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Updated: Jul 16, 2026

Visualization of Inflammatory Caspases Induced Proximity in Human Monocyte-Derived Macrophages
Published on: April 6, 2022
Inflammatory caspases: targets for novel therapies
Sigrid Cornelis1, Kristof Kersse, Nele Festjens
1Department for Molecular Biomedical Research, VIB, B9052 Ghent, Belgium.
Abstract:
This review provides an overview of the biochemistry and activation of inflammatory caspases, and focuses on their therapeutic potential as disease targets in pathologies such as sepsis, Crohn's disease, rheumatoid arthritis, traumatic brain injury and amyotrophic lateral sclerosis (ALS). We summarize the proof-of-principal evidence obtained by studies in several corresponding experimental disease models confirming the validity of strategies targeting inflammatory caspases. We discuss the use of inflammatory caspase inhibitors, such as VX-740 (Pralnacasan) and VX-765, in clinical studies for rheumatoid arthritis and osteoarthritis. Finally, we point out recent approaches identifying novel peptidomimetic or non-peptide caspase inhibitors with suitable clinical profiles.
Insights
Inflammatory caspases are key targets for treating inflammatory diseases like sepsis and ALS. Inhibitors show promise in preclinical models and early clinical trials for conditions such as rheumatoid arthritis.
Area of Science:
- Biochemistry
- Immunology
- Pharmacology
Background:
- Inflammatory caspases play crucial roles in immune responses and disease pathogenesis.
- Dysregulation of inflammatory caspases is implicated in various chronic and acute inflammatory conditions.
Purpose of the Study:
- To review the biochemistry and activation mechanisms of inflammatory caspases.
- To explore the therapeutic potential of targeting inflammatory caspases in diseases including sepsis, Crohn's disease, rheumatoid arthritis, traumatic brain injury, and amyotrophic lateral sclerosis (ALS).
Main Methods:
- Summarizing evidence from experimental disease models validating strategies targeting inflammatory caspases.
- Discussing clinical studies of inflammatory caspase inhibitors (e.g., VX-740, VX-765) in rheumatoid arthritis and osteoarthritis.
Main Results:
- Proof-of-principle evidence from disease models supports targeting inflammatory caspases.
- Clinical studies are investigating the efficacy of specific caspase inhibitors for inflammatory conditions.
Conclusions:
- Targeting inflammatory caspases represents a valid therapeutic strategy for multiple pathologies.
- Novel peptidomimetic and non-peptide inhibitors are being developed for improved clinical profiles.
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