Mechanisms and therapeutic potential of pharmacological agents targeting inflammasomes

Biomed Pharmacother. 2025 Aug:189:118164. doi: 10.1016/j.biopha.2025.118164. Epub 2025 Jun 20.

Abstract

Recent high-impact research has significantly advanced our understanding of inflammasomes as therapeutic targets for inflammatory diseases. Breakthrough studies have revealed new mechanisms of inflammasome regulation and innovative inhibition approaches. A key discovery identified NEK7 as an essential component for NLRP3 inflammasome activation, providing a new target for therapeutic intervention. Additionally, researchers developed CY-09, a small molecule inhibitor that directly binds to the ATP-binding site of NLRP3, offering a highly specific method for inflammasome inhibition. Further progress includes elucidating the role of metabolic reprogramming in inflammasome activation, with studies finding that itaconate can directly inhibit NLRP3 activation. This discovery bridges cellular metabolism and inflammasome regulation, suggesting new metabolic approaches to modulate inflammatory responses. Research has also highlighted the importance of the non-canonical inflammasome pathway in atherosclerosis progression, expanding therapeutic possibilities for cardiovascular diseases. In the field of targeted therapies, a nanoparticle-based delivery system for inhibiting AIM2 inflammasome in psoriasis demonstrated significant efficacy in preclinical models. This approach showcases the potential of nanotechnology in enhancing the specificity and effectiveness of inflammasome-targeted therapies. These latest advancements collectively underscore the rapid progress in understanding inflammasome biology and developing innovative therapeutic strategies, paving the way for more effective and precise treatments for a wide range of inflammatory diseases.

Keywords: Inflammasomes; Innate immunity; Pharmacological inhibitors; Therapeutic potential.

Publication types

  • Review

MeSH terms

  • Animals
  • Anti-Inflammatory Agents* / administration & dosage
  • Anti-Inflammatory Agents* / pharmacology
  • Anti-Inflammatory Agents* / therapeutic use
  • Humans
  • Inflammasomes* / antagonists & inhibitors
  • Inflammasomes* / drug effects
  • Inflammasomes* / metabolism
  • Inflammation* / drug therapy
  • Inflammation* / metabolism
  • Molecular Targeted Therapy
  • NIMA-Related Kinases / metabolism
  • NLR Family, Pyrin Domain-Containing 3 Protein / antagonists & inhibitors
  • NLR Family, Pyrin Domain-Containing 3 Protein / metabolism
  • Signal Transduction / drug effects

Substances

  • Inflammasomes
  • NLR Family, Pyrin Domain-Containing 3 Protein
  • Anti-Inflammatory Agents
  • NIMA-Related Kinases