Design, synthesis and biological evaluation of 4,7,12,12a-tetrahydro-5H-thieno[3',2':3,4]pyrido[1,2-b]isoquinolines as novel adenosine 5'-monophosphate-activated protein kinase (AMPK) indirect activators for the treatment of type 2 diabetes

Eur J Med Chem. 2017 Nov 10:140:448-464. doi: 10.1016/j.ejmech.2017.09.012. Epub 2017 Sep 9.

Abstract

A series of novel berberine derivatives, 4,7,12,12a-tetrahydro-5H-thieno[3',2':3,4]pyrido[1,2-b]isoquinolines was designed, synthesized, and biologically evaluated for their anti-diabetic activity. Following the evaluation in two types of cells, compounds 4aa, 4bq, and 4bv stimulated glucose consumption (1.8- to 2.3-fold), reduced gluconeogenesis (60-85%), inhibited mitochondria respiratory chain complex I and activated AMPK indirectly. In a db/db mice model, compounds 4bq and 4bv lowered fasting blood glucose at a dose of 120 mg/kg/day. In addition, compounds 4bq and 4bv were found to possess improved pharmacokinetic profiles (bioavailability 45 and 106%, respectively) compared to berberine. Compounds 4bq and 4bv exhibited no obvious hERG inhibition (IC50 > 10 μM).

Keywords: 4,7,12,12a-tetrahydro-5H-thieno[3′,2’:3,4]pyrido[1,2-b]isoquinolines; AMPK indirect activators; Mitochondrial respiration; Tetrahydroberberine; db/db mice.

MeSH terms

  • AMP-Activated Protein Kinases / metabolism*
  • Animals
  • Carbon-13 Magnetic Resonance Spectroscopy
  • Cell Line
  • Diabetes Mellitus, Type 2 / drug therapy*
  • Drug Design*
  • Enzyme Activators / metabolism*
  • Enzyme Activators / pharmacokinetics
  • Hypoglycemic Agents / chemical synthesis
  • Hypoglycemic Agents / chemistry*
  • Hypoglycemic Agents / pharmacology*
  • Isoquinolines / chemistry*
  • Isoquinolines / pharmacokinetics
  • Isoquinolines / pharmacology*
  • Mice
  • Proton Magnetic Resonance Spectroscopy
  • Rats
  • Spectrometry, Mass, Electrospray Ionization
  • Structure-Activity Relationship

Substances

  • Enzyme Activators
  • Hypoglycemic Agents
  • Isoquinolines
  • AMP-Activated Protein Kinases