SCO‑792 alleviates HFD‑aggravated chronic pancreatitis by modulating the gut–pancreas axis via the AMPK/ACC and TLR4/NF‑κB signaling pathways - Report - MDSpire
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SCO-792 Reduces High-Fat Diet-Induced Chronic Pancreatitis by Influencing the Gut-Pancreas Interaction Through AMPK/ACC and TLR4/NF-κB Pathways

  • By

  • Yanru Kang

  • Ningning Sun

  • Weijie Yao

  • Jinyu Li

  • Hua Yin

  • Jiyue Wang

  • Zuozheng Wang

  • Shaoqi Yang

  • Xiaoli Yang

  • September 3, 2026

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Clinical Report: SCO-792 Reduces High-Fat Diet-Induced Chronic Pancreatitis

Overview

SCO-792, an enteropeptidase inhibitor, mitigates high-fat diet-induced chronic pancreatitis in mice by modulating the gut-pancreas axis. The study reports its effects on pancreatic injury, fibrosis, and gut microbiota composition.

Background

Chronic pancreatitis (CP) is a progressive inflammatory disease leading to pancreatic dysfunction and increased mortality risk. The rising incidence of CP is linked to high-fat diets and metabolic disorders, necessitating effective therapeutic strategies. Targeting enteropeptidase, a key enzyme in trypsinogen activation, presents a novel approach to managing CP.

Data Highlights

ParameterEffect of SCO-792
Histological scoresLowered
Collagen accumulationDiminished
Collagen I and α-SMA expressionReduced
Gut microbiota compositionIncreased Akkermansia
SCFA productionPromoted

Key Findings

  • SCO-792 reduced pancreatic injury and fibrosis in a mouse model of CP.
  • It maintained lipid metabolic homeostasis via the AMPK/ACC pathway.
  • SCO-792 altered gut microbiota, increasing beneficial taxa like Akkermansia.
  • It preserved intestinal barrier integrity, limiting serum LPS translocation.
  • The treatment inhibited TLR4/NF-κB-dependent pancreatic inflammation.
  • Akkermansia or propionate supplementation provided similar protective effects.

Clinical Implications

Further exploration of gut microbiota modulation could enhance treatment strategies.

Conclusion

SCO-792 demonstrates effects on the gut-pancreas axis in a mouse model of chronic pancreatitis.

Related Resources & Content

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  4. Gut, 2026 -- TNF-α drives pancreatic microcirculatory dysfunction via CD8+ T cell-mediated endothelial injury in severe acute pancreatitis
  5. ACG Clinical Guideline: Chronic Pancreatitis - PubMed, 2020
  6. International Multidisciplinary Consensus Report on Definitions, Diagnostic Criteria, and Management of Fatty Pancreas, 2026
  7. An Exploratory Randomized Trial of SCO-792, an Enteropeptidase Inhibitor, in Patients With Type 2 Diabetes and Albuminuria - PMC
  8. ACG Clinical Guideline: Chronic Pancreatitis - PubMed
  9. International Multidisciplinary Consensus Report on Definitions, Diagnostic Criteria, and Management of Fatty Pancreas: A Joint Statement Endorsed by EPC, APA, EASD, EASL, ESGAR, ESGE, ESP, ESPCG, ESPEN, ESPGHAN, IAP, JPS, KPBA, LAPSG, and UEG - ePrints - Newcastle University
  10. An Exploratory Randomized Trial of SCO-792, an Enteropeptidase Inhibitor, in Patients With Type 2 Diabetes and Albuminuria - PMC

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