FOY 251 is an anti-proteolytic active metabolite Camostate, acts as a proteinase inhibitor [1]. FOY 251 can reversibly non-covalently bind to the active site of the TMPRSS2 enzyme, forming a covalent bond with serine proteases to inhibit the enzyme activity and prevent the cellular invasion of SARS-CoV-2[2]. FOY 251 has been widely used to prepare novel types of nanoparticles, which can inhibit trypsin activity both in vitro and on the intestinal mucosal surface [3].
In vitro, FOY 251 treatment (10μM) for 2 hours significantly inhibited the activity of SARS-CoV-2 virus in Calu-3 cells, with an IC50 value of 178nM[4]. FOY 251 treatment (10μM) for 24 hours significantly inhibited the equivalent current and the protease activity of prostasin in mouse cortical collecting duct cells (M-1 cells)[5].
In vivo, FOY 251 treatment via oral administration at a dose of 46mg/kg daily for 7 days reduced the food intake and weight gain in ob/ob mice and increased the plasma FGF21 level[6]. A single oral administration of 100mg/kg dose of FOY 251 significantly delayed gastric emptying in diet-induced obese mice within 60 minutes[7].
References:
[1] Beckh K, Göke B, Müller R, et al. Elimination of the low-molecular weight proteinase inhibitor camostate (FOY 305) and its degradation products by the rat liver[J]. Research in experimental medicine, 1987, 187(6): 401-406.
[2] Kosinsky Y, Peskov K, Stanski D R, et al. Semi-Mechanistic pharmacokinetic-pharmacodynamic model of Camostat mesylate-predicted efficacy against SARS-CoV-2 in COVID-19[J]. Microbiology Spectrum, 2022, 10(2): e02167-21.
[3] Chen J, Liu C, Shan W, et al. Enhanced stability of oral insulin in targeted peptide ligand trimethyl chitosan nanoparticles against trypsin[J]. Journal of microencapsulation, 2015, 32(7): 632-641.
[4] Hoffmann M, Hofmann-Winkler H, Smith J C, et al. Camostat mesylate inhibits SARS-CoV-2 activation by TMPRSS2-related proteases and its metabolite GBPA exerts antiviral activity[J]. EBioMedicine, 2021, 65.
[5] Maekawa A, Kakizoe Y, Miyoshi T, et al. Camostat mesilate inhibits prostasin activity and reduces blood pressure and renal injury in salt-sensitive hypertension[J]. Journal of hypertension, 2009, 27(1): 181-189.
[6] Albarazanji K, Jennis M, Cavanaugh C R, et al. Intestinal serine protease inhibition increases FGF21 and improves metabolism in obese mice[J]. American Journal of Physiology-Gastrointestinal and Liver Physiology, 2019, 316(5): G653-G667.
[7] Albarazanji K, Hinke S A, Cavanaugh C, et al. Role of CCK1 receptor in metabolic benefits of intestinal enteropeptidase inhibition in mice[J]. Plos one, 2025, 20(6): e0312927.
















