Improvement of physiochemical properties of the tetrahydroazepinoindole series of farnesoid X receptor (FXR) agonists: beneficial modulation of lipids in primates

Autor: Kristin M. Phipps, Lisa Borges-Marcucci, KehDih Lai, Douglas C. Harnish, Matthew L. Crawley, Vikram S. Patel, Irene Feingold, Rayomand J. Unwalla, John F. Mehlmann, Wah-Tung Hum, Paige Erin Mahaney, Thomas Joseph Commons, Julius E Eta, Jay E. Wrobel, Weixin Xu, Daniel M. Green, Kim Callain Younghee, Mark J. Evans, Joseph T. Lundquist
Rok vydání: 2010
Předmět:
Zdroj: Journal of medicinal chemistry. 53(4)
ISSN: 1520-4804
Popis: In an effort to develop orally active farnesoid X receptor (FXR) agonists, a series of tetrahydroazepinoindoles with appended solubilizing amine functionalities were synthesized. The crystal structure of the previously disclosed FXR agonist, 1 (FXR-450), aided in the design of compounds with tethered solubilizing functionalities designed to reach the solvent cavity around the hFXR receptor. These compounds were soluble in 0.5% methylcellulose/2% Tween-80 in water (MC/T) for oral administration. In vitro and in vivo optimization led to the identification of 14dd and 14cc, which in a dose-dependent fashion regulated low density lipoprotein cholesterol (LDLc) in low density lipoprotein receptor knockout (LDLR(-/-)) mice. Compound 14cc was dosed in female rhesus monkeys for 4 weeks at 60 mg/kg daily in MC/T vehicle. After 7 days, triglyceride (TG) levels and very low density lipoprotein cholesterol (VLDLc) levels were significantly decreased and LDLc was decreased 63%. These data are the first to demonstrate the dramatic lowering of serum LDLc levels by a FXR agonist in primates and supports the potential utility of 14cc in treating dyslipidemia in humans beyond just TG lowering.
Databáze: OpenAIRE