Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, The Key Laboratory of Anti-inflammatory of Immune Medicines, Ministry of Education, Anhui Institute of Innovative Drugs, School of Pharmacy, Anhui Medical University, Hefei 230032, China.
School of Basic Medicine, Anhui Medical University, Hefei 230032, China.
Int Immunopharmacol. 2022 Nov;112:109262. doi: 10.1016/j.intimp.2022.109262. Epub 2022 Sep 24.
Acute kidney injury (AKI) is a clinical syndrome that is defined as a sudden decline in renal function and characterized by inflammation and programmed cell death of renal tubular epithelial cells. Necroptosis is a form of regulated cell death that requires activation of receptor interacting protein kinase 3 (RIPK3) and its phosphorylation of the substrate MLKL. RIPK3 plays an important role in acute kidney injury, and hence developing its inhibitors is considered as one of the promising strategies aimed at prevention and treatment of AKI. Recently, we discovered AZD5423 as a novel potent RIPK3 inhibitor using a computer-aided hybrid virtual screening strategy according to three-dimensional structure of RIPK3. Our findings revealed that AZD5423 strongly inhibits activation of RIPK3, and MLKL phosphorylation upon cisplatin-, hypoxia/reoxygenation (H/R)- and TNF-α stimuli as compared with GSK872, which is a previously identified RIPK3 inhibitor. Importantly, AZD5423 exerts effective protection against cisplatin- and ischemia/reperfusion (I/R)-induced AKI mouse model. The results of cellular thermal shift assay and experiments in RIPK3 knockout cells indicated that AZD5423 could directly target RIPK3 to inhibit RIPK3 kinase activity. Mechanistically, the docking of AZD5423 and RIPK3 suggested that the kinase domain of RIPK3 for Lys, Arg, Lys, Arg might form hydrogen bonds with AZD5423. Site-directed mutagenesis further revealed that AZD5423 reduces injury response via interacting with the key RIPK3 amino acid residues of Lys and Arg. In conclusion, our study has demonstrated that AZD5423 may serve as a potent inhibitor of RIPK3 kinase and a promising clinical candidate for AKI treatment.
急性肾损伤(AKI)是一种临床综合征,定义为肾功能突然下降,其特征为肾管状上皮细胞炎症和程序性细胞死亡。坏死性凋亡是一种需要激活受体相互作用蛋白激酶 3(RIPK3)及其对底物 MLKL 的磷酸化的调节性细胞死亡形式。RIPK3 在急性肾损伤中起着重要作用,因此开发其抑制剂被认为是预防和治疗 AKI 的有前途的策略之一。最近,我们根据 RIPK3 的三维结构,使用计算机辅助混合虚拟筛选策略,发现 AZD5423 是一种新型有效的 RIPK3 抑制剂。我们的研究结果表明,与先前鉴定的 RIPK3 抑制剂 GSK872 相比,AZD5423 可强烈抑制顺铂、缺氧/复氧(H/R)和 TNF-α刺激下 RIPK3 的激活和 MLKL 磷酸化。重要的是,AZD5423 对顺铂和缺血/再灌注(I/R)诱导的 AKI 小鼠模型具有有效的保护作用。细胞热转移测定和 RIPK3 敲除细胞实验的结果表明,AZD5423 可以直接靶向 RIPK3 抑制 RIPK3 激酶活性。从机制上讲,AZD5423 与 RIPK3 的对接表明 RIPK3 的赖氨酸、精氨酸、赖氨酸、精氨酸激酶结构域可能与 AZD5423 形成氢键。定点突变进一步表明,AZD5423 通过与 RIPK3 的关键赖氨酸和精氨酸氨基酸残基相互作用来减少损伤反应。总之,我们的研究表明,AZD5423 可能是一种有效的 RIPK3 激酶抑制剂,是治疗 AKI 的有前途的临床候选药物。