EMBO Molecular Medicine (Dec 2024)

Navigating from cellular phenotypic screen to clinical candidate: selective targeting of the NLRP3 inflammasome

  • Rosalie Matico,
  • Karolien Grauwen,
  • Dhruv Chauhan,
  • Xiaodi Yu,
  • Irini Abdiaj,
  • Suraj Adhikary,
  • Ine Adriaensen,
  • Garcia Molina Aranzazu,
  • Jesus Alcázar,
  • Michela Bassi,
  • Ellen Brisse,
  • Santiago Cañellas,
  • Shubhra Chaudhuri,
  • Francisca Delgado,
  • Alejandro Diéguez-Vázquez,
  • Marc Du Jardin,
  • Victoria Eastham,
  • Michael Finley,
  • Tom Jacobs,
  • Ken Keustermans,
  • Robert Kuhn,
  • Josep Llaveria,
  • Jos Leenaerts,
  • Maria Lourdes Linares,
  • Maria Luz Martín,
  • Rosa Martín-Pérez,
  • Carlos Martínez,
  • Robyn Miller,
  • Frances M Muñoz,
  • Michael E Muratore,
  • Amber Nooyens,
  • Laura Perez-Benito,
  • Mathieu Perrier,
  • Beth Pietrak,
  • Jef Serré,
  • Sujata Sharma,
  • Marijke Somers,
  • Javier Suarez,
  • Gary Tresadern,
  • Andres A Trabanco,
  • Dries Van den Bulck,
  • Michiel Van Gool,
  • Filip Van Hauwermeiren,
  • Teena Varghese,
  • Juan Antonio Vega,
  • Sameh A Youssef,
  • Matthew J Edwards,
  • Daniel Oehlrich,
  • Nina Van Opdenbosch

DOI
https://doi.org/10.1038/s44321-024-00181-4
Journal volume & issue
Vol. 17, no. 1
pp. 54 – 84

Abstract

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Abstract The NLRP3 inflammasome plays a pivotal role in host defense and drives inflammation against microbial threats, crystals, and danger-associated molecular patterns (DAMPs). Dysregulation of NLRP3 activity is associated with various human diseases, making it an attractive therapeutic target. Patients with NLRP3 mutations suffer from Cryopyrin-Associated Periodic Syndrome (CAPS) emphasizing the clinical significance of modulating NLRP3. In this study, we present the identification of a novel chemical class exhibiting selective and potent inhibition of the NLRP3 inflammasome. Through a comprehensive structure–activity relationship (SAR) campaign, we optimized the lead molecule, compound A, for in vivo applications. Extensive in vitro and in vivo characterization of compound A confirmed the high selectivity and potency positioning compound A as a promising clinical candidate for diseases associated with aberrant NLRP3 activity. This research contributes to the ongoing efforts in developing targeted therapies for conditions involving NLRP3-mediated inflammation, opening avenues for further preclinical and clinical investigations.

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