Design of Gut-Restricted Thiazolidine Agonists of G Protein-Coupled Bile Acid Receptor 1 (GPBAR1, TGR5)

J Med Chem. 2018 Sep 13;61(17):7589-7613. doi: 10.1021/acs.jmedchem.8b00308. Epub 2018 Aug 24.

Abstract

Bile acid signaling and metabolism in the gastrointestinal tract have wide-ranging influences on systemic disease. G protein-coupled bile acid receptor 1 (GPBAR1, TGR5) is one of the major effectors in bile acid sensing, with demonstrated influence on metabolic, inflammatory, and proliferative processes. The pharmacologic utility of TGR5 agonists has been limited by systemic target-related effects such as excessive gallbladder filling and blockade of gallbladder emptying. Gut-restricted TGR5 agonists, however, have the potential to avoid these side effects and consequently be developed into drugs with acceptable safety profiles. We describe the discovery and optimization of a series of gut-restricted TGR5 agonists that elicit a potent response in mice, with minimal gallbladder-related effects. The series includes 12 (TGR5 EC50: human, 143 nM; mouse, 1.2 nM), a compound with minimal systemic availability that may have therapeutic value to patients with type 2 diabetes mellitus, nonalcoholic steatohepatitis, or inflammatory bowel disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Dogs
  • Drug Design
  • Drug Evaluation, Preclinical / methods
  • Female
  • Gallbladder / drug effects*
  • Gastrointestinal Agents / adverse effects
  • Gastrointestinal Agents / chemistry
  • Gastrointestinal Agents / pharmacology*
  • Glucagon-Like Peptide 1 / metabolism
  • HEK293 Cells
  • Humans
  • Madin Darby Canine Kidney Cells
  • Male
  • Mice, Inbred C57BL
  • Receptors, G-Protein-Coupled / agonists*
  • Receptors, G-Protein-Coupled / metabolism
  • Structure-Activity Relationship
  • Thiazolidines / chemistry*

Substances

  • GPBAR1 protein, human
  • Gastrointestinal Agents
  • Gpbar1 protein, mouse
  • Receptors, G-Protein-Coupled
  • Thiazolidines
  • Glucagon-Like Peptide 1