The Discovery, Preclinical, and Early Clinical Development of Potent and Selective GPR40 Agonists for the Treatment of Type 2 Diabetes Mellitus (LY2881835, LY2922083, and LY2922470)
作者:Chafiq Hamdouchi、Steven D. Kahl、Anjana Patel Lewis、Guemalli R. Cardona、Richard W. Zink、Keyue Chen、Thomas E. Eessalu、James V. Ficorilli、Marialuisa C. Marcelo、Keith A. Otto、Kelly L. Wilbur、Jayana P. Lineswala、Jared L. Piper、D. Scott Coffey、Stephanie A. Sweetana、Joseph V. Haas、Dawn A. Brooks、Edward J. Pratt、Ruth M. Belin、Mark A. Deeg、Xiaosu Ma、Ellen A. Cannady、Jason T. Johnson、Nathan P. Yumibe、Qi Chen、Pranab Maiti、Chahrzad Montrose-Rafizadeh、Yanyun Chen、Anne Reifel Miller
DOI:10.1021/acs.jmedchem.6b00892
日期:2016.12.22
agonists with unique pharmacology, selectivity, and pharmacokinetic properties. Compounds 1 (LY2881835), 2 (LY2922083), and 3 (LY2922470) demonstrated potent, efficacious, and durable dose-dependent reductions in glucose levels along with significant increases in insulin and GLP-1 secretion during preclinical testing. A clinical study with 3 administered to subjects with T2DM provided proof of concept of 3
G蛋白偶联受体40(GPR40)也称为游离脂肪酸受体1(FFAR1)在胰腺,胰岛β细胞中高表达,并且对内源性脂肪酸有反应,仅在胰岛素水平升高的情况下才会导致胰岛素分泌的扩增葡萄糖水平。假设推动了对内源性FFA的结构修饰,着重于破坏平面性并降低了亲脂性,从而导致将螺哌啶和四氢喹啉酸衍生物鉴定为具有独特药理学,选择性和药代动力学性质的GPR40激动剂。化合物1(LY2881835),2(LY2922083)和3(LY2922470)在临床前测试期间证实了强力,有效和持久的剂量依赖性葡萄糖水平降低,以及胰岛素和GLP-1分泌显着增加。一项针对3型糖尿病患者的3项临床研究提供了3作为一种潜在的降糖疗法的概念证明。该手稿总结了这种新型GPR40激动剂的科学原理,药物化学,临床前和早期开发数据。