Table 3 |.
Chemokines and receptors | Drugs | Current status |
---|---|---|
Ligands | ||
CXCL1 | – | Important role in pathophysiology of multiple stress and inflammation-associated liver diseases, making it a potential target229 |
CCL2 | mNOS-E36 | Shown to be of importance in alcohol-associated liver disease, a potential therapeutic target; compound shown to have benefit against inflammation in murine models of NASH and CCl4–induced hepatic injury207 |
CCL5 | – | Antagonism shown to have benefit against liver fibrosis in animal models and is a potential new target122 |
CCL20 | – | miR-590–5p-associated downregulation of CCL20 reduced fibrosis in NASH animal models, making it a novel therapeutic target203 |
CXCL10 | NI-0801 (mAb) | Phase IIa studies show a good safety profile in patients with primary biliary cholangitis but failed to show clinical benefit204 |
Receptors | ||
CCR2 | CCX872 | Demonstrated good safety profile in phase II trials; these studies are based on promising effects in NASH murine models205,206 |
CXCR1/CXCR2 | Reparixin | After demonstration of good safety profile in phase II studies, trials are under way for ischaemia-reperfusion injury prevention in liver transplant recipients208 |
CCR2/CCR5 | Cenicriviroc | Multicentre phase II trials showed safety and efficacy signals; reduction of fibrosis at year 1 and maintenance at year 2 were noted in the phase IIb CENTAUR trial in patients with NASH compared with placebo; follow-up phase III trial is under way in patients with NASH and results are eagerly awaited209,210 (AURORA; NCT03028740) |
‘–’ in the Drugs column denotes no current named compounds in trials. CCl4, carbon tetrachloride; mAb, monoclonal antibody; NASH, nonalcoholic steatohepatitis.