5,5-Difluoro- and 5-Fluoro-5-methyl-hexose-based C-Glucosides as potent and orally bioavailable SGLT1 and SGLT2 dual inhibitors

Bioorg Med Chem Lett. 2020 Sep 1;30(17):127387. doi: 10.1016/j.bmcl.2020.127387. Epub 2020 Jul 5.

Abstract

(2S,3R,4R,5S,6R)-2-Aryl-5,5-difluoro-6-(hydroxymethyl)tetrahydro-2H-pyran-3,4-diols and (2S,3R,4R,5S,6R)-2-aryl-5-fluoro-5-methyl-6-(hydroxymethyl)tetrahydro-2H-pyran-3,4-diols were discovered as dual inhibitors of sodium glucose co-transporter proteins (e.g. SGLT1 and SGLT2) through rational drug design, efficient synthesis, and in vitro and in vivo evaluation. Compound 6g demonstrated potent dual inhibitory activities (IC50 = 96 nM for SGLT1 and IC50 = 1.3 nM for SGLT2). It showed robust inhibition of blood glucose excursion in an oral glucose tolerance test (OGTT) in Sprague Dawley (SD) rats when dosed at both 1 mg/kg and 10 mg/kg orally. It also demonstrated postprandial glucose control in db/db mice when dosed orally at 10 mg/kg.

Keywords: Bioisostere; C-Aryl Glucoside; Diabetes; Fluorination; Glucose transporter; SGLT1 inhibitor; SGLT2 inhibitor.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Blood Glucose / analysis
  • Diabetes Mellitus / drug therapy
  • Diabetes Mellitus / pathology
  • Disease Models, Animal
  • Drug Design
  • Glucose Tolerance Test
  • Glucosides / chemistry*
  • Glucosides / metabolism
  • Glucosides / pharmacology
  • Glucosides / therapeutic use
  • Half-Life
  • Halogenation
  • Humans
  • Hypoglycemic Agents / chemistry*
  • Hypoglycemic Agents / metabolism
  • Hypoglycemic Agents / pharmacology
  • Hypoglycemic Agents / therapeutic use
  • Inhibitory Concentration 50
  • Mice
  • Mice, Inbred C57BL
  • Microsomes / metabolism
  • Rats
  • Rats, Sprague-Dawley
  • Sodium-Glucose Transporter 1 / antagonists & inhibitors*
  • Sodium-Glucose Transporter 1 / metabolism
  • Sodium-Glucose Transporter 2 / chemistry*
  • Sodium-Glucose Transporter 2 / metabolism*
  • Structure-Activity Relationship

Substances

  • Blood Glucose
  • Glucosides
  • Hypoglycemic Agents
  • Sodium-Glucose Transporter 1
  • Sodium-Glucose Transporter 2