Target intelligence / Profile preview

Gasdermin D N-terminal fragment (GSDMD-NT)

Target
GSDMD-NT
Molecular classification
Pore-forming protein, Effector protein, Cell death effector, Other (regulator of cell death)
01

Overview

Gasdermin D N-terminal fragment (GSDMD-NT) is the pore-forming domain generated by caspase-1 or caspase-11 cleavage of full-length gasdermin D (GSDMD). Upon inflammasome activation, GSDMD is cleaved, releasing the N-terminal fragment that translocates to the plasma membrane, oligomerizes, and forms large pores (10–15 nm) in the membrane, resulting in pyroptosis, a lytic, pro-inflammatory form of cell death, and facilitating the release of pro-inflammatory cytokines such as IL-1β and IL-18[3][5][7]. GSDMD-NT is selective for inner leaflet phospholipids, sparing intact host membranes from extracellular attack. Recent studies also reveal that GSDMD-NT exerts negative feedback on inflammation by directly inhibiting caspase-1/11, dependent on its RFWK motif[4][5]. Post-translational modifications like ubiquitination and succinylation critically regulate its membrane localization and pore-forming activity, representing potential regulatory or therapeutic intervention points[6]. GSDMD-NT is implicated as both a drug target and a biomarker for pyroptosis-related diseases, including sepsis, inflammatory disorders, and infection[3][4][5][6].

Other names
Gasdermin D N-terminal domainGSDMD-NGD-NT
02

Mechanism of action

Inhibition of N-terminal fragment ubiquitination blocks membrane translocation and pyroptosis[6]; Peptide inhibitors derived from the RFWK motif can block caspase-1/11 activation and downstream inflammation[4][5]

03

Biological functions

Pyroptosis (inflammatory cell death)Pore formation in plasma membraneRelease of cytokines (e.g., IL-1β, IL-18)Host defense against pathogensNegative regulation of inflammasome activationAntibacterial activity
04

Disease associations

InflammationSepsisInfectious diseaseAutoinflammatory/immune diseasesOther (potential role in cancer and other inflammation-associated conditions)
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Safety considerations

Potential for excessive inhibition leading to suppressed host defenseOveractivation can lead to excessive cell death, tissue damage, or cytokine storm; thus, dose and specificity are therapeutic challenges[3][5]
06

Interacting drugs

None approved; investigational molecules include small molecule inhibitors targeting GSDMD-NT functions, e.g., UBA1 inhibitors like PYR-41[6]

1 more in the full profile.

07

Biomarkers

GSDMD-NT in plasma or tissues as a marker of pyroptosis and inflammatory activity[3]; potential for monitoring therapy efficacy in sepsis or autoinflammatory states

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