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GSDMD Inhibitor YM81 Lowers Liver Injury Markers in Acetaminophen-Overdose Mice

Findings presented at the ACS meeting remain preclinical.

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Overview

  • Virginia Commonwealth University researchers identified YM81 as a selective blocker of gasdermin D, a key effector of pyroptosis.
  • In a small study, five treated mice showed significantly reduced ALT and AST and less liver inflammation compared with ten placebo controls.
  • Biophysical assays indicated direct GSDMD binding (KD about 197 nM) and inhibition of IL-1β release across multiple inflammasome pathways (IC50 about 950 nM).
  • Investigators describe the program as early stage and plan to improve potency, safety and stability before expanding to additional animal models.
  • Acetaminophen overdose is the leading U.S. cause of acute liver injury, and the only approved antidote, N-acetylcysteine, is time-sensitive to roughly eight hours after ingestion.