Targeting RIPK1-mediated necroptosis, oxidative stress, and ferroptosis: A novel multitarget therapy for ischemic

Ziwei Song1, Liang Ye2, Yunjie Wang1

  • 1School of Pharmacy, Key Laboratory of Molecular Pharmacology and Drug Evaluation (Yantai University), Ministry of Education, Collaborative Innovation Center of Advanced Drug Delivery System and Biotech Drugs in Universities of Shandong, Yantai University, Yantai, 264005, China; State Key Laboratory of Advanced Drug Delivery and Release Systems, Shandong Luye Pharmaceutical Co., Ltd., Yantai, Shandong, 264003, China.

Insights

A novel compound, 23a, shows promise for treating ischemic stroke by targeting oxidative stress, necroptosis, and ferroptosis. It outperformed edaravone in preclinical models, reducing brain damage and improving function.

Area of Science:

  • Neuroscience
  • Medicinal Chemistry
  • Pharmacology

Background:

  • Ischemic stroke leads to high mortality and disability due to complex pathological processes.
  • Current treatments primarily target antioxidant stress, necessitating multi-target agents.
  • RIPK1-mediated necroptosis and neuroinflammation are key drivers of secondary brain injury in stroke.

Purpose of the Study:

  • To design and synthesize novel 4,5-dihydro-1H-pyrazole derivatives as potential multi-target therapeutics for ischemic stroke.
  • To evaluate the efficacy of these compounds against key pathological pathways including oxidative stress, necroptosis, and ferroptosis.

Main Methods:

  • Rational design and synthesis of novel 4,5-dihydro-1H-pyrazole derivatives.
  • In vitro biological evaluation of RIPK1 kinase inhibitory activity, antioxidant efficacy, and anti-ferroptosis activity.
  • In vivo assessment using a transient middle cerebral artery occlusion (tMCAO) model in rodents.

Main Results:

  • Compound 23a exhibited potent RIPK1 kinase inhibition (IC50 = 0.115 μM).
  • 23a demonstrated superior antioxidant efficacy (IC50 = 9.72 μM) compared to edaravone (IC50 = 22.79 μM).
  • 23a showed significant anti-ferroptosis activity by suppressing PTGS2 mRNA (IC50 = 0.156 μM) and reduced cerebral infarction volume and improved neurological function in vivo.

Conclusions:

  • Compound 23a acts as a promising triple-target lead compound for ischemic stroke therapy.
  • 23a demonstrates multi-target effects against oxidative stress, necroptosis, and ferroptosis.
  • Further optimization and development of 23a are warranted for clinical application.