Screening-based repurposing identifies potassium dehydroandrographolide succinate (KDAS) as a selective suppressor of

Alvaro Valero-Cortijo1,2, Joan Antoni Shoenenberger-Arnaiz2,3, Victor J Yuste4

  • 1Cellular Stress Pharmacology Unit, Research Group in Immunology and Metabolism, Department of Experimental Medicine, University of Lleida, Lleida, Spain.

Scientific Reports
|June 9, 2026
PubMed

Insights

Potassium dehydroandrographolide succinate (KDAS) protects epithelial cells from tumor necrosis factor-α (TNF-α)-induced apoptosis by restoring a key survival pathway. This discovery offers a new therapeutic strategy for inflammatory bowel disease (IBD).

Area of Science:

  • Cell Biology
  • Immunology
  • Pharmacology

Background:

  • Tumor necrosis factor-α (TNF-α) normally promotes cell survival via FIP200-dependent autophagy.
  • Loss of this checkpoint shifts TNF-α signaling towards apoptosis, contributing to epithelial injury in inflammatory bowel disease (IBD).
  • Current anti-TNF-α therapies primarily neutralize extracellular TNF-α, failing to protect epithelial cells from death.

Purpose of the Study:

  • To identify clinically approved compounds that restore cytoprotection in FIP200-deficient cells challenged with TNF-α.
  • To evaluate the efficacy and specificity of identified compounds in preventing TNF-α-induced apoptosis.

Main Methods:

  • A two-step drug screen of 2421 clinically approved compounds was performed on TNF-α-challenged FIP200-deficient HCT116 cells.
  • Potassium dehydroandrographolide succinate (KDAS) was identified and further tested for its ability to inhibit apoptosis and protect various cell types.
  • NF-κB and ERK signaling pathways were pharmacologically inhibited to assess their role in KDAS-mediated cytoprotection.

Main Results:

  • Potassium dehydroandrographolide succinate (KDAS) conferred over 85% cytoprotection in FIP200-deficient cells by inhibiting TNF-α-induced, caspase-8-dependent apoptosis.
  • KDAS demonstrated specificity, as other andrographolides lacked cytoprotective effects.
  • KDAS also protected additional human cell lines and primary colonic epithelial cells from TRAIL-induced apoptosis and preserved viability downstream of TNF-α receptor activation.

Conclusions:

  • KDAS is a potent cytoprotective compound that restores epithelial cell survival by inhibiting TNF-α-induced apoptosis, independent of canonical NF-κB and ERK pathways.
  • This study identifies a novel pharmacological approach to limit epithelial apoptosis in TNF-α-mediated diseases like IBD.
  • KDAS represents a promising therapeutic candidate for managing epithelial injury in inflammatory conditions.

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