1. Academic Validation
  2. Discovery of XRF-1021, a 2,4-disubstituted-5-fluoropyrimidine derivative as a homeodomain-interacting protein kinase 2 inhibitor for the treatment of chronic kidney disease

Discovery of XRF-1021, a 2,4-disubstituted-5-fluoropyrimidine derivative as a homeodomain-interacting protein kinase 2 inhibitor for the treatment of chronic kidney disease

  • Eur J Med Chem. 2026 Jan 15;302(Pt 2):118353. doi: 10.1016/j.ejmech.2025.118353.
Xinlan Hu 1 Songkai Wang 2 Songsen Fu 1 Jianhua Zeng 2 Yan Wu 1 Li Gong 2 Yuanyuan Cao 1 Yan Zhang 2 Yuanyuan Han 2 Hanyi Ouyang 1 Yiwei Xiong 2 Xin He 2 Jiawei Cheng 2 Sijue Zou 2 Zhuo Chen 1 Lijian Tao 3 Jie Meng 4 Ling Huang 3 Qiongjing Yuan 3 Zhangzhe Peng 5 Qianbin Li 6
Affiliations

Affiliations

  • 1 Department of Medicinal Chemistry, Xiangya School of Pharmaceutical Sciences, Central South University, Changsha, 410013, Hunan, China; Hunan Key Laboratory of Organ Fibrosis, Central South University, Changsha, 410013, Hunan, China; Hunan Key Laboratory of Small Molecules for Diagnosis and Treatment of Chronic Disease, Changsha, 410013, Hunan, China; Hunan Key Laboratory of Diagnostic and Therapeutic Drug Research for Chronic Diseases, Changsha, 410013, Hunan, China.
  • 2 Department of Nephrology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China; Hunan Key Laboratory of Organ Fibrosis, Central South University, Changsha, 410013, Hunan, China; FuRong Laboratory, Changsha, 410078, Hunan, China.
  • 3 Department of Nephrology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China; Hunan Key Laboratory of Organ Fibrosis, Central South University, Changsha, 410013, Hunan, China; FuRong Laboratory, Changsha, 410078, Hunan, China; National International Collaborative Research Centre for Medical Metabolomics, Xiangya Hospital, Central South University, Changsha, 410008, China.
  • 4 Hunan Key Laboratory of Organ Fibrosis, Central South University, Changsha, 410013, Hunan, China; FuRong Laboratory, Changsha, 410078, Hunan, China; National International Collaborative Research Centre for Medical Metabolomics, Xiangya Hospital, Central South University, Changsha, 410008, China; Department of Pulmonary and Critical Care Medicine, The Third Xiangya Hospital, Central South University, Changsha, 410013, China.
  • 5 Department of Nephrology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China; Hunan Key Laboratory of Organ Fibrosis, Central South University, Changsha, 410013, Hunan, China; FuRong Laboratory, Changsha, 410078, Hunan, China; National International Collaborative Research Centre for Medical Metabolomics, Xiangya Hospital, Central South University, Changsha, 410008, China. Electronic address: [email protected].
  • 6 Department of Medicinal Chemistry, Xiangya School of Pharmaceutical Sciences, Central South University, Changsha, 410013, Hunan, China; Hunan Key Laboratory of Organ Fibrosis, Central South University, Changsha, 410013, Hunan, China; Hunan Key Laboratory of Small Molecules for Diagnosis and Treatment of Chronic Disease, Changsha, 410013, Hunan, China; Hunan Key Laboratory of Diagnostic and Therapeutic Drug Research for Chronic Diseases, Changsha, 410013, Hunan, China. Electronic address: [email protected].
Abstract

Homeodomain-interacting protein kinase 2 (HIPK2) has been identified as a promising therapeutic target for chronic kidney disease. In this study, a series of 2,4-disubstituted-5-fluoropyrimidine derivatives were designed and synthesized. Kinase assay and cell proliferation screening results showed that compound 7a (XRF-1021) demonstrated potent HIPK2 inhibitory activity (IC50 = 0.18 μM). 7a reduced the expression of fibrotic markers in TGF-β1 stimulated NRK-49F and HK-2 cells, including Fibronectin, Collagen I and α-SMA. In vivo, 7a significantly improved renal function in models with 0.2 % adenine diet and unilateral ureteral obstruction (UUO), reducing tubular injury and Collagen deposition. These results suggest that 7a is a promising candidate for the development of targeted anti-fibrotic therapies, offering a novel approach to treating chronic kidney disease.

Keywords

Anti-fibrotic therapy; HIPK2; Renal fibrosis; XRF-1021.

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