastin to neutrophils and its potent angiogenesis activity.

However, NE has a wide repertoire of substrates and is far more than an elastolytic enzyme, being a key actor in the regulation of the cytokine network [13]. Binding of EMILIN1 to α4/α9 β1 integrins can exert an anti proliferative effect on cancer cells. However, its degradation by neutrophil elastase was found to suppress such beneficial influence. Several ECM macromolecules exert such a function as thrombospondins, major proteoglycans as decorin and biglycan as revelt as several α chains of type IV collagen but the influence of the bulk of serine and metallo proteinases secreted by NE has not been carefully studied [41].

In addition, this enzyme can indirectly, by degrading proteinaceous inhibitors as plasminogen activator inhibitor-1 (PAI-1), α-2 antiplasmin and tissue inhibitor of metalloproteinase-1 (TIMP-1), amplify proteolytic cascades and tumor cell invasiveness. Also, NE was shown to enhance the growth and the progression of cancer cells through the release of VEGF on cell surfaces [42].

A rather unexpected role of NE in lung cancer has been recently demonstrated. Invalidation of NE gene in mice using the loxP-stop-loxP-K-rasG12D(LSL-K-ras) mouse model of lung adenocarcinoma was shown to delay significantly cancer cells proliferation and tumor growth [43, 44]. The mechanism involved in the deleterious functions of NE was analyzed and revealed that enzyme acted intracellularly following its endocytosis into specific endosomal compartments of epithelial cell lines. At this location, it hydrolyses the adaptor molecule insulin receptor substrate-1 (IRS-1) which liberates a PI3 kinase subunit able to activate the platelet-derived growth factor receptor (PDGFR) leading to increased cell proliferation [43, 45].

The presence of elastase (EC 34.21.37) was initially restricted to PMN and to a lesser extent to monocytes but in recent years, its expression was evidenced in breast and lung cancer cell lines. This endopeptidase is able to degrade several matrix constituents but elastase was also found to act either intracellularly or at the pericellular level and to modify cancer cell survival and proliferation. Inside invasive breast cancer cells it can induce the proteolysis of a 50 kDa cyclin E protein to a highly reactive 35 kDa shorter form which confers a hyperactivity to the cyclin-dependent kinase 2 (CDK2) protein complex [46]. At the cell surface, elastase produced by these cells can also process CD40 protein which activates downstream TNF receptor associated factor (TRAF) and NF-kappa B [47], a transcription factor which plays a pivotal function in the development and progression of several cancers. Furthermore, NE was reported to hydrolyze phosphatidyl serine receptor, thus impeding resolution of inflammation associated with the removal of dying apoptotic inflammatory cells [48].

Overall, data available indicate that NE can interfere at several levels in lung cancer progression and thus can be considered as a target. Since decades, researchers focus on isolating or designing NE inhibitors for emphysema that might be equally valuable as anti-lung cancer agents.

3. ENDEGNENOUS Neutrophil Elastase Inhibitors

3.1. Proteinaceous Inhibitors

NE endogenous inhibitors belong to canonical inhibitor families which are characterized by the presence of a convex binding loop, the conformation of which fits ideally the active site of the enzyme [49]. Two of them, namely α-1AT also designated as α-1 proteinase inhibitor (α-1Pi) and human monocyte/ neutrophil elastase inhibitor (HM / NEI) are members of the serpin superfamily [50, 51]. Cleavage of the exposed loop by cognate enzyme within this family leads to the formation of a covalent bond between Ser195 in the active site of the protease and one backbone carbonyl of scissile bond followed by a translocation of the protease and inactivation [52]. α-1AT is synthesized by hepatocytes as a 52 kDa glycosylated protein and is considered as the main NE inhibitor in the lung [53]. In turn, the 42 kDa HM / NEI is a fast acting inhibitor of NE but it exhibits a broad specificity, being able to also inactivate chymotrypsin-like enzymes as cathepsin G. Of note, two reactive sites are present in this inhibitor: Cys344 which corresponds to Met358 in α-1AT and Phe343 which corresponds to the inhibitory site for chymotrypsin-like enzymes [50].

Three natural occurring NE canonical low-molecular weight inhibitors which belong to the chelonian family of neutrophil serine proteases (NSPs) inhibitor have been identified [49]: the secretory leukocyte proteinase inhibitor (SLPI), the elastase specific inhibitor (ESI) called elafin and its precursor trappin-2 also named pre-elafin.

SLPI was also designated as antileukoprotease (ALP), mucus proteinase inhibitor (MPI), or bronchial inhibitor. SLPI is an 11.7 kDa highly-cationic hydrophobic nonglycosylated single chain protein containing 107 amino acid residues. It consists of two domains, of about 54 amino acid residues each, both containing a whey acidic protein (WAP)-type four-disulfide core (WFDC) domain, which is the inhibitory domain for the NSPs. SLPI has a very high basic character, and is recovered at high molecular concentration i.e. 8.6 µM in the upper respiratory tract [49, 54].

Elafin (ESI) which is proteolytically released from trappin-2, was also called skin-derived anti-leukoprotease (SKALP). Elafin is a natural chemotactic molecule for macrophages and neutrophils with potent antimicrobial and neutrophil elastase inhibitor activity. This inhibitor proved to be an acid stable basic peptide with an isoelectric point of 9.7. This 57 amino acid residues protein (6 kDa) has high 1D-sequence [55] and 3D-conformation [56] homologies with the C-terminal half-domain (Arg58-Ala107) of SLPI [57]. Elafin was shown to be a specific strong inhibitor of human leukocyte elastase (HLE) (see Fig. 1A, 1B) and also Refs [58, 59]). The binding of elafin to HNE is very tight with a dissociation constant Ki of 0.6 nM. The N-terminal sequence of elafin contains a domain with glutamine and lysine residues, similar to those of the cementoin domain. Cloning the cDNA of elafin revealed an extra N-terminal noninhibitory domain and the entire corresponding molecule was then named trappin-2. Both elafin and pre-elafin (trappin-2) inhibit NSPs when they are covalently bound to extracellular matrix proteins by tissue transglutaminase [60]. Elafin is in clinical trials for most inflammatory diseases. However, despite its high potency against HNE, it exhibits a short half-life which necessitates successive treatments [61].

Fig. (1))

A. Complex structure of ½ SLPI* and elastase drawn by using the PDB file 2Z7F [57] B. Complex structure of elafin and elastase drawn by using the PDB file 1FLE [59]. In both complexes a specific 2-strands β-sheet is formed by linking one strand from the inhibitor and one strand from the elastase target.

*½ SLPI = C-terminal domain Arg58 - Ala107of SLPI, which has a biological activity similar to full SLPI and which is highly homologous to elafin.

Trappin-2 for TRansglutaminase substrate and wAP domain containing ProteIN is a member of the trappin family which is defined by an N-terminal transglutaminase substrate domain and a C-terminal four-disulfide core. Trappin-2 is the precursor of elafin, says pre-elafin. It is similarly a 95 amino acid residues unglycosylated cationic protein [55, 62]. This molecule possesses the originality to contain in its N-terminal moiety (amino acid residues 1 to 38) a unique domain, rich in glutamine and lysine residues, containing several separated motifs with the consensus sequence Gly-Gln-Asp-Pro-Val-Lys, i.e. cementoin domain that is able to covalently anchor by transglutaminase-catalysed cross-links trappin-2 to extracellular matrix proteins, as fibronectin or elastin, conferring them protection against proteolysis by NE [49, 63]. The C-terminal inhibitory domain (amino acid residues 39 to 95) or whey acidic protein (WAP) domain containing four disulfide bonds corresponds to the elafin sequence.

This inhibitor can be further engineered: trappin-2 A62L where the P1 residue Ala62 is replaced by a leucine residue which leads to a polyvalent inhibitor able to inhibit the three elastolytic proteases present in the azurophilic granules of neutrophils: NE, cathepsin G and proteinase-3 [63].

EPI-HNE-4 is another engineered molecule from phage display of the second Kunitz domain of inter- α inhibitor. It possesses high association constant (kon= 8 x 10-6 M-1 s-1) and extremely low inhibitory constant (Ki = 0.0055 nM) for NE [64].

All these inhibitors when administered in an aerosolized form appear to protect the lung against NE-mediated emphysematous lesions in different animal models [64-66].

3.2. Natural Compounds

3.2.1. Glycosaminoglycans

We initially reported that polysaccharides obtained by depolarization of heparin by HNO2 behave as tight binding hyperbolic inhibitors of HNE. Oversulfation of an octadecasaccharide by O-sulfation of its quaternary ammonium salt in organic solvent (SO3- / CO2 = 2.62) led to a potent inhibitor with Ki = 73 nM [67]. Of note, this compound could inhibit HNE equally well in its free and adsorbed state on to elastin fibers and could prevent elastase-induced emphysema in lung [68]. However, heparin effect, as noted by Nunes et al. [69], can be related to both substrate structure and inhibitor concentration. For instance, at 50 µM concentration heparin can accelerate TIMP-1 degradation by HNE.

The ability of heparin and fragments to inhibit HNE has been confirmed and N-sulfate or 6 O-sulfate from the glucosamine residue were found to be critical for inhibition [70].

Besides heparin, other glycosaminoglycans can interfere with HNE activity as dermatan sulfate (K0.5 = 157.5 nM) or chondroitin 6 sulfate (K0.5 = 16.3 nM) [71] (Table 1). Those compounds can react with the positively charged (arginine residues) clamp-like region at the extremity of the HNE interdomain crevice; potent enzyme inhibition is dependent on sulfate position and size of polysaccharides.

Heparin displays a pleiad of biological effects, that can interfere with tumor metastasis as being able to inhibit growth factors, their receptors, heparanase or to block platelet - tumor cell interaction [72]. However, its anticoagulant activity represents a major drawback and efforts are now being made in designing heparinoids that lack any haemostatic effect while preserving properties that may influence cancer progression. As example desulfation of the two O-sulfate residues of α-L-iduronic acid to 2,3-oxirane intermediate and hydrolysis by lyophilisation of heparin at alkaline pH, leads to a compound which lacks anticoagulant activity, but retains its HNE inhibitory capacity [73].

Lipophilic derivatives of heparin as deoxycholic-heparin complexes or butanoylated heparin with low anticoagulant activity were found to exhibit an antitumor effect on lung cancer growth [74, 75]. On that line, we introduced an oleoyl moiety to N-desulfated heparin.

Oleoyl 1,3 heparin which contained one oleic residue per three disaccharide units inhibited HNE with Ki = 0.3 nM; increasing the number of N-SO3- in one compound containing one oleic acid per five disaccharide units, from its tributylammonium salt in dimethylformamide, led to an extremely potent HNE