Table 4 GSDMD inhibitors

From: The gasdermin family: emerging therapeutic targets in diseases

Inhibitor

IC50

Mechanisms of action

Off-target effects

GSDMD-related disease model

Necrosulfonamide (NSA)44,509,510,511

~10 μM

Binding directly to Cys191 of GSDMD and inhibiting the oligomerization of GSDMD-NT

Binding to Cys86 of MLKL and blocking necroptosis

LPS-induce sepsis, AD, AS, ALF

Disulfiram (DSF).45,52,383,384,514,516,517,518,519.

~10 μM

Modifying Cys191 of GSDMD and inhibiting the oligomerization of GSDMD-NT

Modifying Cys133 in the TLR-binding partner MD-2 and preventing LPS recognition;

Inhibiting NLRP3 signaling

LPS/CLP-induced sepsis, ulcerative colitis, AS, obesity and metabolic dysfunction, SARS-CoV-2 infection, ARDS, DN, NAFLD

Dimethyl fumarate (DMF)46,409

<10 μM

Succinating Cys191 of GSDMD, blocking caspase-GSDMD interactions and inhibiting the oligomerization of GSDMD-NT

Succinating GSDME at Cys45; dopamine beta-hydroxylase; caspase-1; caspase-3

LPS-induced sepsis, FMF, EAE, HCC

Itaconate320,523,531,532,533

Not known

Binding to GSDMD via Cys77 and blocking caspase-GSDMD interactions

Inhibiting NLRP3 and caspase-1

ARDS, IBD, LPS-induced sepsis

C202-2729503

Not known

Binding directly to the GSDMD-NT and inhibiting the oligomerization of GSDMD-NT

Not known

EAE

Caffeic acid (CA)522

Not known

Binding directly to GSDMD and blocking GSDMD cleavage

Not known

LPS-induced sepsis

GSDMD inhibitor Y1 (GI-Y1)445

Not known

Binding to GSDMD via Arg7 and inhibiting the oligomerization of GSDMD-NT

Not known

Myocardial I/R injury

  1. AD Alzheimer’s disease, AS atherosclerosis, ALF acute liver failure, ARDS acute respiratory distress syndrome, CLP cecum ligation and puncture, DN diabetic nephropathy, EAE experimental autoimmune encephalomyelitis, FMF familial Mediterranean fever, HCC hepatocellular carcinoma, IBD inflammatory bowel disease, I/R ischemia/reperfusion, LPS lipopolysaccharide