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.