Discovery of (2<i>R</i>)-2-(3-{3-[(4-Methoxyphenyl)carbonyl]-2-methyl-6-(trifluoromethoxy)-1<i>H</i>-indol-1-yl}phenoxy)butanoic Acid (MK-0533): A Novel Selective Peroxisome Proliferator-Activated Receptor γ Modulator for the Treatment of Type 2 Diabetes Mellitus with a Reduced Potential to Increase Plasma and Extracellular Fluid Volume
作者:John J. Acton、Taro E. Akiyama、Ching H. Chang、Lawrence Colwell、Sheryl Debenham、Thomas Doebber、Monica Einstein、Kun Liu、Margaret E. McCann、David E. Moller、Eric S. Muise、Yugen Tan、John R. Thompson、Kenny K. Wong、Margaret Wu、Libo Xu、Peter T. Meinke、Joel P. Berger、Harold B. Wood
DOI:10.1021/jm900097m
日期:2009.7.9
Peroxisome proliferator-activated receptor gamma (PPARγ) agonists are used to treat type 2 diabetes mellitus (T2DM). Widespread use of PPARγ agonists has been prevented due to adverse effects including weight gain, edema, and increased risk of congestive heart failure. Selective PPARγ modulators (SPPARγMs) have been identified that have antidiabetic efficacy and reduced toxicity in preclinical species
过氧化物酶体增殖物激活受体γ(PPARγ)激动剂用于治疗2型糖尿病(T2DM)。由于不良反应,包括体重增加,浮肿和充血性心力衰竭的风险增加,已阻止了PPARγ激动剂的广泛使用。已经发现选择性PPARγ调节剂(SPPARγM)在临床前物种中具有抗糖尿病功效和降低的毒性。与PPARγ完全激动剂相比,SPPARγM 6(MK0533)显示在基于细胞的转录活化测定和在脂肪组织衰减基因签名减少最大活性(部分激动)。化合物6在体内表现出与罗格列酮和吡格列酮相当的功效。但是,在诱发不良事件方面,6显示没有心脏肥大,褐色脂肪组织的增加减少,血浆体积的增加最小,并且体内细胞外液的体积没有增加。有必要对6进行进一步研究,以确定在临床前物种中观察到的基于机制的副作用的改善是否将在人类中概括。