A novel gut-restricted RIPK1 inhibitor, SZ-15, ameliorates DSS-induced ulcerative colitis

Yi-Sheng Zeng1, Jian Peng1, Xiao-Fang Gao1

  • 1School of Pharmacy, Chengdu Medical College, No. 783, Xindu Avenue, Xindu District, Chengdu, Sichuan Province, 610500, China.

Insights

A novel gut-restricted inhibitor, SZ-15, effectively blocks receptor-interacting protein kinase 1 (RIPK1) and necroptosis. This compound shows promise for treating ulcerative colitis by reducing inflammation in the gut.

Area of Science:

  • Biochemistry
  • Immunology
  • Pharmacology

Background:

  • Receptor-interacting protein kinase 1 (RIPK1) is a key mediator of cell death and inflammation implicated in various human diseases.
  • RIPK1 inhibitors are under investigation for treating inflammatory conditions, including ulcerative colitis.
  • Developing targeted therapies with localized activity is crucial for managing gut-specific diseases.

Purpose of the Study:

  • To design, synthesize, and evaluate the anti-necroptosis and RIPK1-inhibiting effects of a novel compound, SZ-15.
  • To assess the gut-restricted activity and therapeutic potential of SZ-15 in a preclinical model of ulcerative colitis.

Main Methods:

  • SZ-15's inhibition of necroptosis and RIPK1, RIPK3, and MLKL phosphorylation was tested in U937 and HT-29 cells.
  • The compound's effect on pro-inflammatory cytokine mRNA expression (TNF-α, IL-1β, IL-6) was analyzed.
  • Gut-restricted activity was confirmed by recovery in mouse feces and detection in colon tissues.
  • Efficacy was evaluated in a dextran sulfate sodium (DSS)-induced ulcerative colitis mouse model.

Main Results:

  • SZ-15 potently inhibited necroptosis in cell lines at nanomolar concentrations.
  • The compound significantly blocked RIPK1, RIPK3, and MLKL phosphorylation.
  • SZ-15 demonstrated gut-restricted activity with high recovery in feces and absorption in colon tissue.
  • In vivo, SZ-15 alleviated DSS-induced ulcerative colitis by reducing key inflammatory cytokine mRNA levels in the colon.

Conclusions:

  • SZ-15 is a novel, high-molecular-weight, gut-restricted RIPK1 inhibitor.
  • The compound effectively suppresses necroptosis and inflammation.
  • SZ-15 shows significant therapeutic potential for the clinical treatment of ulcerative colitis.

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