Investigation of functionally liver selective glucokinase activators for the treatment of type 2 diabetes

J Med Chem. 2009 Oct 8;52(19):6142-52. doi: 10.1021/jm900839k.

Abstract

Type 2 diabetes is a polygenic disease which afflicts nearly 200 million people worldwide and is expected to increase to near epidemic levels over the next 10-15 years. Glucokinase (GK) activators are currently under investigation by a number of pharmaceutical companies with only a few reaching early clinical evaluation. A GK activator has the promise of potentially affecting both the beta-cells of the pancreas, by improving glucose sensitive insulin secretion, as well as the liver, by reducing uncontrolled glucose output and restoring post-prandial glucose uptake and storage as glycogen. Herein, we report our efforts on a sulfonamide chemotype with the aim to generate liver selective GK activators which culminated in the discovery of 3-cyclopentyl-N-(5-methoxy-thiazolo[5,4-b]pyridin-2-yl)-2-[4-(4-methyl-piperazine-1-sulfonyl)-phenyl]-propionamide (17c). This compound activated the GK enzyme (alphaK(a) = 39 nM) in vitro at low nanomolar concentrations and significantly reduced glucose levels during an oral glucose tolerance test in normal mice.

MeSH terms

  • Animals
  • Blood Glucose / drug effects
  • Diabetes Mellitus, Type 2 / drug therapy
  • Glucokinase / drug effects*
  • Glucose Tolerance Test
  • Hypoglycemic Agents / pharmacology
  • Liver / drug effects
  • Liver / metabolism
  • Mice
  • Structure-Activity Relationship
  • Sulfonamides / pharmacology*
  • Sulfonamides / therapeutic use

Substances

  • Blood Glucose
  • Hypoglycemic Agents
  • Sulfonamides
  • Glucokinase

Associated data

  • PDB/3IMX