Table 1.
Cell line and murine studies evaluating hypoxia inducible factor compounds
| Year | Author | Study design | Compound | Findings | Reference |
|---|---|---|---|---|---|
| 2008 | Cummins EP et al. | Murine study with mice treated with vehicle or DMOG IP for 2 days with colons excised and epithelial cells scraped and snap-frozen in liquid nitrogen. Colitis was also induced by DSS treatment and DAI was used to determine body weight, occult blood in faeces, and stool consistency/diarrhoea. Length of colon was measured | DMOG | DMOG showed stabilization of HIF-1 in epithelial-enriched colonic mucosal scrapings and increased NF-kappaB activity; DMOG rendered mice refractory for DSS-induced weight loss and DAI increases, along with less colon shortening and presence of normal faecal pellets in colon and overall reduced DSS-induced colon injury; overall levels of inflammatory markers [e.g. MPO, TNF-α, IL-6, IL-12] were lower in DMOG-treated mice; DMOG also showed accelerated recovery and less reduction in induction of colon epithelial cell apoptosis | Cummins EP, Seeballuck F, Keely SJ, et al. The hydroxylase inhibitor dimethyloxalylglycine is protective in a murine model of colitis. Gastroenterology 2008;134[1]:156–165. doi:10.1053/j.gastro.2007.10.012 |
| 2008 | Robinson A et al. | Murine study with 10 mice with TNBS-induced colitis compared to control. FG-4497 20 or 40 mg/kg IP administered day before TNBS, 4 h prior to instillation of TNBS and on the day after TNBS administration. Outcomes evaluated after administration | FG-4497 | Dosing of FG-4497 20 and 40 mg/kg respectively on day −1, day 0 and day +1 attenuated initial weight loss [p < 0.05 for both], and more significantly protected weight loss with the ongoing course of recovery [p < 0.025 for both]. Mice receiving 40 mg/kg FG-4497 showed less inflammatory infiltrate, more intact epithelium, and overall preservation of tissue architecture | Robinson A, Keely S, Karhausen J, Gerich ME, Furuta GT, Colgan SP. Mucosal protection by hypoxia-inducible factor prolyl hydroxylase inhibition. Gastroenterology 2008;134[1]:145–155. doi:10.1053/j.gastro.2007.09.033 |
| 2013 | Keely S et al. | Murine study with TNBS colitis mice treated with AKB-4924 [HIF-1 isoform-predominant PHD inhibitor] 0.3, 1 and 5 mg/kg subcutaneously. Outcomes included inflammatory signalling, HIF-mediated epithelial barrier responses, and HIF-driven innate cell activity | AKB-4924 | Mice treated with AKB-4924 experienced reduced weight loss, attenuated colon shortening, reduced tissue damage and decreased DAI. Additionally, the treatment group had augmented epithelial barrier function, leading to 50-fold reduction in serum endotoxin. Reduction in serum levels of IL-1B, IL-6 and TNF-α were also noted with treatment | Keely S, Campbell EL, Baird AW, et al. Contribution of epithelial innate immunity to systemic protection afforded by prolyl hydroxylase inhibition in murine colitis. Mucosal Immunol. 2014;7[1]:114–123. doi:10.1038/mi.2013.29 |
| 2013 | Gupta R et al. | Murine study with TNBS or DSS-induced colitis treated with oral TRC160334. Treatment was initiated at 2 mg/kg/day 1 day prior to induction of colitis and continued until study termination in TNBS-induced colitis mice. Treatment in DSS-induced colitis mice was 2 and 5 mg/kg/day initiated at day 5 and continued until study termination | TRC160334 | In both types of induced colitis, TRC160334 reduced DAI measured at day 2 and 4 [9.9% vs 33.6% in vehicle-treated mice]. Treatment also attenuated the severity and extent of colonic damage when compared to vehicle-treated animals and histologically, a significant reduction in severity of inflammatory and necrotic changes were noted. Percentage reduction in body weights was 13.1% vs 21.6% with TRC160334 compared to placebo. Survival rate following treatment was 42% vs 18% in vehicle mice | Gupta R, Chaudhary AR, Shah BN, et al. Therapeutic treatment with a novel hypoxia-inducible factor hydroxylase inhibitor [TRC160334] ameliorates murine colitis. Clin Exp Gastroenterol. 2014;7:13–23. doi:10.2147/CEG.S51923 |
| 2015 | Marks E et al. | Murine study with TNBS-induced colitis vs vehicle-treated control animals. AKB-4942 5 mg/kg was administered every 48 h IP or orally. Prevention of colitis as measured by endoscopy, histology, barrier integrity, and immune profiling as well as potential off-target effects were assessed | AKB-4924 | Mice with AKB-4942 IP treatment showed recovery within 3 days and recovered weight within 4 days. Both oral and IP treatment reduced IL-1B, TNF-α, IL-12p70 and IL-6. Reduced tissue inflammation and increased mucosal barrier function were noted. Histological disease improved in TNBS mice treated with PHD inhibitor. Oral administration of AKB-4924 was noted in ileal tissue but not heart or kidney. IP administration stabilized HIF in ileum, heart and kidney | Marks E, Goggins BJ, Cardona J, et al. Oral delivery of prolyl hydroxylase inhibitor: AKB-4924 promotes localized mucosal healing in a mouse model of colitis. Inflamm Bowel Dis. 2015;21[2]:267–275. doi:10.1097/MIB.0000000000000277 |
| 2021 | Kim Y et al. | Cell studies + murine study with DNBS or DSS-induced colitis treated with CG-598 or AKB-4924 orally | CG-598 | Mice treated with CG-598 had amelioration of intestinal inflammation and reduction in inflammatory lesions and pro-inflammatory cytokines. Barrier function was also noted to be boosted with expression of intestinal trefoil factor, CD73, E-cadherin and mucin | Kim YI, Yi EJ, Kim YD, et al. Local Stabilization of hypoxia-inducible factor-1α controls intestinal inflammation via enhanced gut barrier function and immune regulation. Front Immunol. 2021;11:609689. doi:10.3389/fimmu.2020.609689 |
| 2021 | Goggins BJ et al. | Cell studies + murine study with TNBS-induced colitis treated with GB-004 5 mg/kg IP or vehicle solution. Disease activity was measured by endoscopy and colon were excised for histological analysis | GB-004 | Cell study wise, wound closure and migration was noted along with functional blockade of certain integrins. In treated murine models, mucosal healing through induced epithelial integrin expression was noted | Goggins BJ, Minahan K, Sherwin S, et al. Pharmacological HIF-1 stabilization promotes intestinal epithelial healing through regulation of α-integrin expression and function. Am J Physiol Gastrointest Liver Physiol. 2021;320[4]:G420–G438. doi:10.1152/ajpgi.00192.2020 |
DAI, disease activity index; DDS, dextran sulphate sodium; DMOG, dimethyloxaylglycine; IP, intraperitoneally; NF-kappaB, nuclear factor—kappaB; TNBS, 2,4,6-trinitrobenzenesulfonic acid.