RT Journal Article SR Electronic T1 Late-breaking abstract: Investigation of a novel small molecule furin inhibitor with regards pseudomonas aeruginosa exotoxin A-induced cytotoxicity in human airways JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP P2454 VO 44 IS Suppl 58 A1 James Reihill A1 Brian Walker A1 Lorraine Martin YR 2014 UL http://erj.ersjournals.com/content/44/Suppl_58/P2454.abstract AB Background: Pseudomonas aeruginosa (PA) is a key pathogenic factor in several pulmonary conditions including COPD, CF and pneumonia. PA secretes a number of virulence factors including exotoxin A (EXA), a highly toxic product activated by the action of the pro-protein convertase furin, which contributes to mortality in patients and animal models. Within our laboratory we have recently developed a novel small molecule-based inhibitor of furin potentially relevant in this context.Hypothesis: QUB-TL1 prevents EXA-induced airway epithelial cell (AEC) cytotoxicity as a consequence of furin inactivation.Methods: Recombinant furin activity was performed by monitoring cleavage of a fluorogenic substrate (pERTKR-NHMec). Turnover of the same substrate was monitored upon addition to the apical surface of differentiated AECs to assess surface furin activity in the presence or absence of QUB-TL1. Cytotoxicity was assessed using a commercial LDH assay kit.Results: QUB-TL1 inhibits recombinant and endogenous furin activity (detected at the apical surface of normal and CF AECs). Moreover EXA-induced epithelial cell cytotoxicity is significantly reduced (>80%) in the presence of QUB-TL1. Further studies demonstrated QUB-TL1 itself was non-toxic and cell impermeable thus affording a sustained duration of action at the airways surface whilst limiting off-target effects.Conclusions: QUB-TL1 represents a novel cell impermeable inhibitor of furin that abrogates EXA-induced cytotoxicity in AECs thus may be of therapeutic value with regards PA lung infections.