Discovery of 1'-(1-phenylcyclopropane-carbonyl)-3H-spiro[isobenzofuran-1,3'-pyrrolidin]-3-one as a novel steroid mimetic scaffold for the potent and tissue-specific inhibition of 11β-HSD1 using a scaffold-hopping approach.
11β-hydroxysteroid dehydrogenase 1 (11β-HSD1) inhibitor
Metabolic syndrome
Spiro heterocyclic compounds
Steroid mimetic
Tissue specific
Type 2 diabetes mellitus
Journal
Bioorganic & medicinal chemistry letters
ISSN: 1464-3405
Titre abrégé: Bioorg Med Chem Lett
Pays: England
ID NLM: 9107377
Informations de publication
Date de publication:
01 08 2022
01 08 2022
Historique:
received:
09
03
2022
revised:
19
04
2022
accepted:
02
05
2022
pubmed:
11
5
2022
medline:
31
5
2022
entrez:
10
5
2022
Statut:
ppublish
Résumé
11β-hydroxysteroid dehydrogenase 1 (11β-HSD1) has been identified as the primary enzyme responsible for the activation of hepatic cortisone to cortisol in specific peripheral tissues resulting in the concomitant antagonism of insulin action within these tissues. Dysregulation of 11β-HSD1, particularly in adipose tissues, has been associated with metabolic syndrome and type 2 diabetes mellitus. Therefore, inhibition of 11β-HSD1 with a small nonsteroidal molecule is therapeutically desirable. Implementation of a scaffold-hopping approach revealed a three-point pharmacophore for 11β-HSD1 that was utilized to design a steroid mimetic scaffold. Reiterative optimization provided valuable insight into the bioactive conformation of our novel scaffold and led to the discovery of INCB13739. Clinical evaluation of INCB13739 confirmed for the first time that tissue-specific inhibition of 11β-HSD1 in patients with type 2 diabetes mellitus was efficacious in controlling glucose levels and reducing cardiovascular risk factors.
Identifiants
pubmed: 35537608
pii: S0960-894X(22)00258-X
doi: 10.1016/j.bmcl.2022.128782
pii:
doi:
Substances chimiques
Enzyme Inhibitors
0
11-beta-Hydroxysteroid Dehydrogenase Type 1
EC 1.1.1.146
Hydrocortisone
WI4X0X7BPJ
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
128782Informations de copyright
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