Sepsis is the leading cause of death in intensive care units worldwide. Current treatments of
sepsis are largely supportive and clinical trials using specific
pharmacotherapy for
sepsis have failed to improve outcomes. Here, we used the
lipopolysaccharide (LPS)-stimulated mouse RAW264.7 cell line and AlphaLisa assay for TNFa as a readout to perform a supervised drug repurposing screen for
sepsis treatment with compounds targeting epigenetic
enzymes, including
kinases. We identified the
SCH772984 compound, an
extracellular signal-regulated kinase (ERK) 1/2 inhibitor, as an effective blocker of TNFa production in vitro.
RNA-Seq of the SCH772984-treated RAW264.7 cells at 1, 4, and 24 h time points of LPS challenge followed by functional annotation of differentially expressed genes highlighted the suppression of cellular pathways related to the immune system.
SCH772984 treatment improved survival in the LPS-induced lethal
endotoxemia and cecal
ligation and
puncture (CLP) mouse models of
sepsis, and reduced plasma levels of Ccl2/Mcp1. Functional analyses of
RNA-seq datasets for kidney, lung, liver, and heart tissues from SCH772984-treated animals collected at 6 h and 12 h post-CLP revealed a significant downregulation of pathways related to the immune response and platelets activation but upregulation of the extracellular matrix organization and
retinoic acid signaling pathways. Thus, this study defined transcriptome signatures of
SCH772984 action in vitro and in vivo, an agent that has the potential to improve
sepsis outcome.