GPR40 (FFA1) is a G-protein-coupled receptor, primarily expressed in pancreatic islets, the activation of which elicits increased insulin secretion only in the presence of elevated glucose levels. A potent, orally bioavailable small molecule GPR40 agonist is hypothesized to be an effective antidiabetic posing little or no risk of hypoglycemia. We recently reported the discovery of AMG 837 (1), a potent partial agonist of GPR40. Herein, we present the optimization from the GPR40 partial agonist 1 to the structurally and pharmacologically distinct GPR40 full agonist AM-1638 (21). Moreover, we demonstrate the improved in vivo efficacy that GPR40 full agonist 21 exhibits in BDF/DIO mice as compared to partial agonist 1. KEYWORDS: GPR40, full agonist, AM-1638, AMG 837, insulin secretagogue, FFA1 T ype II diabetics lose their ability to maintain glucose homeostasis due to defects in both insulin secretion and action.1 GPR40 (FFA1) is a G-protein-coupled receptor, primarily expressed in pancreatic islets.2 When activated by medium to long chain fatty acids, GPR40 elicits increased insulin secretion only in the presence of elevated glucose levels. 3This alluring mechanism to treat type II diabetes presents the potential of little or no risk of hypoglycemia and has been investigated by multiple groups, leading to the discovery of several clinical candidates.4−7 We previously described the discovery of AMG 837 (1), 8−10 a small molecule partial agonist of GPR40 that displays oral efficacy in a variety of rodent diabetic models without exhibiting hypoglycemia. Because of the robust antidiabetic activity and favorable pharmacokinetic properties, 1 was selected for clinical evaluation. Because the ability of partial agonist 1 to maintain glycemic control was being tested in a clinical setting, we became interested in interrogating GPR40 with full agonists. We hypothesized that a GPR40 full agonist should have a greater ability to induce insulin secretion and thus provide greater glycemic control. In this letter, we describe in detail the structure−activity relationship (SAR) studies that started from the GPR40 partial agonist 1 and culminate with the identification of GPR40 full agonist AM-1638 (21) and provide further evidence that GPR40 full agonists demonstrate superior efficacy over partial agonists when evaluated in vivo.To provide a greater dynamic range with which to assess improvements in intrinsic efficacy, we chose to reevaluate compounds previously synthesized toward discovery of partial agonist 1 in CHO cells transfected with lower levels of GPR40 expression plasmid [from 5.0 ( Figure 1A) to 0.05 μg ( Figure 1B)].9 Under the original 5.0 μg plasmid conditions, partial agonist 1 demonstrates 75% of the response (E max ) shown by the natural free fatty acid ligand docosahexaenoic acid (DHA) ( Figure 1A). In contrast, reducing the expression plasmid to 0.05 μg affords an assay with the appropriate dynamic range to distinguish GPR40 partial and full agonists. As depicted in Figure 1B, partial agonist 1 dis...
Structure-based rational design led to the synthesis of a novel series of potent PI3K inhibitors. The optimized pyrrolopyridine analogue 63 was a potent and selective PI3Kβ/δ dual inhibitor that displayed suitable physicochemical properties and pharmacokinetic profile for animal studies. Analogue 63 was found to be efficacious in animal models of inflammation including a keyhole limpet hemocyanin (KLH) study and a collagen-induced arthritis (CIA) disease model of rheumatoid arthritis. These studies highlight the potential therapeutic value of inhibiting both the PI3Kβ and δ isoforms in the treatment of a number of inflammatory diseases.
GPR40 (FFAR1 or FFA1) is a target of high interest being pursued to treat type II diabetes due to its unique mechanism leading to little risk of hypoglycemia. We recently reported the discovery of AM-1638 (2), a potent full agonist of GPR40. In this report, we present the discovery of GPR40 full agonists containing conformationally constrained tricyclic spirocycles and their structure-activity relationships leading to more potent agonists such as AM-5262 (26) with improved rat PK profile and general selectivity profile. AM-5262 enhanced glucose stimulated insulin secretion (mouse and human islets) and improved glucose homeostasis in vivo (OGTT in HF/STZ mice) when compared to AM-1638.
The development and optimization of a series of quinolinylpurines as potent and selective PI3Kδ kinase inhibitors with excellent physicochemical properties are described. This medicinal chemistry effort led to the identification of 1 (AMG319), a compound with an IC50 of 16 nM in a human whole blood assay (HWB), excellent selectivity over a large panel of protein kinases, and a high level of in vivo efficacy as measured by two rodent disease models of inflammation.
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