{"id":2173,"date":"2015-04-25T08:30:53","date_gmt":"2015-04-25T08:30:53","guid":{"rendered":"http:\/\/biomedpharmajournal.org\/?p=2173"},"modified":"2020-04-26T07:56:53","modified_gmt":"2020-04-26T07:56:53","slug":"investigation-of-orally-administered-small-molecule-inhibitors-of-caspase-3-in-murine-models-of-apoptosis","status":"publish","type":"post","link":"https:\/\/biomedpharmajournal.org\/staging\/vol5no1\/investigation-of-orally-administered-small-molecule-inhibitors-of-caspase-3-in-murine-models-of-apoptosis\/","title":{"rendered":"Investigation of Orally Administered Small Molecule Inhibitors of Caspase-3 in Murine Models of Apoptosis"},"content":{"rendered":"<p><strong>Introduction<\/strong><\/p>\n<p>Programmed cell death is a highly regulated process involving the systemic disassembly and death of cells [1]. A key enzyme implicated in the apoptotic pathway includes a family of cysteine proteases, identified as caspases, which act in a cascade fashion to activate downstream caspases responsible for cleavage of key cellular substrates required for normal cell homeostasis [2-4].<\/p>\n<p>The enzymatic cascade leading to apoptosis can be triggered through an extrinsic and intrinsic pathway. The former is driven by the cytokines such as Fas or TNF-a. There is now large body of data that show that caspase-mediated apoptosis accounts for at least part of cell death associated with variety of disease, such as ischemic stroke [5], acute respiratory syndrome, neurodegenerative disorder [4] and several liver diseases including alcoholic hepatitis, transplantation, Wilson\u2019s disease, and viral hepatitis [6-7]. Several reports demonstrated that inhibition of caspases protect the liver from apoptosis-associated liver injury in preclinical models. Protypical caspase inhibitors such as ZVAD-FMK were efficacious in many animal models, including a-Fas- and TNF \u2013 mediated liver injury [7-8]. According to literature report, the broad-spectrum caspase inhibitors were efficacious in preclinical models suggesting the potential use in the treatment of liver diseases [4]. This indicates caspase-3 an interesting therapeutic target and the search for caspase\u20133 inhibitors has been a constant attempt by many pharmaceutical companies. In this paper, we evaluated the effect of five NCEs (Chemistry and Preliminary biological results were discussed earlier [9-11]) encompass better oral pharmacokinetic along with reasonable potency in the LPS induced endotoxic shock model and one NCE (Compound <em>3D<\/em>) was further profiled in LPS\/D-Gal induced liver injury model.<\/p>\n<p><strong>Materials And Methods<\/strong><\/p>\n<p><strong>Reagents and General analytical methods <\/strong><\/p>\n<p>Caspase-3 substrate N-Acetyl-Asp-Glu-Val-Asp-7-amido-4-methylcoumarin (A1086), LPS (L2630), D-gal (G1639), pepstatin A, aprotinin, leupeptin, phenylmethylsulfonyl fluoride and other general reagent of analytical grade were obtained from Sigma, St. Louis, MO. IDN6556 was synthesized at Aurigene.<\/p>\n<p>Fluorescence measurements were done using VICTOR2V 96\/384 multilabel plate reader (PerkinElmer Life Sciences, MA) at \u03bbex=360nm and \u03bbem=460nm top readout) in Corning black 96-well flat bottom plates. The enzyme activity was measured at 30\u00baC after 30 minutes. LC-MS\/MS was performed in Multiple Reaction Monitoring mode using Applied Biosystems API 3200 coupled to Agilent Technologies 1100 series HPLC on a reverse phase column (Zorbax Eclipse XDB C18, 50 x 4.6 mm, 5 \u00b5m).<\/p>\n<p><strong>Compound selection and screening<\/strong><\/p>\n<p>Biological screening of compounds as well as their chemical synthesis was based on a focused diversity approach belonging to four different series (indole fluromethylketone, indole difluro &amp; tetrafluro phenoxymethylketone and oxalamide); which has been discussed in detail earlier [9-11] and summarized in Table 1 (potency as well as DMPK profile of the selected compounds from the above series).<\/p>\n<p><strong>Animals<\/strong><\/p>\n<p>All experimental procedures used in this study were approved by the institutional animal ethical committee (IAEC) based on the Committee for the Purpose of Control and Supervision on Experiments on Animals (CPCSEA) guidelines. For all the animal experiments, 8-10 weeks old male NMRI\/balb-c mice with a body weight range of 25-40g were used. Mice were used for the experiments after one-week acclimatization to standard laboratory conditions, which were fed with standard diet and water <em>ad libitum<\/em>.<\/p>\n<p><strong>Pharmacodynamic studies <\/strong><\/p>\n<p><strong>Endotoxic shock in the mouse model<\/strong><\/p>\n<p>Protection from lethal apoptosis induced acute lung injury was evaluated in male NMRI mice (n = 10 per group) using intravenous dose of LPS (from <em>E. Coli<\/em> serotype 0111:B4, Sigma, St. Louis, MO) at 30mg\/kg and survival was monitored for 48 hours (Kawasaki et al., 2000; Weber et al., 2009). Compounds were administered at 1mg\/kg po repeatedly at 0, 3, 6 and 9 hours post LPS injection. Three mice from each group were euthanized with isoflurane at 24 hour; lung tissue was harvested and frozen in liquid nitrogen for caspase activity.<strong>\u00a0<\/strong><\/p>\n<p><strong>Mouse liver apoptosis model<\/strong><\/p>\n<p>Assessment of protection from LPS (from <em>E. Coli<\/em> serotype 0111:B4, Sigma, St. Louis, MO) \/D-Gal (Sigma, St. Louis, MO) induced liver injury model was performed as described [12, 7-8]. Male Balb-C mice (n = 7 per group) pretreated (0.5 h before) with either vehicle or <em>3D<\/em> at different dose levels (0.1 to 10 mg\/kg po) and were administered LPS\/D-Gal intraperitoneally (0.2mg\/kg, 800mg\/kg i.p respectively dissolved in saline). Mice were euthanized with isoflurane at 6 h post LPS\/D-Gal injection; Plasma was harvested for measurement of alanine aminotransferase (ALT) and drug levels. Liver tissue was harvested and frozen in liquid nitrogen for caspase activity as well as drug estimation. Plasma ALT level was determined using a standard diagnostic kit (Sigma) and were normalized to control in order to express in-terms of percentage. ED<sub>50<\/sub> was calculated using Prism 5.1 software.<\/p>\n<table style=\"width: 70%;\" border=\"1\" cellpadding=\"5\">\n<tbody>\n<tr>\n<td><img decoding=\"async\" class=\"alignnone size-thumbnail wp-image-10216\" src=\"https:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2015\/04\/Vol_5No_1_Inve_Sami_tab1-150x150.jpg\" alt=\"Table 1: Profile of selected compounds used in this study\" width=\"150\" height=\"150\" srcset=\"https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2015\/04\/Vol_5No_1_Inve_Sami_tab1-150x150.jpg 150w, https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2015\/04\/Vol_5No_1_Inve_Sami_tab1-256x256.jpg 256w, https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2015\/04\/Vol_5No_1_Inve_Sami_tab1.jpg 769w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/><\/td>\n<td><strong>Table 1: Profile of selected compounds used in this study<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"http:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2015\/04\/Vol_5No_1_Inve_Sami_tab1.jpg\" target=\"_blank\">Click here to View\u00a0table<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Caspase activity in lung and liver extracts<\/strong><\/p>\n<p>Effect of NCEs on lung and liver tissue extract caspase-3 activity was determined \u00a0as described in Hoglen et al., 2003; Hoglen et al., 2001 [7-8], by measuring the cleavage of the fluorescent substrate (AC-DEVD-AMC). Briefly, tissues were homogenized in ice-cold hypotonic buffer (10mM HEPES, pH 7.4; 42mM KCl;50mM MgCl<sub>2<\/sub>.6H<sub>2<\/sub>O) containing 1mM dithiothreitol (DTT), 0.5% (w\/v) CHAPS, and a cocktail of protease inhibitors [100mM EGTA, 100mM EDTA, 1mg\/ml pepstatin A, 10mg\/ml aprotinin, 1mg\/ml leupeptin, and 1mM phenylmethylsulfonyl fluoride (PMSF)] and centrifuged at 12,000<em>g <\/em>for 15 min at 4\u00b0C. Protein concentrations of the resulting supernatant suspension were determined Bradford\u2019s method with bovine serum albumin as the standard. The substrate cleavage activity was measured under similar conditions as mentioned earlier [9].<\/p>\n<p><strong>Data fitting and statistical analysis<\/strong><\/p>\n<table style=\"width: 70%;\" border=\"1\" cellpadding=\"5\">\n<tbody>\n<tr>\n<td><img decoding=\"async\" class=\"alignnone size-thumbnail wp-image-10215\" src=\"https:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2015\/04\/Vol_5No_1_Inve_Sami_fig1-150x150.jpg\" alt=\"Figure 1: Structure known caspase-3 inhibitor and compound 3D\" width=\"150\" height=\"150\" srcset=\"https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2015\/04\/Vol_5No_1_Inve_Sami_fig1-150x150.jpg 150w, https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2015\/04\/Vol_5No_1_Inve_Sami_fig1.jpg 593w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/><\/td>\n<td><strong>Figure 1: Structure known caspase-3 inhibitor and compound <em>3D<\/em><\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"http:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2015\/04\/Vol_5No_1_Inve_Sami_fig1.jpg\" target=\"_blank\">Click here to View figure<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<table style=\"width: 70%;\" border=\"1\" cellpadding=\"5\">\n<tbody>\n<tr>\n<td><img decoding=\"async\" class=\"alignnone size-thumbnail wp-image-10214\" src=\"https:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2015\/04\/Vol_5No_1_Inve_Sami_fig2-150x150.jpg\" alt=\"Figure 2: Compound 3D significantly improves survival (P\" width=\"150\" height=\"150\" srcset=\"https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2015\/04\/Vol_5No_1_Inve_Sami_fig2-150x150.jpg 150w, https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2015\/04\/Vol_5No_1_Inve_Sami_fig2-256x256.jpg 256w, https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2015\/04\/Vol_5No_1_Inve_Sami_fig2.jpg 688w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/><\/td>\n<td><strong>Figure 2: Compound <em>3D <\/em>significantly improves survival (P&lt;0.05 by log rank test) of mice in an endotoxic shock model. Survival was monitored for 48 h following administration of a lethal dose of lipopolysaccharide (LPS; 30mg\/kg iv) to male NMRI mice (n = 10 per group). (A) Survival graph for compounds <em>3D<\/em>, 4E, 1D, 1A; which were administered at 1mg\/kg po at 0, 3, 6 and 9 hours post LPS injection. (B) Effect of NCEs on caspase-3 activity in the lung tissue, which was determined by measuring the cleavage assay of the fluorescent substrate (10uM AC-DEVD-AMC).\u00a0<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"http:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2015\/04\/Vol_5No_1_Inve_Sami_fig2.jpg\" target=\"_blank\">Click here to View figure<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Curve fitting was performed with Prism 5.1 software (GraphPad, San Diego, CA), using built-in equation describing corresponding data models. All the other data were mentioned as mean \u00b1 standard deviation. Survival data is shown as Kaplan-Meier survival curves with statistical analysis by log-rank test. Difference in values were considered significant if P&lt;0.05<em>.<\/em><\/p>\n<table style=\"width: 70%;\" border=\"1\" cellpadding=\"5\">\n<tbody>\n<tr>\n<td><img decoding=\"async\" class=\"alignnone size-thumbnail wp-image-10213\" src=\"https:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2015\/04\/Vol_5No_1_Inve_Sami_fig3-150x150.jpg\" alt=\"Figure 3: Dose dependent inhibition of LPS &amp; D-Gal induced liver damage by compound 3D. Balb-C mice (n = 7 per group) were pretreated (0.5 h before) with either vehicle or compound 3D (0.1 to 10 mg\/kg po) followed by administration of LPS\/D-Gal (0.2mg\/kg, 800mg\/kg i.p respectively) in saline. Mice were killed 6 h later; Plasma was harvested for measurement of ALT and drug. Data are expressed as (drug\/vehicle control)\u00d7100%. (B) Effect of NCEs on liver caspase-3 activity; which was determined by measuring the cleavage assay of the fluorescent substrate (10uM AC-DEVD-AMC). (C) Dose dependent suppression on plasma ALT elevation by orally administered compound 3D in LPS\/D-gal liver injury mouse model. (D) Correlation between percent caspase-3 inhibition and median survival in an endotoxic shock model.\" width=\"150\" height=\"150\" srcset=\"https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2015\/04\/Vol_5No_1_Inve_Sami_fig3-150x150.jpg 150w, https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2015\/04\/Vol_5No_1_Inve_Sami_fig3-256x256.jpg 256w, https:\/\/biomedpharmajournal.org\/staging\/wp-content\/uploads\/2015\/04\/Vol_5No_1_Inve_Sami_fig3.jpg 705w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/><\/td>\n<td><strong>Figure 3: Dose dependent inhibition of LPS &amp; D-Gal induced liver damage by compound <em>3D<\/em>. Balb-C mice (n = 7 per group) were pretreated (0.5 h before) with either vehicle or compound <em>3D<\/em> (0.1 to 10 mg\/kg po) followed by administration of LPS\/D-Gal (0.2mg\/kg, 800mg\/kg i.p respectively) in saline. Mice were killed 6 h later; Plasma was harvested for measurement of ALT and drug. Data are expressed as (drug\/vehicle control)\u00d7100%. (B) Effect of NCEs on liver caspase-3 activity; which was determined by measuring the cleavage assay of the fluorescent substrate (10uM AC-DEVD-AMC). (C) Dose dependent suppression on plasma ALT elevation by orally administered compound <em>3D<\/em> in LPS\/D-gal liver injury mouse model. (D) Correlation between percent caspase-3 inhibition and median survival in an endotoxic shock model.<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"http:\/\/biomedpharmajournal.org\/wp-content\/uploads\/2015\/04\/Vol_5No_1_Inve_Sami_fig3.jpg\" target=\"_blank\">Click here to View figure<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Results and Discussion<\/strong><\/p>\n<p>Excess apoptosis, which appears to be a detrimental process in a number of diseases including g acute respiratory syndrome and several liver disease such as Wilsons disease, viral and alcohol hepatitis [12-13, 6-8]. Caspase play an important role in different pathophysiological conditions and specific inhibition is expected to be therapeutically valuable [13-17]. Towards identifying inhibitors of caspases with desirable selectivity, ADME and efficacy profile; we screened a focused library of compounds and identified inhibitors from four chemical series that are distinct from other known small molecule caspase-3 inhibitors [9]. Table 1 shows profile of selected set of compounds from 3 series which exhibited better oral exposure were tested in rapid mice model of endotoxic shock along with the reported caspase inhibitor IDN6556 [7-8]. Male NRMI mice (n = 10 per group) were administered LPS (30mg\/kg iv) and survival was monitored for 48 hours in presence and absence of test items. Compound <em>3D<\/em> administered by repeat gavage (0, 3, 6 &amp; 9 h post LPS) significantly improved survival (Figure 1A; P&lt;0.05 log rank test) compare to other NCEs. It also suppresses the caspase-3 activity in lung tissue extract (figure 1B) similar to IDN6556 24 hours post injection. Compound <em>3D<\/em> displayed survival advantage despite one log less potency when compare to IDN6556 in biochemical and cellular assay [9]. This may be due to better exposure in central circulation and low tissue partitioning property. Although permeability of all the tested compounds was low, modest cellular activity with compounds <em>3D<\/em> may be because of its interaction with efflux pump [9].\u00a0 Halogen (Cl) substitution on 5<sup>th<\/sup> position along with tetrafluorophenoxy substituent on right hand side of molecule (as in compound <em>3D<\/em>) resulted in better oral exposure which in-turn showed advantages in lowering caspase-3 activity and significant improvement in the survival of mice in endotoxic shock model induced by intravenous injection of LPS [5].<\/p>\n<p>The attractive profile of compound <em>3D<\/em> prompted us to test further in a well-established mice model of liver injury [12, 18, 6-8]. Balb-C mice (n = 7 per grop) were administered LPS\/D-Gal (0.2mg\/kg, 800mg\/kg i.p respectively) in saline and pretreated (0.5 h before) with either vehicle or compound <em>3D<\/em> (0.1 to 10 mg\/kg po). Analysis of plasma showed dose dependent inhibition of ALT levels including the increase in exposure in dose dependent manner (refer figure 2A &amp; 3C). To investigate the effect of compound <em>3D<\/em> on caspase activation, caspase-3 activity was measured using a fluorescent substrate in extracts of livers harvested 6 h after dosing. Caspase-3 activity was markedly inhibited upon compound <em>3D<\/em> treatment in dose dependent manner (figure 2B) with ED<sub>50<\/sub> value of 1.01 mg\/kg (figure 2C). Overall we observed a dose dependent inhibition of LPS &amp; D-Gal induced liver damage by compound <em>3D.\u00a0 <\/em>The data suggest the therapeutic potential of this compound in indications where abnormally high amount of apoptosis occur. Compound <em>3D<\/em> clearly demonstrated the efficacy by reducing the plasma ALT levels as well as caspase-3 activity in liver tissue extract with dose dependent increase in exposure levels both in plasma and liver. Because of its irreversible nature as well as selectivity over cysteine peotease, compound <em>3D<\/em> could offer advantages specifically in better management of potential adverse effects considering that capsase activity is critically needed to maintain cellular homeostasis in normal cells. However, such potential advantages need to be confirmed by additional characterization of compound <em>3D<\/em> in safety studies. In conclusion, this study supports the hypothesis that caspase inhibition may protect cells from abnormally large amounts of apoptosis seen in a number of disease states. Continual treatment with a caspase inhibitor may preserve the loss of critical numbers of cells responsible for the development of caspase-mediated cell death. These results support further development of compound <em>3D<\/em> as a potential anti-apoptotic agent.<\/p>\n<p><strong>Acklowledgement<\/strong><\/p>\n<p>We gratefully acknowledge our collaborators Professor Saumitra Sengupta, Venkateshwar Rao G, Subhendu Mukherjee for providing the NCEs and molecular modeling support. The authors also would like to thank biochemistry, ADME and analytical departments for their assistance.<\/p>\n<p><strong>References<\/strong><\/p>\n<ol>\n<li>Kerr, J.F.R., Wyllie, A.H., and Currie, A.R. \u201cApoptosis: a basic biological phenomenon with wide-ranging implications in tissue kinetics.\u201d <em>Br. J. Cancer, <\/em>26: 239-257 (1972).<\/li>\n<li>Linton, S. D. \u201cCaspase inhibitors: A pharmaceutical industry perspective.\u201d <em>Current Topics Med. Chem.<\/em>, 49: 7636-7645 (2005).<\/li>\n<li>Slee, E.A., Adrain, C. and Martin, S.J. \u201cSerial killers: ordering caspase activation events in apoptosis.\u201d <em>Cell Death Differ<\/em>., 6: 1067-1074 (1999).<\/li>\n<li>Nuttall, M.E., Lee, D., Ann, B., McLaughlin, N., and JErhardt, J.A. \u201cSelective inhibitors of apoptotic caspases: implications for novel therapeutic strategies.\u201d\u00a0 <em>Drug Discov. Today<\/em>, 6(2): 110-121 (2001).<\/li>\n<li>Kawasaki, M., Kuwano, K., Hagimoto, N., Matsuba, T., Kunitake, R., Tanaka, T., Maeyama, T. and Hara N. \u201cProtection from lethal apoptosis in lipopolysaccharide-induced acute lung injury in mice by a caspase inhibitor.\u201d <em>Am. J. Pathol<\/em>., 157(2): 597-603 (2000).<\/li>\n<li>Linton, S.D., Aja, T., Allegrini, P.R., Deckwerth, T.L., Diaz, J.L. and Hengerer, B. \u201cOxamyl dipeptide caspase inhibitors developed for the treatment of stroke.\u201d <em>Bioorg. Med. Chem. Lett<\/em><em>.<\/em>, 14(10): 2685-91 (2004).<\/li>\n<li>Hoglen, N.C., Long-Shiuh, C., Fisher, C.D., Hirakawa, B.P., Groessl, T. and Contreras. P.C. \u201cCharacterization of IDN-6556 (3-{2-(2-<em>tert<\/em>-Butylphenylaminooxalyl)- amino]- ropionylamino}-4-oxo-5-(2,3,5,6- tetrafluoro-phenoxy)-pentanoic Acid): A Liver-Targeted Caspase Inhibitor.:\u00a0 <em>J. Pharmaco. Exp. Ther<\/em><em>., <\/em>309: 634\u2013640 (2003).<\/li>\n<li>Hoglen, N.C., Hirakawa, B.P., Fisher, C.D., Weeks, S. and Srinivasan, A. et al., \u201cCharecterization of the caspase inhibitor IDN-1965 in a model of apoptosis-associated liver injury.\u201d <em>J. Pharmaco. Exp. Ther<\/em><em>., <\/em>297: 811-818 (2001).<\/li>\n<li>Samiulla, D.S., Naidu, A., Rao G.V., and Ramachandra, M. \u201cDiscovery of indole tetrafluorphenoxymehtlyketone, potent novel small molecule inhibitors of caspase-3.\u201d Communicated to another journal &amp; being considered; will be updated. 2012<\/li>\n<li>Sengupta, S., Rao, G.V. and Dubey P.K. \u00a0\u201cSynthesis and evaluation of novel oxalamide derivatives as caspase-3 inhibitors.\u201d \u00a0<em>Indian J. Chem.<\/em>, 50B: 901-905 (2011).<\/li>\n<li>Sengupta, S., Rao, G.V. and Dubey, P.K., \u201cSynthesis and Evaluation of Indole Aspartyl Ketones as Novel Caspase-3 Inhibitors.\u201d <em>Asian J. Chem<\/em>., 23(12): 5517-5520 (2011).<\/li>\n<li>Yang, W., Guastella, J., Huang, J., Wang, J.C.Y. and Zhang, L. \u201cMX1013: a dipeptide caspase inhibitor with potent in vivo antiapoptotic activity.\u201d <em>Br. J. Pharmacol., <\/em>140: 402-412 (2003).<\/li>\n<li>Okun, I., Malarchuk, S., Dubrovskaya, E., Khvat, A., and Tkachenko, S., et al., \u201cScreening for caspase-3 inhibitors: A new class of potent small molecule inhibitors of caspase-3.\u201d <em>J. Biomol. Screening<\/em>, 11(3): 277-285 (2006).<\/li>\n<li>Weber, P., Wang, P., Maddens, S., Wang, P.S.H., and Wu, R. et al., \u201cVX-166: a novel potent small molecule caspase inhibitor as a potential therapy for sepsis.\u201d <em>Critical care<\/em>. 13:R146 (2009).<\/li>\n<li>Scot, C.W., Sobotka-Briner, C., Wilkins, D.E., Jacobs, R.T., Folmer,J.J., \u00a0et al., \u201cNovel small molecule inhibitors of caspase-3 block cellular and biochemical features of apoptosis.\u201d <em>J. Pharmacol.\u00a0 Exp. Ther<\/em>., 304: 433-440 (2003).<\/li>\n<li>Grobmyer, S.R., Armstrong, R.C., Nicholson, Gabay, S.C. and Arend, W.P. et al., \u201cPeptidomimetic fluoromethylketone rescue mice from lethal endotoxic shock.\u201d <em>Mol. Med. <\/em>5: 585-594 (1999).<\/li>\n<li>Galle, P.R. \u201cApoptosis in liver disease.\u201d <em>J. Hepatol. <\/em>27: 405-412 (1997).<\/li>\n<li>Mignon A., Rouquet, N., Fabre, M., Martin, S. and Pages, J.C. et al., \u201cLPS challenge in D-galactosamine-sensitized mice accounts for caspase-dependent fulminant hepatitis, not for septic shock.\u201d <em>Am. J. Respir. Crit. Care Med<\/em>., 159: 1308-1315 (1999).<\/li>\n<li>Linton S.D., Aja, T., Armstrong, A., Bai, X., and Chen, L.S. et al., \u201cFirst-in-class pan caspase inhibitor developed for the treatment of liver disease.\u201d <em>J. Med. Chem.<\/em>, 48: 6679-6782 (2005).<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Introduction Programmed cell death is a highly regulated process involving  [&#8230;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14],"tags":[],"class_list":["post-2173","post","type-post","status-publish","format-standard","hentry","category-vol5no1"],"_links":{"self":[{"href":"https:\/\/biomedpharmajournal.org\/staging\/wp-json\/wp\/v2\/posts\/2173","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/biomedpharmajournal.org\/staging\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/biomedpharmajournal.org\/staging\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/biomedpharmajournal.org\/staging\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/biomedpharmajournal.org\/staging\/wp-json\/wp\/v2\/comments?post=2173"}],"version-history":[{"count":5,"href":"https:\/\/biomedpharmajournal.org\/staging\/wp-json\/wp\/v2\/posts\/2173\/revisions"}],"predecessor-version":[{"id":33273,"href":"https:\/\/biomedpharmajournal.org\/staging\/wp-json\/wp\/v2\/posts\/2173\/revisions\/33273"}],"wp:attachment":[{"href":"https:\/\/biomedpharmajournal.org\/staging\/wp-json\/wp\/v2\/media?parent=2173"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/biomedpharmajournal.org\/staging\/wp-json\/wp\/v2\/categories?post=2173"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/biomedpharmajournal.org\/staging\/wp-json\/wp\/v2\/tags?post=2173"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}