SCO‑792 alleviates HFD‑aggravated chronic pancreatitis by modulating the gut–pancreas axis via the AMPK/ACC and TLR4/NF‑κB signaling pathways - Summary - 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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Objective:

To evaluate the effects of SCO-792, a novel enteropeptidase inhibitor, in high-fat diet (HFD)-aggravated chronic pancreatitis (CP) and investigate the underlying mechanisms.

Approach:
  • Supplementation: The gut-pancreas axis was validated by supplementing animals with Akkermansia muciniphila and propionate, which were shown to influence gut health and metabolic processes.
Key Findings:
  • SCO-792 mitigated HFD-exacerbated pancreatic injury and fibrosis, evidenced by lower histological scores and reduced collagen accumulation.
  • SCO-792 maintained pancreatic lipid metabolic homeostasis through the AMPK/ACC pathway.
  • SCO-792 reconstituted gut microbial composition by increasing beneficial bacterial taxa and promoting SCFA production.
  • Preservation of intestinal barrier integrity limited serum lipopolysaccharide translocation, reducing systemic endotoxin levels.
  • SCO-792 inhibited TLR4/NF-κB-dependent pancreatic inflammation and favored macrophage polarization toward the M2 phenotype.

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