2017
DOI: 10.1021/acsmedchemlett.7b00318
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Synthesis and Biological Evaluation of a Series of Bile Acid Derivatives as FXR Agonists for Treatment of NASH

Abstract: Farnesoid X receptor (FXR) has become a particularly attractive target for the discovery of drugs for the treatment of liver and metabolic diseases. Obeticholic acid (), a FXR agonist, has advanced into clinical phase III trials in patients with nonalcoholic steatohepatitis (NASH), but adverse effects (e.g., pruritus, LDL increase) were observed. Pruritus might be induced by Takeda G-protein-coupled receptor 5 (TGR5, GPBAR1), and there are chances to develop FXR agonists with higher selectivity over TGR5. In t… Show more

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Cited by 18 publications
(6 citation statements)
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“…This result is consistent with the results of a recent study which found that replacing the acid moiety of obeticholic acid with a tetrazole also led to a compound that was a partial TGR5 agonist. 28 In contrast to tetrazole 25, all other active compounds tested had efficacies in the 80−120% range.…”
Section: ■ Results and Discussionmentioning
confidence: 93%
“…This result is consistent with the results of a recent study which found that replacing the acid moiety of obeticholic acid with a tetrazole also led to a compound that was a partial TGR5 agonist. 28 In contrast to tetrazole 25, all other active compounds tested had efficacies in the 80−120% range.…”
Section: ■ Results and Discussionmentioning
confidence: 93%
“…They substituted carboxylic tail with amide groups generating compound 1 with good efficacy, FXR selectivity, and pharmacokinetic properties compared to 6-ECDCA ( Fig. 2) [25]. The FXR agonists discussed above all contain a steroidal core?.…”
Section: Nuclear Farnesoid X Receptor Fxrmentioning
confidence: 99%
“…However, this is typically difficult because the solubility of acetamide in organic solvents is low, and a large excess of acetamide is necessary to avoid the formation of dialkylated byproducts. [9][10][11][12][13][14][15] Therefore, a three-step transformation involving azidation, reduction, and acetylation is often employed, 16) although this procedure is disadvantageous owing to the formation of an explosive alkyl azide intermediate.…”
Section: Introductionmentioning
confidence: 99%