Strokes affect 795,000 people annually in the US. Obesity, a top risk factor for strokes, is associated with around one out of five strokes.
Cardiac complications following a stroke are a leading cause of mortality and morbidity, second only to acute neurological injury.
The pathomechanism underlying cardiac dysfunction following a stroke includes a surge of catecholamines, such as epinephrine, which induces inflammasome activation triggering a systemic inflammatory response.
The published data showed that following a stroke, Inflammasome ASC Inhibitor IC 100 blocked AIM2 inflammasome activation and cell death (pyroptosis) in the heart and improved cardiac function.
Data from this article support ZyVersa's development of Inflammasome ASC Inhibitor IC 100 for obesity and its associated cardiovascular comorbidities.
WESTON, Fla., Nov. 20, 2024 (GLOBE NEWSWIRE) -- ZyVersa Therapeutics, Inc. (Nasdaq: ZVSA, or "ZyVersa"), a clinical stage specialty biopharmaceutical company developing first-in-class drugs for treatment of inflammatory and renal diseases, announces newly published data demonstrating that stroke-related cardiovascular injury and dysfunction is induced by AIM2 inflammasome activation and pyroptosis in the heart, which can be blocked by Inflammasome ASC Inhibitor IC 100.
"These data demonstrate the potential for IC 100 to attenuate stroke-related cardiovascular disease which is common in patients living with obesity. According to the American Heart Association, obesity-related cardiovascular disease deaths tripled between 1999 and 2020, and this is expected to continue to increase without effective therapeutic options," said Stephen C. Glover, ZyVersa's Co-founder, Chairman, CEO and President. "We are excited about the potential of IC 100 to effectively control the inflammation that drives stroke-related cardiovascular injury and dysfunction. Unlike the NLRP3 inhibitors in development, IC 100 targets ASC to inhibit activation of multiple inflammasomes, including AIM2, which triggered the systemic inflammatory response affecting the heart after stroke in this study. More importantly, IC 100 uniquely disrupts the function of ASC specks to attenuate chronic, systemic inflammation leading to comorbidities. We look forward to progressing IC 100's development program into phase 1 around mid-2025.
This study was published in the peer-reviewed journal, Translational Stroke Research, by acclaimed inflammasome researchers from the University of Miami Miller School of Medicine and inventors of IC 100. In the publication titled, Catecholamine‐Induced Inflammasome Activation in the Heart Following Photothrombotic Stroke, the researchers report data from studies conducted in a mouse model of photothrombotic stroke (PTS) and in excised zebrafish hearts.
Key Findings
PTS in mice results in activation of the AIM2 inflammasome in the heart resulting in significant increases in IL-1β and ASC oligomerization into ASC specks contributing to a systemic inflammatory response affecting the heart after stroke.
Treatment with IC 100 (30 mg/kg) at 30 minutes post-PTS significantly reduced the levels of inflammasome proteins and IL-1β in the heart thus reducing cardiac inflammation.
Epinephrine-treated zebrafish hearts demonstrated a shortened action potential duration (SAPD) which was attenuated by IC 100. SAPD can cause irregular heart rhythm and reduced cardiac efficiency commonly seen in strokes and heart failure.
"These findings indicate that stroke initiates a catecholamine surge that induces inflammasome activation and pyroptosis in the heart that is blocked by IC 100, thus providing a framework for the development of therapeutics for stroke-related cardiovascular injury," stated author Dr. Robert W. Keane, Professor, Physiology and Biophysics, Neurological Surgery and Microbiology, and Immunology, University of Miami Miller School of Medicine.
About Inflammasome ASC Inhibitor IC 100
IC 100 is a novel humanized IgG4 monoclonal antibody that inhibits the inflammasome adaptor protein ASC. IC 100 was designed to attenuate both initiation and perpetuation of the inflammatory response. It does so by binding to a specific region of the ASC component of multiple types of inflammasomes, including NLRP1, NLRP2, NLRP3, NLRC4, AIM2, and Pyrin. Intracellularly, IC 100 binds to ASC monomers, inhibiting inflammasome formation, thereby blocking activation of IL-1β early in the inflammatory cascade. IC 100 also binds to ASC in ASC Specks, both intracellularly and extracellularly, further blocking activation of IL-1β and the perpetuation of the inflammatory response that is pathogenic in inflammatory diseases. Because active cytokines amplify adaptive immunity through various mechanisms, IC 100, by attenuating cytokine activation, also attenuates the adaptive immune response. The lead indication for IC 100 is obesity and its associated metabolic complications. To review a white paper summarizing the mechanism of action and preclinical data for IC 100, Click Here.
About ZyVersa Therapeutics, Inc.
ZyVersa (Nasdaq: ZVSA) is a clinical stage specialty biopharmaceutical company leveraging advanced proprietary technologies to develop first-in-class drugs for patients with inflammatory or kidney diseases with high unmet medical needs. We are well positioned in the rapidly emerging inflammasome space with a highly differentiated monoclonal antibody, Inflammasome ASC Inhibitor IC 100, and in kidney disease with phase 2 Cholesterol Efflux MediatorTM VAR 200. The lead indication for IC 100 is obesity and its associated metabolic complications, and for VAR 200, focal segmental glomerulosclerosis (FSGS). Each therapeutic area offers a "pipeline within a product," with potential for numerous indications. The total accessible market is over $100 billion.
在美國,中風每年影響79.5萬人。肥胖是中風的主要危險因素,與大約五分之一的中風有關。
中風後的心臟併發症是死亡和發病的主要原因,僅次於急性神經系統損傷。
中風後心臟功能障礙的潛在病理機制包括兒茶酚胺的激增,例如腎上腺素,它會誘發炎症小體的激活觸發全身性炎症反應。
公佈的數據顯示,中風後,炎性體ASC抑制劑IC 100阻斷了心臟AIM2炎性小體的激活和細胞死亡(焦化),改善了心臟功能。
本文中的數據支持ZyVersa開發用於肥胖及其相關心血管合併症的炎症體ASC抑制劑IC 100。
佛羅里達州韋斯頓,2024年11月20日(GLOBE NEWSWIRE)——開發首創治療炎症和腎臟疾病藥物的臨床階段專業生物製藥公司ZyVersa Therapeutics, Inc.(納斯達克股票代碼:ZyVERSA,或 「ZyVersa」)公佈了新發布的數據,表明與中風相關的心血管損傷和功能障礙是由AIM2炎症小體激活和心臟焦慮引起的,它可以被 Inflamsome ASC 抑制劑 IC 100 阻斷。
「這些數據表明,IC 100有可能減輕與中風相關的心血管疾病,這種疾病在肥胖患者中很常見。根據美國心臟協會的數據,肥胖相關的心血管疾病死亡人數在1999年至2020年間增加了兩倍,如果沒有有效的治療選擇,預計這一數字將繼續增加。」 ZyVersa聯合創始人、董事長、首席執行官兼總裁斯蒂芬·格洛弗說。“我們對IC 100具有有效控制導致中風相關心血管損傷和功能障礙的炎症的潛力感到興奮。與正在開發的 NLRP3 抑制劑不同,IC 100 靶向 ASC 以抑制包括 AIM2 在內的多種炎症體的激活,在本研究中,AIM2 會觸發影響中風後心臟的全身炎症反應。更重要的是,IC 100獨特地破壞了ASC斑點的功能,以減輕導致合併症的慢性全身性炎症。我們期待在2025年中期左右將IC 100的開發計劃推進到第一階段。
這項研究由邁阿密大學米勒醫學院著名的炎症體研究人員和IC 100的發明者發表在同行評審期刊《轉化中風研究》上。在題爲《兒茶酚胺誘導的光栓性中風後心臟炎症體激活》的出版物中,研究人員報告了在光栓性中風(PTS)小鼠模型和切除的斑馬魚心臟中進行研究的數據。
主要發現
小鼠體內的 PTS 會激活心臟中的 AIM2 炎性小體,導致 IL-1β 和 ASC 寡聚爲 ASC 斑點的顯著增加,從而產生影響中風後心臟的全身炎症反應。
在 PTS 後 30 分鐘內使用 IC 100(30 mg/kg)進行治療可顯著降低心臟中炎症體蛋白和 IL-1β 的水平,從而減少心臟炎症。
經過腎上腺素治療的斑馬魚心臟表現出較短的動作電位持續時間(SAPD),IC 100會減弱該持續時間。SAPD 可導致心律不齊和心臟效率降低,常見於中風和心力衰竭。
作者邁阿密大學米勒醫學院生理學和生物物理學、神經外科和微生物學以及免疫學教授羅伯特·基恩博士說:「這些發現表明,中風會引發兒茶酚胺激增,誘發心臟炎症小體的激活和焦慮,這種活化被IC 100阻斷,從而爲中風相關心血管損傷的療法的開發提供了框架。」
關於 Inflamasome ASC 抑制劑 IC 100
IC 100 是一種新型的人源化 IgG4 單克隆抗體,可抑制炎性小體適配器蛋白 ASC。IC 100 旨在減輕炎症反應的開始和延續。它通過與多種類型炎性小體(包括 NLRP1、NLRP2、NLRP3、NLRC4、AIM2 和 Pyrin)的 ASC 成分的特定區域結合來實現這一目標。在細胞內,IC 100與ASC單體結合,抑制炎症小體的形成,從而在炎症級聯的早期阻斷IL-1β的激活。IC 100 還能在細胞內和細胞外與 ASC Specks 中的 ASC 結合,進一步阻斷 IL-1β 的激活和炎症性疾病中致病的炎症反應的延續。由於活性細胞因子通過各種機制增強適應性免疫,因此IC 100通過減弱細胞因子激活也會減弱適應性免疫反應。IC 100 的主要適應症是肥胖及其相關的代謝併發症。要查看總結IC 100的作用機制和臨床前數據的白皮書,請單擊此處。
關於ZyVersa Therapeutics, Inc
ZyVersa(納斯達克股票代碼:ZVSA)是一家臨床階段的專業生物製藥公司,利用先進的專有技術爲醫療需求未得到滿足的炎症或腎臟疾病患者開發一流的藥物。我們憑藉高度差異化的單克隆抗體,即炎性體ASC抑制劑IC 100,在快速崛起的炎性小體領域處於有利地位,在腎臟疾病領域憑藉二期膽固醇外流介導劑VAR 200。IC 100的主要適應症是肥胖及其相關的代謝併發症,而VAR 200的主要適應症是局竈性節段性腎小球硬化(FSGS)。每個治療領域都提供了 「產品內部的管道」,可能有多種適應症。可訪問的市場總額超過1000億美元。