Protein / target

Caspase-1

CASP1P29466Homo sapiensSwiss-Prot
Clinical-stage
Therapeutic maturity
3
Clinical candidates
1
Clinical trials
Small-molecule tractable
Druggability
Advanced Clinical

Protein at a glance

Biological role

Cysteine-type endopeptidase activity

Primary system

Immune system

Strongest disease association

Abnormality of the genital system

Genetic evidence · score 0.38

Therapeutic maturity

Clinical-stage target

3 candidates in clinical development

Druggability

Small molecule

Open Targets tractability · Advanced Clinical

Clinical development

3 in clinical development

1 linked trials

Research activity

Emerging research

2 papers · latest 2024

Derived from structured UniProt, Open Targets and literature data on this page.

Protein profile

UniProt 2026_02

Canonical identity and biological annotation from UniProt.

Function

Thiol protease involved in a variety of inflammatory processes by proteolytically cleaving other proteins, such as the precursors of the inflammatory cytokines interleukin-1 beta (IL1B) and interleukin 18 (IL18) as well as the pyroptosis inducer Gasdermin-D (GSDMD), into active mature peptides (PubMed:15326478, PubMed:15498465, PubMed:1574116, PubMed:26375003, PubMed:32051255, PubMed:37993714, PubMed:7876192, PubMed:9334240). Plays a key role in cell immunity as an inflammatory response initiator: once activated through formation of an inflammasome complex, it initiates a pro-inflammatory response through the cleavage of the two inflammatory cytokines IL1B and IL18, releasing the mature cytokines which are involved in a variety of inflammatory processes (PubMed:15326478, PubMed:15498465, PubMed:1574116, PubMed:32051255, PubMed:7876192). Cleaves a tetrapeptide after an Asp residue at position P1 (PubMed:15498465, PubMed:1574116, PubMed:7876192). Also initiates pyroptosis, a programmed lytic cell death pathway, through cleavage of GSDMD (PubMed:26375003). In contrast to cleavage of interleukin IL1B, recognition and cleavage of GSDMD is not strictly dependent on the consensus cleavage site but depends on an exosite interface on CASP1 that recognizes and binds the Gasdermin-D, C-terminal (GSDMD-CT) part (PubMed:32051255, PubMed:32109412, PubMed:32553275). Cleaves and activates CASP7 in response to bacterial infection, promoting plasma membrane repair (PubMed:22464733). Upon inflammasome activation, during DNA virus infection but not RNA virus challenge, controls antiviral immunity through the cleavage of CGAS, rendering it inactive (PubMed:28314590). In apoptotic cells, cleaves SPHK2 which is released from cells and remains enzymatically active extracellularly (PubMed:20197547)

Subcellular location

CytoplasmCell membrane
Domains and Gene Ontology detail (44)

Domains & features

CARD

Gene Ontology

  • CAIM2 inflammasome complex
  • Ccytoplasm
  • Ccytosol
  • CIPAF inflammasome complex
  • Cmicrotubule
  • CNLRP1 inflammasome complex
  • CNLRP3 inflammasome complex
  • Cnucleolus
  • Cplasma membrane
  • Cprotease inhibitor complex
  • Cprotein-containing complex
  • FCARD domain binding

404 aa · 45 kDa · 5 isoforms

Biological roles

Reactome v97

What this protein does, drawn together from its UniProt function, Gene Ontology terms and Reactome pathways.

Immune signallingUniProt · GO · ReactomeProteolysisUniProt · GOApoptosis & cell deathGO · ReactomeTranscriptional regulationReactome
View supporting evidence

Immune signalling

  • ·Thiol protease involved in a variety of inflammatory processes by proteolytically cleavi…
  • ·cytokine binding
  • ·cytokine precursor processing
  • ·positive regulation of inflammatory response

Proteolysis

  • ·Thiol protease involved in a variety of inflammatory processes by proteolytically cleavi…
  • ·protease inhibitor complex
  • ·cysteine-type endopeptidase activity
  • ·endopeptidase activity

Apoptosis & cell death

  • ·cysteine-type endopeptidase activator activity involved in apoptotic process
  • ·apoptotic process
  • ·positive regulation of apoptotic process
  • ·TP53 Regulates Transcription of Caspase Activators and Caspases

Transcriptional regulation

  • ·TP53 Regulates Transcription of Caspase Activators and Caspases
View underlying pathways (11)

Concepts derived from UniProt GO Reactome — each badge above shows which sources supported that role.

Interaction neighbourhood

STRING v12.0

Proteins with the strongest functional or physical association. Node size and line weight reflect STRING confidence; hover or select a partner to inspect one association.

PYCARDMEFVAIM2NLRC4NLRP3IL1BCASP8GSDMDNLRP6NLRP1CASP1

10 strongest partners — larger node and heavier line mean higher confidence

Functional and physical associations from STRING v12.0. Only associations with this protein are drawn — partner-to-partner links are not part of this evidence.

Drugs targeting this protein

1

Whether each drug engages this protein directly or through a complex, and how many other targets are recorded for it. Direct binders with few recorded targets are listed first.

belnacasan
Narrow target profilePhase 2Inhibitor

Caspase-1 inhibitor

Appears in clinical studies involving epilepsy, psoriasis vulgaris, focal epilepsy, COVID-19

Direct interaction with this protein · Only this protein recorded as a target

ChEMBL mechanism, action type and target identity. Open Targets clinical status and indications.

Translational evidence

Open Targets 26

Why this target matters therapeutically — disease associations, drugs in development, tractability and safety, from Open Targets.

Strongest genetic associations

Human genetic evidence — the most direct causal link between this target and a disease.

Abnormality of the genital system0.38

Genetic · overall 0.23

Highest-confidence therapeutic associations

Diseases where a drug acting on this target has already reached clinical development.

metabolic dysfunction-associated steatohepatitis0.17

Clinical · overall 0.12

COVID-190.14

Clinical · overall 0.11

Highest overall evidence

Remaining associations by Open Targets' aggregated evidence score.

severe acute respiratory syndrome0.37

Pathway

infection0.12

Literature

neoplasm0.11

Literature

Sepsis0.11

Literature

major depressive disorder0.11

Literature

Show all associations
severe acute respiratory syndrome0.37
Abnormality of the genital system0.23
metabolic dysfunction-associated steatohepatitis0.12
infection0.12
neoplasm0.11
COVID-190.11
Sepsis0.11
major depressive disorder0.11
hepatocellular carcinoma0.11
type 2 diabetes mellitus0.10

Open Targets ranks 1,127 associations for this target and we store the top 10 by aggregated score. The long tail is largely literature co-mention and RNA-expression evidence, not evidence that this target drives those diseases.

Known drugs · 3 total

BELNACASANPhase 2

epilepsy · psoriasis vulgaris · focal epilepsy

EMRICASANPhase 2

Hepatic fibrosis · cirrhosis of liver · hepatitis C virus infection

NIVOCASANPhase 2

fibrosis · metabolic dysfunction-associated steatohepatitis · hepatitis C virus infection

Tractability

SM · Advanced ClinicalSM · Structure with LigandSM · High-Quality LigandSM · Med-Quality PocketSM · Druggable FamilyAB · UniProt loc high confAB · GO CC med confPR · UniProt UbiquitinationPR · Database UbiquitinationPR · Half-life DataPR · Small Molecule Binder

Safety liabilities

regulation of catalytic activity

Clinical trials

1

Trials of drugs that target this protein — reached indirectly through those drugs, so a trial listed here studies the drug, not the protein.

ClinicalTrials.gov via the drug-target graph.

Research activity

2 papers · to 2024

Papers linked directly to this protein. This is the protein's own literature — descriptor-derived papers are kept separate below.

Most cited

Recent

Europe PMC papers linked directly to this protein.

Forefront confidence

Synthesis

Our own weighting of the evidence behind each disease association. Human genetics and clinical evidence count for most; literature co-mention counts for little, because two entities sharing an abstract is not evidence that one drives the other.

Abnormality of the genital systemLimited support
0.38
agreement 0.260.50
Genetic100%

Open Targets aggregate 0.23 · 1 independent evidence family

severe acute respiratory syndromePreliminary
0.25
agreement 0.070.42
Pathway98%Literature2%

Open Targets aggregate 0.37 · 2 independent evidence families · no direct causal or clinical evidence

metabolic dysfunction-associated steatohepatitisPreliminary
0.21
agreement 0.050.36
Clinical57%Literature43%

Open Targets aggregate 0.12 · 2 independent evidence families

COVID-19Preliminary
0.21
agreement 0.050.36
Literature53%Clinical47%

Open Targets aggregate 0.11 · 2 independent evidence families

infectionPreliminary
0.14
agreement 0.000.42
Literature100%

Open Targets aggregate 0.12 · 1 independent evidence family · no direct causal or clinical evidence

This ranking differs from Open Targets' own: re-weighting moves genetically-evidenced diseases above more heavily co-mentioned ones. The evidence agreement range shows how closely the independent evidence families agree — it is not a statistical confidence interval, and nothing here is fitted to outcome data. Derived from Open Targets evidence types under Forefront weighting; the underlying per-type scores are shown above so the calculation can be checked.

What's happening now

1

Recent activity around this target, drawn from one canonical event stream. Every item is reached through a drug that targets this protein, so each event is news about that drug rather than about the protein directly.

  1. New publication2019-10-25
    Pharmacological Inhibitors of the NLRP3 Inflammasome.

    Frontiers in immunology · 2019 · 518 citations · Europe PMC · via belnacasan

Objective event titles are shown unmodified; the event kind and significance line are derived from structured fields. Forefront AttentionEvent stream aggregating Europe PMC Regulatory filings ClinicalTrials.gov.