In:
PLOS ONE, Public Library of Science (PLoS), Vol. 16, No. 9 ( 2021-9-23), p. e0257477-
Abstract:
GPR40 (FFAR1) is a promising target for the managing type 2 diabetes (T2D). The most advanced GPR40 agonist TAK-875 exhibited satisfactory glucose-lowering effects in phase II and III studies. However, the phase III studies of TAK-875 revealed drug-induced liver injury (DILI). It is unknown whether DILI is a consequence of a specific GPR40 agonist or is an inherent feature of all GPR40 agonists. CPL207280 is a novel GPR40 agonist that improves diabetes in Zucker Diabetic Fatty (ZDF) rats, Goto Kakizaki (GK) rats and db/db mice. In this report, the DILI-related toxicity of CPL207280 was compared directly with that of TAK-875. In vitro studies evaluating hepatic biliary transporter inhibition, mitochondrial function, and metabolic profiling were performed in hepatocytes from different species. The long term toxicity of CPL207280 was studied in vivo in rats and monkeys. Activity of CPL207280 was one order of magnitude lesser than that of TAK-875 for the inhibition of bile acid transporters. CPL207280 had a negligible effect on the hepatic mitochondria. In contrast to TAK-875, which was metabolized through toxic glucuronidation, CPL207280 was metabolized mainly through oxidation. No deleterious hepatic effects were observed in chronically treated healthy and diabetic animals. The study presents promising data on the feasibility of creating a liver-safe GPR40 agonist. Additionally, it can be concluded that DILI is not a hallmark of GPR40 agonists; it is linked to the intrinsic properties of an individual agonist.
Type of Medium:
Online Resource
ISSN:
1932-6203
DOI:
10.1371/journal.pone.0257477
DOI:
10.1371/journal.pone.0257477.g001
DOI:
10.1371/journal.pone.0257477.g002
DOI:
10.1371/journal.pone.0257477.g003
DOI:
10.1371/journal.pone.0257477.g004
DOI:
10.1371/journal.pone.0257477.g005
DOI:
10.1371/journal.pone.0257477.g006
DOI:
10.1371/journal.pone.0257477.g007
DOI:
10.1371/journal.pone.0257477.g008
DOI:
10.1371/journal.pone.0257477.g009
DOI:
10.1371/journal.pone.0257477.g010
DOI:
10.1371/journal.pone.0257477.g011
DOI:
10.1371/journal.pone.0257477.t001
DOI:
10.1371/journal.pone.0257477.t002
DOI:
10.1371/journal.pone.0257477.t003
DOI:
10.1371/journal.pone.0257477.t004
DOI:
10.1371/journal.pone.0257477.t005
DOI:
10.1371/journal.pone.0257477.s001
Language:
English
Publisher:
Public Library of Science (PLoS)
Publication Date:
2021
detail.hit.zdb_id:
2267670-3
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