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The SGK1 inhibitor EMD638683, prevents Angiotensin II-induced cardiac inflammation and fibrosis by blocking NLRP3 inflammasome activation.

Abstract
Inflammation has emerged as a critical biological process contributing to hypertensive cardiac remodeling. Effective pharmacological treatments targeting the cardiac inflammatory response, however, are still lacking. Prior studies suggested that the serum- and glucocorticoid-inducible kinase (SGK1) plays a key role in inflammation and cardiac remodeling. Recently, a highly selective SGK1 inhibitor, EMD638683, was developed, though whether EMD638683 can prevent hypertension-induced cardiac fibrosis and the mechanisms by which this inhibitor may alter the disease process remain unknown. Using a murine Angiotension II (Ang II) infusion-induced hypertension model we found that EMD638683 treatment inhibited cardiac fibrosis and remodeling, with significant abatement of cardiac inflammation. EMD638683 was shown to suppress Ang II infusion-induced interleukin (IL)-1β release, and substantially reduce nucleotide-binding oligomerization domain-like receptor with pyrin domain 3 (NLRP3) expression and caspase-1 activation in cardiac tissues. In vitro experiments revealed that EMD638683 ameliorated Ang II-stimulated IL-1β secretion in macrophages by blocking NLRP3 inflammasome activation. By reducing IL-1β production in macrophages, the transformation of fibroblasts to myofibroblasts was inhibited. The effects of EMD638683 on cardiac fibrosis were abolished by supplementation with exogenous IL-1β. Administration of the NLRP3 inflammasome inhibitor MCC950 indicated that EMD638683 attenuated Ang II-induced cardiac inflammation and fibrosis by inhibiting the NLRP3 inflammasome/IL-1β secretion axis. These findings indicate that the SGK1 inhibitor EMD638683 can negatively regulate NLRP3 inflammasome activation, and may represent a promising approach to the treatment of hypertensive cardiac damage.
AuthorsWenqiang Gan, Jingyuan Ren, Tiegang Li, Silin Lv, Chenghe Li, Ziliang Liu, Min Yang
JournalBiochimica et biophysica acta. Molecular basis of disease (Biochim Biophys Acta Mol Basis Dis) Vol. 1864 Issue 1 Pg. 1-10 (Jan 2018) ISSN: 0925-4439 [Print] Netherlands
PMID28986310 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2017 Elsevier B.V. All rights reserved.
Chemical References
  • Benzamides
  • Cardiotonic Agents
  • EMD 638683
  • Hydrazines
  • Inflammasomes
  • NLR Family, Pyrin Domain-Containing 3 Protein
  • Nlrp3 protein, mouse
  • Angiotensin II
Topics
  • Angiotensin II (pharmacology)
  • Animals
  • Benzamides (pharmacology)
  • Cardiotonic Agents (pharmacology)
  • Cells, Cultured
  • Cytoprotection (drug effects)
  • Fibrosis (prevention & control)
  • Heart (drug effects)
  • Hydrazines (pharmacology)
  • Inflammasomes (drug effects, metabolism)
  • Inflammation (prevention & control)
  • Mice
  • Mice, Inbred C57BL
  • Myocarditis (pathology, prevention & control)
  • Myocardium (pathology)
  • NLR Family, Pyrin Domain-Containing 3 Protein (metabolism)

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