RIPK1 and RIPK3 inhibitors: potential weapons against inflammation to treat diabetic complications

Front Immunol. 2023 Oct 26:14:1274654. doi: 10.3389/fimmu.2023.1274654. eCollection 2023.

Abstract

Diabetes mellitus is a metabolic disease that is characterized by chronic hyperglycemia due to a variety of etiological factors. Long-term metabolic stress induces harmful inflammation leading to chronic complications, mainly diabetic ophthalmopathy, diabetic cardiovascular complications and diabetic nephropathy. With diabetes complications being one of the leading causes of disability and death, the use of anti-inflammatories in combination therapy for diabetes is increasing. There has been increasing interest in targeting significant regulators of the inflammatory pathway, notably receptor-interacting serine/threonine-kinase-1 (RIPK1) and receptor-interacting serine/threonine-kinase-3 (RIPK3), as drug targets for managing inflammation in treating diabetes complications. In this review, we aim to provide an up-to-date summary of current research on the mechanism of action and drug development of RIPK1 and RIPK3, which are pivotal in chronic inflammation and immunity, in relation to diabetic complications which may be benefit for explicating the potential of selective RIPK1 and RIPK3 inhibitors as anti-inflammatory therapeutic agents for diabetic complications.

Keywords: diabetes; diabetic complications; inflammation; receptor interacting protein kinase; regulatory cell death.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Diabetes Complications* / drug therapy
  • Diabetes Mellitus* / drug therapy
  • Diabetes Mellitus* / etiology
  • Diabetic Nephropathies*
  • Humans
  • Inflammation / drug therapy
  • Inflammation / metabolism
  • Receptor-Interacting Protein Serine-Threonine Kinases / metabolism
  • Serine
  • Threonine

Substances

  • Receptor-Interacting Protein Serine-Threonine Kinases
  • Threonine
  • Serine
  • RIPK1 protein, human
  • RIPK3 protein, human

Grants and funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was supported by the Local Colleges and Universities Talent Development Funding from Heilongjiang Provincial Department of Finance (No. 2020GSP09), the Natural Science Foundation of Heilongjiang Province (No. LH2022H099), the Basic Scientific Research Project of University belongs to Heilongjiang (No. 2021-KYYWF-0519), the Heilongjiang Provincial Key Research and Development Program (No. GZ20210121), the Torch Program of Mudanjiang Medical University (No. 2022-MYHJ-003) and the Project of Young Innovative Talents Training Program of Regular Undergraduate Colleges and Universities in Heilongjiang Province (No. UNPYSCT-2020064).