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. 2022 Sep 21;15(10):1168. doi: 10.3390/ph15101168

Table 2.

Cell categories of drugs directly and indirectly acting on and related effect on NLRP3 pathways after ischemic stroke.

Drug Characteristic Features Therapeutical Actions References
Small molecules
SB 203580
Bay-11-7082
U-0126
JNK Inhibitor V
→P38-MAPK inhibitor
→NF-κB inhibitor
→ERK inhibitor
→JNK inhibitor
Neuroprotection during induced cerebral ischemia in mouse tMCAO model and primary neuron OGD
reduced expression and activation of the inflammasome and decreased release of cytokines IL-18 and IL 1β
[34]
Glyburide NLRP3 oligomerization inhibitor In PC12 cell OGD, anti-inflammatory and anti-oxidative stress action [121]
MCC950 NLRP3 oligomerization inhibitor In photothrombotic ischemia mice and primary neuron OGD, hampered platelet activation/aggregation and thrombogenesis in vitro
Alleviated neuronal cell apoptosis, reduced area size of cerebral ischemia, and neurological disability
[63,94,95]
β-hydroxybutyrate (BHB) Kefflux inhibitor and ASC oligomerization inhibitor Inhibited NLRP3 inflammasome priming process [25]
Nuclear factor erythroid-2 related factor 2 (NRF2) Redox-sensitive transcription factor Suppressed ROS- and NF-kB, modulated TXNIP complex [96]
Nitric oxide (NO) Gas molecule Suppressed ASC pyroptosome formation, caspase-1 and IL-1b release [99]
IFN-α and IFN-β Nonspecific NLRP3 inflammasome Promoting phosphorylation of STAT1, inducting IL-10 production [25]
Micro RNAs Non-protein-coding RNA Inhibited NLRP3 protein expression [107]
Colchicine Alkaloid Prevents P2X7-induced pore formation and inhibits caspase-1 [108]
Probenecid Pannexin 1 inhibitor In primary astrocyte OGD, reduced expression levels of NLRP3 and caspase-1 and prevented the extracellular release of IL-1β
death of astrocytes and increased production of ROS
[112]
Sinomenine Natural alkaloid compound In mouse tMCAO model and primary mixed glial cell OGD inhibited the release of NLRP3, ASC, cleaved caspase-1, and pro-inflammatory cytokines
attenuation of cerebral oedema, neurological deficit, apoptosis of neurons and reduction of infarction
activation of the AMPK pathway-mitigated activation of microglia and astrocytes following ischemic damage
[114]
Paeoniflorin Natural bioactive monoterpene glucoside In hippocampal slices, OGD diminished expression levels of NLRP3 and its downstream proteins
safeguarded neuronal cell death
[122]
Resveratrol Natural polyphenolic compound In mouse endothelin-1-induced MCAO model, counteracted the activation of NLRP3 and the release of IL-1β and prevented the expression of TXNIP, promoting the reduction of cerebral oedema and the size of the infarcted area [113,115]
Curcumin Polyphenolic compound Inhibited endoplasmic reticulum stress, suppressed TXNIP/ NLRP3 inflammasome stimulation [115]
Ibrutinib (PCI-32765) Bruton’s tyrosine kinase inhibitors Decreased levels of IL-1β IL-6, IL-23A and infiltrating microglia [116]
Minocycline Antibiotic immunosuppressor In mouse tMCAO model and BV2 cell OGD inhibited activation of microglia and signals 1 and 2 of NLRP3 inflammasome activation [117]
Nafamostat mesilate Synthetic serine protease inhibitor In mouse tMCAO model and primary microglial culture, OGD altered expression profiles of inflammation mediators and induced expression of anti-inflammatory mediators [118]
Necrostatin-1 Inhibitor of RIP1 kinase inhibits inflammasome activation in murine models [119]
Brilliant Blue G P2X7 receptor antagonist Attenuated caspase-3 dependent neuronal apoptosis [120]

ASC, Apoptosis-associated speck-like protein containing a caspase-recruitment domain; BHB, β-hydroxybutyrate; IFN-β, interferon-β; IL-1β, interleukin-1β; JNK, Jun N-terminal Kinase; NF-κB, nuclear factor kappa B; NLRP3, NLR family pyrin domain containing 3; NO, nitric oxide; OGD/R, oxygen glucose deprivation/reperfusion; P2X7, P2X purinoceptor 7; RIP, Receptor interacting protein; ROS, reactive oxygen species; STAT1, signal transducers and activators of transcription 1; tMCAO, transient middle cerebral artery occlusion; TXNIP, thioredoxin-interaction protein.