1. Discovery of a potent glucokinase activator with a favorable liver and pancreas distribution pattern for the treatment of type 2 diabetes mellitus
- Author
-
Hiroki Fujieda, Naoki Takahashi, Noriyasu Kato, Satoko Harada, Mitsuhiro Makino, Masao Sakairi, Tokuyuki Yamashita, Masakazu Kogami, and Miyazawa Toshiyuki
- Subjects
0301 basic medicine ,Male ,medicine.medical_specialty ,Pyrrolidines ,Allosteric regulation ,Enzyme Activators ,Type 2 diabetes ,Thiophenes ,Hypoglycemia ,01 natural sciences ,03 medical and health sciences ,Internal medicine ,Drug Discovery ,Glucokinase ,medicine ,Glucose homeostasis ,Animals ,Humans ,Hypoglycemic Agents ,Pancreas ,Pharmacology ,chemistry.chemical_classification ,010405 organic chemistry ,Organic Chemistry ,Type 2 Diabetes Mellitus ,General Medicine ,Glucose Tolerance Test ,medicine.disease ,0104 chemical sciences ,Mice, Inbred C57BL ,030104 developmental biology ,medicine.anatomical_structure ,Enzyme ,Endocrinology ,chemistry ,Diabetes Mellitus, Type 2 ,Liver - Abstract
Glucokinase (GK) is an enzyme that plays an important role as a glucose sensor while maintaining whole body glucose homeostasis. Allosteric activators of GK (GKAs) have the potential to treat type 2 diabetes mellitus. To identify novel GKAs, a series of compounds based on a thiophenyl-pyrrolidine scaffold were designed and synthesized. In this series, compound 38 was found to inhibit glucose excursion in an oral glucose tolerance test (OGTT) in mice. Optimization of 38 using a zwitterion approach led to the identification of the novel GKA 59. GKA 59 exhibited potent blood glucose control in the OGTT test as well as a favorable safety profile. Owing to low pancreatic distribution, compound 59 primarily activates GK in the liver. This characteristic could overcome limitations of other GKAs, such as hypoglycemia, increased plasma triglycerides, and loss of efficacy.
- Published
- 2018