Diacylglycerol
acyltransferase 2 (DGAT2) catalyzes the final step
in triacylglycerol (TAG) synthesis. Genetic knockdown or pharmacological
inhibition of DGAT2 leads to a decrease in very-low-density lipoprotein
TAG secretion and hepatic lipid levels in rodents, indicating DGAT2
may represent an attractive therapeutic target for treatment of hyperlipidemia
and hepatic steatosis. We have previously described potent and selective
imidazopyridine DGAT2 inhibitors with high oral bioavailability. However,
the detailed mechanism of DGAT2 inhibition has not been reported.
Herein, we describe imidazopyridines represented by PF-06424439 (1) and 2 as long residence time inhibitors of
DGAT2. We demonstrate that 1 and 2 are slowly
reversible, time-dependent inhibitors, which inhibit DGAT2 in a noncompetitive
mode with respect to the acyl-CoA substrate. Detailed kinetic analysis
demonstrated that 1 and 2 inhibit DGAT2
in a two-step binding mechanism, in which the initial enzyme–inhibitor
complex (EI) undergoes an isomerization step resulting in a much higher
affinity complex (EI*) with overall apparent inhibition constants
(K
i*app values) of 16.7 and
16.0 nM for 1 and 2, respectively. The EI*
complex dissociates with dissociation half-lives of 1.2 and 1.0 h
for 1 and 2, respectively. A binding assay
utilizing 125I-labeled imidazopyridine demonstrated that
the level of imidazopyridine binding to DGAT2 mutant enzymes, H161A
and H163A, dramatically decreased to 11–17% of that of the
wild-type enzyme, indicating that these residues are critical for
imidazopyridines to bind to DGAT2. Taken together, imidazopyridines
may thus represent a promising lead series for the development of
DGAT2 inhibitors that display an unprecedented combination of potency,
selectivity, and in vivo efficacy.