Intestinal mucosal barrier repair and immune regulation with an AI-developed gut-restricted PHD inhibitor

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Abstract

Hypoxia-inducible factor prolyl hydroxylase (PHD) inhibitors have been approved for treating renal anemia yet have failed clinical testing for inflammatory bowel disease because of a lack of efficacy. Here we used a multimodel multimodal generative artificial intelligence platform to design an orally gut-restricted selective PHD1 and PHD2 inhibitor that exhibits favorable safety and pharmacokinetic profiles in preclinical studies. ISM012-042 restores intestinal barrier function and alleviates gut inflammation in multiple experimental colitis models.

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Fu, Y., Ding, X., Zhang, M., Feng, C., Yan, Z., Wang, F., … Zhavoronkov, A. (2025). Intestinal mucosal barrier repair and immune regulation with an AI-developed gut-restricted PHD inhibitor. Nature Biotechnology, 43(11), 1772–1777. https://doi.org/10.1038/s41587-024-02503-w

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