High throughput screening of IRAK4 small molecule inhibitors in TLR ligand stimulated whole blood

Abstract

Abstract The IRAK4 kinase is a key regulator of TLR and IL1R signaling. Small molecule inhibitors of IRAK4 represent an important advance in targeting these pathways. We developed a high throughput whole blood assay to identify potent IRAK4 inhibitors through the inhibition of TLR ligand (R848, LPS, and Gardiquimod) induced inflammatory cytokine production (IL6, TNF, IFNa). Extensive optimization was carried out to ensure rigorous measurement of small molecule potencies, percent maximum inhibition, and cytokine endpoint correlations to clearly distinguish compounds from one another in the context of human whole blood variance. Whole blood treated with IRAK4 inhibitors resulted in partial inhibition of TLR induced cytokines. Whole blood is a complex mixture of cell types and serum proteins. Our analysis shows various dependency of TLR signaling on IRAK4 kinase activity varies among various immune cells allowing for residual inflammatory outputs. Ex vivo whole blood stimulation assays have proven to be an important tool in drug discovery to identify potent IRAK4 small molecule clinical candidates and further define the role of IRAK4 signaling in immune responses.