Design, Synthesis, and Pharmacological Evaluation of cGAS/HDAC Dual Inhibitors for Treatment of Autoimmune Diseases

  • J Med Chem. 2026 Jun 25;69(12):14601-14626. doi: 10.1021/acs.jmedchem.6c00583.
Zihua Zhou  1  2  3 Mingjie Chen  1  2 Shuyue Lei  4  5 Meng Wang  6 Chunyong Ding  1  2 Zilan Song  1  2 Wei Tang  4  5 Ao Zhang  1  2  7  8
Affiliations
  • 1. Shanghai Frontiers Science Center of Drug Target Identification and Delivery, School of Pharmaceutical Sciences, Shanghai Jiao Tong University, Shanghai 200240, China.
  • 2. State Key Laboratory of Innovative Immunotherapy, Shanghai Jiao Tong University, 800 Dongchuan Road, Minhang District, Shanghai 200240, China.
  • 3. Zhejiang Pharmaceutical University, Ningbo 315100, China.
  • 4. State Key Laboratory of Chemical Biology, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai 201203, China.
  • 5. University of Chinese Academy of Sciences, Beijing 100049, China.
  • 6. School of Medicine, Anhui University of Science and Technology, Huainan 232001, China.
  • 7. The First Dongguan Affiliated Hospital, Guangdong Medical University, Dongguan 523808, China.
  • 8. State Key Laboratory of Innovative Immunotherapy, Shanghai Pharmaceuticals Holding Co., Ltd., 200 Taicang Road, Shanghai 200020, P. R. China.
Abstract

cGAS overactivation is linked to various inflammatory and autoimmune diseases. Recent studies identify HDACs as critical regulators of cGAS, suggesting that dual cGAS/HDAC inhibition could be a novel therapeutic strategy. Herein, we report the identification of an HDAC/cGAS dual inhibitor, 31h, containing a hydroxamic acid moiety. This compound exhibited potent inhibitory activity against human and mouse cGAS (IC50: 0.17 and 1.80 μM, respectively) and moderate activity against HDAC3 and HDAC6 (IC50: 1.2 and 0.4 μM, respectively). Mechanistically, 31h directly suppresses cGAS activity and increases its acetylation levels via HDAC3 inhibition. This dual-action profile resulted in robust therapeutic efficacy in murine models of inflammatory bowel disease and Aicardi-Goutières syndrome. Collectively, 31h represents the first cGAS/HDAC dual inhibitor, offering a promising lead for further investigation into cGAS-dependent disorders.

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