Target intelligence / Profile preview

Caspase-1 (CASP1) (CASP1)

Target
CASP1
Molecular classification
Enzyme, Cysteine protease, Caspase
01

Overview

Caspase-1, also known as Interleukin-1 converting enzyme (ICE), is a cysteine-aspartic acid protease that plays a central role in the innate immune system (UniProt P29466). It is the primary enzyme responsible for the maturation of the pro-inflammatory cytokines interleukin-1 beta (IL-1β) and interleukin-18 (IL-18) from their inactive precursors (PubMed: 1574116). Upon activation by the inflammasome complex, such as NLRP3, Caspase-1 cleaves pro-IL-1β into its active form, which is then secreted to initiate and amplify inflammatory responses (StatPearls: NBK532865). Dysregulation of Caspase-1 and the resulting overproduction of IL-1β are implicated in a wide range of inflammatory and autoinflammatory diseases, including cryopyrin-associated periodic syndromes (CAPS), gout, and rheumatoid arthritis (Nature Reviews Drug Discovery, 2017). Therapeutic strategies targeting Caspase-1, such as the small-molecule inhibitor Belnacasan (VX-765), aim to reduce systemic inflammation by blocking the production of these potent cytokines (ClinicalTrials.gov: NCT00205465). While several inhibitors have been developed, clinical challenges include maintaining efficacy and managing the risk of immunosuppression, as Caspase-1 also mediates pyroptosis, a form of programmed cell death (Journal of Leukocyte Biology, 2020).

Other names
Interleukin-1 converting enzymeICEIL-1 beta-converting enzymeP45Caspase 1
02

Mechanism of action

Inhibition of the cysteine protease activity of Caspase-1, preventing the proteolytic cleavage of pro-IL-1β and pro-IL-18 into their mature, bioactive forms.

03

Biological functions

Immune responseInflammationProteolysisPyroptosisApoptosis
04

Disease associations

InflammationAutoinflammatory diseaseCardiovascular diseaseGoutRheumatoid arthritisNeurodegenerative disease
05

Safety considerations

Increased risk of infectionImmunosuppressionPotential for hepatotoxicity (observed in clinical trials of early inhibitors)
06

Interacting drugs

Belnacasan

3 more in the full profile.

07

Biomarkers

Interleukin-1 beta (IL-1β)Interleukin-18 (IL-18)C-reactive protein (CRP)Serum amyloid A (SAA)

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