2015
DOI: 10.1021/ml500514w
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Discovery of MK-1421, a Potent, Selective sstr3 Antagonist, as a Development Candidate for Type 2 Diabetes

Abstract: The imidazolyl-tetrahydro-β-carboline class of sstr3 antagonists have demonstrated efficacy in a murine model of glucose excursion and may have potential as a treatment for type 2 diabetes. The first candidate in this class caused unacceptable QTc interval prolongation in oral, telemetrized cardiovascular (CV) dogs. Herein, we describe our efforts to identify an acceptable candidate without CV effects. These efforts resulted in the identification of (1R,3R)-3-(4-(5-fluoropyridin-2-yl)-1H-imidazol-2-yl)-1-(1-et… Show more

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Cited by 21 publications
(14 citation statements)
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“…This, however, remains untested. 11 The identity of the tandem AP[AS]CQ motif residues affecting CTS1 function in Sstr3-IC3 also remains unclear. The cysteines are very good candidates, as they are required for Sstr3-IC3 to bind the BBSome, a ciliary cargo adapter required for Sstr3 ciliary accumulation 30,35 .…”
Section: Discussionmentioning
confidence: 99%
“…This, however, remains untested. 11 The identity of the tandem AP[AS]CQ motif residues affecting CTS1 function in Sstr3-IC3 also remains unclear. The cysteines are very good candidates, as they are required for Sstr3-IC3 to bind the BBSome, a ciliary cargo adapter required for Sstr3 ciliary accumulation 30,35 .…”
Section: Discussionmentioning
confidence: 99%
“…SST 3 agonists inhibit insulin release from INS-1 cells ( Mergler et al, 2008 ). At the systemic level, highly selective SST 3 antagonists such as MK-1421 or MK-4256 facilitate glucose-stimulated insulin secretion from pancreatic β -cells and block glucose excursion in wild-type, but not SST 3 KO mice ( Pasternak et al, 2012 ; Shah et al, 2015 ; He et al, 2016 ). This suggests that SST 3 antagonism represents a new potential mechanism for treating type 2 diabetes mellitus.…”
Section: Somatostatin Receptormentioning
confidence: 99%
“…Tetrahydro- β -carboline derivatives such as MK-1421 or MK-4256 are highly selective for SST 3 . They were shown to facilitate glucose-stimulated insulin secretion from pancreatic β -cells and block glucose excursion in rodents in vivo ( Pasternak et al, 2012 ; Shah et al, 2015 ; He et al, 2016 ). MK-4256 has been evaluated as a potential candidate for treatment of type 2 diabetes mellitus ( Fig.…”
Section: Somatostatin Receptormentioning
confidence: 99%
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“…More generally, arylated imidazoles are a fundamental scaffold of various drug-lead molecules. [12][13][14][15][16][17][18][19][20] The synthesis of N-heteroarylated imidazoles via C-H activation, however, has not been systematically studied.…”
Section: Introductionmentioning
confidence: 99%