RAGE-mediated activation of the formin DIAPH1 and human macrophage inflammation are inhibited by a small molecule

Gregory G Theophall1, Michaele B Manigrasso2, Parastou Nazarian1

  • 1Department of Chemistry, State University of New York at Albany, Albany, NY 12222, USA.

Cell Chemical Biology
|October 2, 2025
PubMed

Insights

Researchers identified a small molecule, RAGE406R, that inhibits the RAGE-DIAPH1 interaction, reducing inflammation and improving diabetic wound healing in mouse models.

Area of Science:

  • Molecular Biology
  • Cell Biology
  • Immunology

Background:

  • Receptor for Advanced Glycation Endproducts (RAGE) and DIAPH1 drive inflammation and diabetes complications.
  • Understanding their interaction is crucial for therapeutic development.

Purpose of the Study:

  • To elucidate the structural basis of the RAGE-DIAPH1 complex formation.
  • To investigate the inhibitory mechanism of RAGE406R on RAGE-DIAPH1 interaction and its downstream effects.

Main Methods:

  • NMR spectroscopy and mass spectrometry to model the RAGE-DIAPH1 complex.
  • FRET assays, actin polymerization assays, cell migration, and inflammation experiments.
  • In vivo studies in mouse models of inflammation and diabetic wound healing.

Main Results:

  • A structural model revealed how RAGE binding to DIAPH1 activates actin polymerization.
  • RAGE406R was shown to prevent RAGE-DIAPH1 complex formation.
  • RAGE406R demonstrated efficacy in reducing inflammation and improving wound healing in vivo.
  • Treatment with RAGE406R decreased CCL2 mRNA expression in human macrophages.

Conclusions:

  • RAGE-DIAPH1 interaction is a key target for managing inflammation and diabetes complications.
  • RAGE406R represents a promising therapeutic strategy for RAGE-DIAPH1-mediated diseases.

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