Spiroimidazolidinone NPC1L1 inhibitors. Part 2: Structure–activity studies and in vivo efficacy

Ezetimibe (Zetia®), a cholesterol-absorption inhibitor (CAI) approved by the FDA for the treatment of hypercholesterolemia, is believed to target the intestine protein Niemann-Pick C1-Like 1 (NPC1L1) or its pathway. A spiroimidazolidinone NPC1L1 inhibitor identified by virtual screening showed moder...

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Veröffentlicht in:Bioorganic & medicinal chemistry letters 2010-12, Vol.20 (23), p.6929-6932
Hauptverfasser: Howell, Kobporn L., DeVita, Robert J., Garcia-Calvo, Margarita, Meurer, Roger D., Lisnock, JeanMarie, Bull, Herbert G., McMasters, Daniel R., McCann, Margaret E., Mills, Sander G.
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container_end_page 6932
container_issue 23
container_start_page 6929
container_title Bioorganic & medicinal chemistry letters
container_volume 20
creator Howell, Kobporn L.
DeVita, Robert J.
Garcia-Calvo, Margarita
Meurer, Roger D.
Lisnock, JeanMarie
Bull, Herbert G.
McMasters, Daniel R.
McCann, Margaret E.
Mills, Sander G.
description Ezetimibe (Zetia®), a cholesterol-absorption inhibitor (CAI) approved by the FDA for the treatment of hypercholesterolemia, is believed to target the intestine protein Niemann-Pick C1-Like 1 (NPC1L1) or its pathway. A spiroimidazolidinone NPC1L1 inhibitor identified by virtual screening showed moderate binding activity but was not efficacious in an in vivo rodent model of cholesterol absorption. Synthesis of analogs established the structure–activity relationships for binding activity, and resulted in compounds with in vivo efficacy, thereby providing proof-of-concept that non-β-lactams can be effective CAIs. Ezetimibe (Zetia®), a cholesterol-absorption inhibitor (CAI) approved by the FDA for the treatment of hypercholesterolemia, is believed to target the intestine protein Niemann-Pick C1-Like 1 (NPC1L1) or its pathway. A spiroimidazolidinone NPC1L1 inhibitor identified by virtual screening showed moderate binding activity but was not efficacious in an in vivo rodent model of cholesterol absorption. Synthesis of analogs established the structure–activity relationships for binding activity, and resulted in compounds with in vivo efficacy, including 24, which inhibited plasma cholesterol absorption by 67% in the mouse, thereby providing proof-of-concept that non-β-lactams can be effective CAIs.
doi_str_mv 10.1016/j.bmcl.2010.09.138
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Vitamins</subject><subject>Hypercholesterolemia</subject><subject>Imidazoles - chemical synthesis</subject><subject>Imidazoles - chemistry</subject><subject>Imidazoles - pharmacology</subject><subject>Intestinal Absorption - drug effects</subject><subject>Medical sciences</subject><subject>Membrane Transport Proteins - drug effects</subject><subject>Mice</subject><subject>Niemann-Pick C1-Like 1 protein</subject><subject>Pharmacology. 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subjects Animals
Anticholesteremic Agents - chemical synthesis
Anticholesteremic Agents - pharmacology
Azetidines
Biological and medical sciences
Cholesterol-absorption inhibitor
Ezetimibe
General and cellular metabolism. Vitamins
Hypercholesterolemia
Imidazoles - chemical synthesis
Imidazoles - chemistry
Imidazoles - pharmacology
Intestinal Absorption - drug effects
Medical sciences
Membrane Transport Proteins - drug effects
Mice
Niemann-Pick C1-Like 1 protein
Pharmacology. Drug treatments
Spiro Compounds - chemical synthesis
Spiro Compounds - pharmacology
Spiroimidazolidinone
Structure-Activity Relationship
title Spiroimidazolidinone NPC1L1 inhibitors. Part 2: Structure–activity studies and in vivo efficacy
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