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.
每年在美国中风影响79.5万人。肥胖,作为中风的主要风险因素,与约五分之一的中风有关。
中风后的心脏并发症是导致死亡和发病的主要原因,仅次于急性神经损伤。
中风后心脏功能障碍的病理机制包括肾上腺素等儿茶酚胺的激增,这会引发炎症小体的活化,触发全身性炎症反应。
已发布的数据表明,中风后,炎症小体ASC抑制剂IC 100阻止了AIM2炎症小体的活化和心脏细胞死亡(焦亡),并改善了心脏功能。
该文章的数据支持ZyVersa开发炎症小体ASC抑制剂IC 100用于肥胖及其相关的心血管合并症。
佛罗里达州韦斯顿,2024年11月20日(环球新闻)-- ZyVersa Therapeutics, Inc.(纳斯达克: ZVSA,或称“ZyVersa”)是一家临床阶段专业生物制药公司,正在开发治疗炎症和肾脏疾病的一类首创药物,宣布最新发布的数据表明,卒中相关的心血管损伤和功能障碍是由AIM2炎症小体激活和心脏中的热解死亡引起的,而这一过程可以被炎症小体ASC抑制剂IC 100阻止。
"这些数据表明,IC 100有潜力减轻与中风相关的心血管疾病,这在肥胖患者中很常见。根据美国心脏协会的数据,1999年至2020年间,肥胖相关的心血管疾病死亡人数增加了三倍,并且预计如果没有有效的治疗选择,这一趋势将继续增加," ZyVersa的联合创始人、主席、首席执行官兼总裁Stephen C. Glover表示。"我们对IC 100在有效控制推动与中风相关的心血管损伤和功能障碍的炎症方面的潜力感到兴奋。与正在开发的NLRP3抑制剂不同,IC 100针对ASC以抑制包括AIM2在内的多个炎性小体的激活,此炎性小体在本研究中触发了中风后影响心脏的全身炎症反应。更重要的是,IC 100独特地干扰ASC specks的功能,以减轻导致合并症的慢性全身炎症。我们期待在2025年中期将IC 100的发展计划推进到第一阶段。
这项研究由迈阿密大学米勒医学院的著名炎性小体研究人员以及IC 100的发明者发表在经过同行评审的期刊《转化中风研究》上。在标题为《光栓塞中风后心脏中的儿茶酚胺诱导的炎性小体激活》的出版物中,研究人员报告了在光栓塞中风(PTS)的鼠模型中和在切除的斑马鱼心脏中进行的研究数据。
主要结果
小鼠的光栓塞中风(PTS)导致心脏中的AIM2炎性小体激活,从而显著增加IL-1β和ASC聚合成ASC specks的水平,导致在中风后影响心脏的全身炎症反应。
在光栓塞后30分钟用IC 100(30 mg/kg)治疗显著降低了心脏中炎性小体蛋白和IL-1β的水平,从而减少了心脏炎症。
肾上腺素处理的斑马鱼心脏显示出短暂的动作电位持续时间(SAPD),该现象被IC 100减弱。SAPD会导致不规则的心律和降低心脏效率,这种情况常见于中风和心力衰竭。
"这些发现表明,中风会引发儿茶酚胺激增,从而诱导心脏中的炎性小体激活和热程序性细胞死亡,而IC 100能够阻止这一过程,这为开发针对中风相关心血管损伤的治疗提供了框架,"作者罗伯特·W·基恩博士,美国迈阿密大学米勒医学院生理学与生物物理学、神经外科和微生物学与免疫学教授表示。
关于炎症小体ASC抑制剂IC 100
IC 100是一种新型人源化IgG4单克隆抗体,可抑制炎症小体适配蛋白ASC。IC 100旨在减轻炎症反应的启动和持续。它通过结合ASC组分特定区域进而结合多种类型炎症小体的ASC单元,包括NLRP1、NLRP2、NLRP3、NLRC4、AIM2和Pyrin,发挥作用。在细胞内,IC 100与ASC单体结合,抑制炎症小体的形成,从而阻断炎症级联反应中IL-1β的早期激活。IC 100还结合ASC在ASC斑点中,无论在细胞内还是细胞外,进一步阻止IL-1β的激活以及导致炎症疾病发病的持续炎症反应。由于活性细胞因子通过各种机制增强适应性免疫,IC 100通过减轻细胞因子激活也减轻了适应性免疫反应。IC 100的主要适应症是肥胖及其相关代谢并发症。要查看总结IC 100作用机制和临床前数据的白皮书,请单击这里。
关于ZyVersa Therapeutics, Inc.
ZyVersa(纳斯达克:ZVSA)是一家临床阶段的专业生物制药公司,利用先进的专有技术开发用于治疗高未满足医疗需求的炎症或肾脏疾病患者的首创药物。我们在快速发展的炎症小体领域处于良好位置,拥有高度差异化的单克隆抗体Inflammasome ASC抑制剂IC 100,以及在肾脏疾病方面的2期胆固醇外流介导剂Tm VAR 200。IC 100的主要适应症是肥胖及其相关的代谢并发症,而VAR 200的适应症是局灶性节段性肾小管硬化(FSGS)。每个治疗领域都提供“产品内的管道”,具有多种适应症的潜力。可及市场总额超过1000亿。