The present invention is based, at least in part, on the discovery that the amino terminal domain and the N-linked carbohydrate contained in the amino terminal of C1INH are required for binding of C1INH to LPS. C1INH has the ability to block the binding of LPS to cells, e.g., macrophages. One aspect of the invention provides a method for treating or preventing sepsis in a subject comprising administering to the subject an effective amount of a composition comprising a modified C1INH polypeptide, thereby treating or preventing sepsis in a subject. In another aspect, the invention provides a method for treating or preventing LPS-mediated inflammation in a subject comprising administering to the subject an effective amount of a composition comprising a modified C1INH polypeptide, thereby treating or preventing LPS-mediated inflammation in a subject. In yet another aspect, the invention provides a method for suppressing the release of LPS-induced TNF-α in a subject comprising administering to the subject an effective amount of a composition comprising a modified C1INH polypeptide, thereby suppressing the release of LPS-induced TNF-α in a subject.
本发明至少部分基于发现,C1INH的
氨基末端结构域和
氨基末端的N-连接糖基是C1INH与LPS结合所必需的。C1INH具有阻止LPS与细胞(例如巨噬细胞)结合的能力。本发明的一个方面提供了一种治疗或预防感染性休克的方法,该方法包括向受试者施用包含改良的C1INH
多肽的有效量的组合物,从而治疗或预防感染性休克。在另一个方面,本发明提供了一种治疗或预防LPS介导的炎症的方法,该方法包括向受试者施用包含改良的C1INH
多肽的有效量的组合物,从而治疗或预防LPS介导的炎症。在另一个方面,本发明提供了一种抑制LPS诱导的TNF-α释放的方法,该方法包括向受试者施用包含改良的C1INH
多肽的有效量的组合物,从而抑制LPS诱导的TNF-α释放。