%0 Journal Article %T Identification of highly selective SIK1/2 inhibitors that modulate innate immune activation and suppress intestinal inflammation. %A Babbe H %A Sundberg TB %A Tichenor M %A Seierstad M %A Bacani G %A Berstler J %A Chai W %A Chang L %A Chung M %A Coe K %A Collins B %A Finley M %A Guletsky A %A Lemke CT %A Mak PA %A Mathur A %A Mercado-Marin EV %A Metkar S %A Raymond DD %A Rives ML %A Rizzolio M %A Shaffer PL %A Smith R %A Smith J %A Steele R %A Steffens H %A Suarez J %A Tian G %A Majewski N %A Volak LP %A Wei J %A Desai PT %A Ong LL %A Koudriakova T %A Goldberg SD %A Hirst G %A Kaushik VK %A Ort T %A Seth N %A Graham DB %A Plevy S %A Venable JD %A Xavier RJ %A Towne JE %J Proc Natl Acad Sci U S A %V 121 %N 1 %D 2024 Jan 2 %M 38147543 %F 12.779 %R 10.1073/pnas.2307086120 %X The salt-inducible kinases (SIK) 1-3 are key regulators of pro- versus anti-inflammatory cytokine responses during innate immune activation. The lack of highly SIK-family or SIK isoform-selective inhibitors suitable for repeat, oral dosing has limited the study of the optimal SIK isoform selectivity profile for suppressing inflammation in vivo. To overcome this challenge, we devised a structure-based design strategy for developing potent SIK inhibitors that are highly selective against other kinases by engaging two differentiating features of the SIK catalytic site. This effort resulted in SIK1/2-selective probes that inhibit key intracellular proximal signaling events including reducing phosphorylation of the SIK substrate cAMP response element binding protein (CREB) regulated transcription coactivator 3 (CRTC3) as detected with an internally generated phospho-Ser329-CRTC3-specific antibody. These inhibitors also suppress production of pro-inflammatory cytokines while inducing anti-inflammatory interleukin-10 in activated human and murine myeloid cells and in mice following a lipopolysaccharide challenge. Oral dosing of these compounds ameliorates disease in a murine colitis model. These findings define an approach to generate highly selective SIK1/2 inhibitors and establish that targeting these isoforms may be a useful strategy to suppress pathological inflammation.