Compound screening identified 2,6-dimethoxybenzoquinone (DMBQ) as a novel inhibitor of NLRP3-dependent pyroptosis

C. Mäder (Leipzig)1, R. Baumann (Leipzig)1, S. Gaul (Leipzig)1, S. Fikenzer (Leipzig)1, M. Schaefer (Leipzig)2, H. Kalwa (Leipzig)2, U. Laufs (Leipzig)1, A. Kogel (Leipzig)1
1Universitätsklinikum Leipzig Klinik und Poliklinik für Kardiologie Leipzig, Deutschland; 2Universität Leipzig Rudolf-Boehm-Institut für Pharmakologie und Toxikologie Leipzig, Deutschland
Introduction: Pyroptosis, a form of inflammatory cell death, has been linked as a substantial contributor to various types of sterile inflammation, including atherosclerosis, myocardial ischemia-reperfusion injury and diabetes. Mediated by inflammasomes, it results in the release of pro-inflammatory cytokines such as IL-1β. 

Aim: Currently, no selective inflammasome inhibitors are available for human use. Therefore, we aimed to identify and validate novel inhibitors through compound screening. 

Methods: A total of 6,280 drugs and drug-like compounds were screened using a medium-throughput approach using propidium iodide fluorescence as a pyroptosis readout. Among the 22 'hits', the quinone compound 2,6-dimethoxybenzoquinone (DMBQ) was identified as a promising candidate. To examine DMBQs inhibitory properties on NLRP3-dependent pyroptosis, THP-1 cells were primed with 1 µg ml-1 LPS for three hours prior to the addition of 5 µg ml-1 nigericin for one hour. 

Results: A concentration of 10 µM DMBQ led to a significant reduction in cell death, as well as a substantial decrease in IL-1β secretion (222.6 pg/ml vs. 11.19 pg/ml, p < 0.05). These effects were not associated with any signs of toxicity, as determined via WST-assay at the given concentration. In addition, the intracellular formation of inflammasome specks was significantly reduced by DMBQ by 83.4% (vs. solvent control, p < 0.05) as well as the cleavage of the pore-forming protein Gasdermin D compared to the solvent control (ratio of Gasdermin D full-length:cleaved 66.58 vs. 5.71) in LPS- and nigericin-treated THP-1 cells.The addition of DMBQ to LPS-treated monocytes did not alter the NF-κB pathway, as analysed by IKBα phosphorylation and p65 nuclear translocation. No inhibitory effect on the NLRC4 inflammasome, a member of the NLR family such as NLRP3, was observed in DMBQ, indicating a specificity for NLRP3. 

Conclusion: DMBQ is a novel inhibitor of NLRP3-mediated pyroptosis that interferes with inflammasome assembly and potently reduces IL-1β release.