2 diabetes mellitus (T2DM), hepatic steatosis, and cancer. However, the identification of tool compounds suitable to test the hypothesis in human trials has been challenging. An advanced series of spirocyclic ketone-containing ACC inhibitors recently reported by Pfizer were metabolized in vivo by ketone reduction, which complicated human pharmacology projections. We disclose that this metabolic reduction
乙酰辅酶A羧化酶(ACC)
抑制剂为2型糖尿病(T2
DM),肝脂肪变性和癌症的治疗提供了巨大的潜力。然而,鉴定适于在人体试验中测试该假设的工具化合物一直具有挑战性。辉瑞公司最近报道的一系列先进的含
螺环酮的ACC
抑制剂在体内通过酮还原代谢,这使人的药理学预测复杂化。我们公开了通过与酮羰基相邻引入空间位阻,可以大大减轻这种代谢减少。弱碱性功能的引入改善了溶解度并导致鉴定出9作为治疗T2
DM的临床候选药物。I期临床研究表明,暴露量与剂量成比例增加,新生脂肪生成(DNL)的单剂量抑制作用以及间接量热法的变化与全身
脂肪酸氧化增加一致。靶标参与的这一证明验证了化合物9在评估DNL在人类疾病中的作用的使用。