3区 · 医学
Article
作者: Neelamkavil, Santhosh F. ; Greenlee, William J. ; Tang, Huadong ; Kowalski, Timothy ; Chackalamannil, Samuel ; Biswas, Dipshikha ; Dai, Xing ; O’Neill, Kim ; Xia, Yan ; Jayne, Charles ; Boyle, Craig ; Baker, Hana ; Neustadt, Bernard ; Hawes, Brian ; Stamford, Andrew W. ; Liu, Hong ; Hao, Jinsong
The ever-growing prevalence of type 2 diabetes in the world has necessitated an urgent need for multiple orally effective agents that can regulate glucose homeostasis with a concurrent reduction in body weight. G-Protein coupled receptor 119 (GPR119) is a GPCR target at which agonists have demonstrated glucose-dependent insulin secretion and shows beneficial effects on glycemic control. Herein, we describe our efforts leading to the identification of a potent, oral GPR-119 agonist, MK-8282, which shows improved glucose tolerance in multiple animal models and has excellent off-target profile. The key design elements in the compounds involved a combination of a fluoro-pyrimidine and a conformationally constrained bridged piperidine to impart good potency and efficacy.