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1.
J Am Chem Soc ; 144(38): 17709-17720, 2022 09 28.
Article in English | MEDLINE | ID: mdl-36106767

ABSTRACT

A useful protocol for achieving decarboxylative cross-coupling (DCC) of redox-active esters (RAE, isolated or generated in situ) and halo(hetero)arenes is reported. This pragmatically focused study employs a unique Ag-Ni electrocatalytic platform to overcome numerous limitations that have plagued this strategically powerful transformation. In its optimized form, coupling partners can be combined in a surprisingly simple way: open to the air, using technical-grade solvents, an inexpensive ligand and Ni source, and substoichiometric AgNO3, proceeding at room temperature with a simple commercial potentiostat. Most importantly, all of the results are placed into context by benchmarking with state-of-the-art methods. Applications are presented that simplify synthesis and rapidly enable access to challenging chemical space. Finally, adaptation to multiple scale regimes, ranging from parallel milligram-based synthesis to decagram recirculating flow is presented.


Subject(s)
Esters , Catalysis , Ligands , Oxidation-Reduction , Solvents
2.
Toxicol Appl Pharmacol ; 438: 115885, 2022 03 01.
Article in English | MEDLINE | ID: mdl-35090952

ABSTRACT

In a Phase 2 clinical trial, BMS-986020, a lysophosphatidic acid receptor-1 (LPA1) antagonist, produced hepatobiliary toxicity (increased ALT, AST, and ALP; cholecystitis) and increases in plasma bile acids (BA). Nonclinical investigations conducted to identify a potential mechanism(s) for this toxicity examined BMS-986020 and two LPA1 antagonists structurally distinct from BMS-986020 (BMS-986234 and BMS-986278). BMS-986020 inhibited hepatic BA efflux transporters BSEP (IC50 1.8 µM), MRP3 (IC50 22 µM), and MRP4 (IC50 6.2 µM) and inhibited BA canalicular efflux in human hepatocytes (68% at 10 µM). BMS-986020 inhibited mitochondrial function (basal and maximal respiration, ATP production, and spare capacity) in human hepatocytes and cholangiocytes at ≥10 µM and inhibited phospholipid efflux in human hepatocytes (MDR3 IC50 7.5 µM). A quantitative systems toxicology analysis (DILIsym®), considering pharmacokinetics, BA homeostasis, mitochondrial function, oxidative phosphorylation, and reactive intermediates performed for BMS-986020 recapitulated clinical findings ascribing the effects to BA transporter and mitochondrial electron transport chain inhibition. BMS-986234 and BMS-986278 minimally inhibited hepatic BA transporters (IC50 ≥20 µM) and did not inhibit MDR3 activity (IC50 >100 µM), nor did BMS-986234 inhibit BA efflux (≤50 µM) or mitochondrial function (≤30 µM) (BMS-986278 not evaluated). Multiple mechanisms may be involved in the clinical toxicity observed with BMS-986020. The data indicate that this toxicity was unrelated to LPA1 antagonism since the mechanisms that likely influenced the adverse clinical outcome of BMS-986020 were not observed with equipotent LPA1 antagonists BMS-986234 and BMS-986278. This conclusion is consistent with the lack of hepatobiliary toxicity in nonclinical and clinical safety studies with BMS-986278.


Subject(s)
Chemical and Drug Induced Liver Injury/metabolism , Digestive System Diseases/chemically induced , Idiopathic Pulmonary Fibrosis/drug therapy , Liver/drug effects , Receptors, Lysophosphatidic Acid/antagonists & inhibitors , ATP Binding Cassette Transporter, Subfamily B/metabolism , Bile Acids and Salts/metabolism , Biological Transport/physiology , Cell Line , Cell Line, Tumor , Electron Transport/physiology , HEK293 Cells , Hep G2 Cells , Hepatocytes/drug effects , Humans , Mitochondria/drug effects
3.
J Med Chem ; 64(21): 15549-15581, 2021 11 11.
Article in English | MEDLINE | ID: mdl-34709814

ABSTRACT

The oxycyclohexyl acid BMS-986278 (33) is a potent lysophosphatidic acid receptor 1 (LPA1) antagonist, with a human LPA1 Kb of 6.9 nM. The structure-activity relationship (SAR) studies starting from the LPA1 antagonist clinical compound BMS-986020 (1), which culminated in the discovery of 33, are discussed. The detailed in vitro and in vivo preclinical pharmacology profiles of 33, as well as its pharmacokinetics/metabolism profile, are described. On the basis of its in vivo efficacy in rodent chronic lung fibrosis models and excellent overall ADME (absorption, distribution, metabolism, excretion) properties in multiple preclinical species, 33 was advanced into clinical trials, including an ongoing Phase 2 clinical trial in patients with lung fibrosis (NCT04308681).


Subject(s)
Drug Discovery , Pulmonary Fibrosis/drug therapy , Receptors, Lysophosphatidic Acid/antagonists & inhibitors , Animals , Dose-Response Relationship, Drug , Male , Mice , Molecular Structure , Pulmonary Fibrosis/metabolism , Rats , Rats, Sprague-Dawley , Receptors, Lysophosphatidic Acid/metabolism , Structure-Activity Relationship
4.
J Am Chem Soc ; 141(22): 8752-8757, 2019 06 05.
Article in English | MEDLINE | ID: mdl-31117664

ABSTRACT

We report here a catalytic method for the modular ring expansion of cyclic aliphatic alcohols. In this work, proton-coupled electron transfer activation of an allylic alcohol substrate affords an alkoxy radical intermediate that undergoes subsequent C-C bond cleavage to furnish an enone and a tethered alkyl radical. Recombination of this alkyl radical with the revealed olefin acceptor in turn produces a ring-expanded ketone product. The regioselectivity of this C-C bond-forming event can be reliably controlled via substituents on the olefin substrate, providing a means to convert a simple N-membered ring substrate to either n+1 or n+2 ring adducts in a selective fashion.


Subject(s)
Alcohols/chemistry , Protons , Catalysis , Electron Transport
5.
Nature ; 551(7681): 489-493, 2017 11 22.
Article in English | MEDLINE | ID: mdl-29168802

ABSTRACT

The directed activation of carbon-hydrogen bonds (C-H) is important in the development of synthetically useful reactions, owing to the proximity-induced reactivity and selectivity that is enabled by coordinating functional groups. Palladium-catalysed non-directed C-H activation could potentially enable further useful reactions, because it can reach more distant sites and be applied to substrates that do not contain appropriate directing groups; however, its development has faced substantial challenges associated with the lack of sufficiently active palladium catalysts. Currently used palladium catalysts are reactive only with electron-rich arenes, unless an excess of arene is used, which limits synthetic applications. Here we report a 2-pyridone ligand that binds to palladium and accelerates non-directed C-H functionalization with arene as the limiting reagent. This protocol is compatible with a broad range of aromatic substrates and we demonstrate direct functionalization of advanced synthetic intermediates, drug molecules and natural products that cannot be used in excessive quantities. We also developed C-H olefination and carboxylation protocols, demonstrating the applicability of our methodology to other transformations. The site selectivity in these transformations is governed by a combination of steric and electronic effects, with the pyridone ligand enhancing the influence of sterics on the selectivity, thus providing complementary selectivity to directed C-H functionalization.


Subject(s)
Carbon/chemistry , Hydrocarbons, Aromatic/chemistry , Hydrogen/chemistry , Pyridones/chemistry , Alkenes/chemistry , Biological Products/chemistry , Catalysis , Ligands , Palladium/chemistry , Pharmaceutical Preparations/chemistry
6.
ACS Med Chem Lett ; 7(6): 590-4, 2016 Jun 09.
Article in English | MEDLINE | ID: mdl-27326332

ABSTRACT

BMS-711939 (3) is a potent and selective peroxisome proliferator-activated receptor (PPAR) α agonist, with an EC50 of 4 nM for human PPARα and >1000-fold selectivity vs human PPARγ (EC50 = 4.5 µM) and PPARδ (EC50 > 100 µM) in PPAR-GAL4 transactivation assays. Compound 3 also demonstrated excellent in vivo efficacy and safety profiles in preclinical studies and thus was chosen for further preclinical evaluation. The synthesis, structure-activity relationship (SAR) studies, and in vivo pharmacology of 3 in preclinical animal models as well as its ADME profile are described.

7.
Angew Chem Int Ed Engl ; 55(2): 785-9, 2016 Jan 11.
Article in English | MEDLINE | ID: mdl-26611496

ABSTRACT

A quinoline-based ligand effectively promotes the palladium-catalyzed borylation of C(sp(3))-H bonds. Primary ß-C(sp(3))-H bonds in carboxylic acid derivatives as well as secondary C(sp(3))-H bonds in a variety of carbocyclic rings, including cyclopropanes, cyclobutanes, cyclopentanes, cyclohexanes, and cycloheptanes, can thus be borylated. This directed borylation method complements existing iridium(I)- and rhodium(I)-catalyzed C-H borylation reactions in terms of scope and operational conditions.


Subject(s)
Boron Compounds/chemistry , Palladium/chemistry , Catalysis , Hydrogen Bonding , Ligands
8.
Toxicol Pathol ; 43(6): 825-37, 2015 Aug.
Article in English | MEDLINE | ID: mdl-26085543

ABSTRACT

Glucokinase (GK) catalyzes the initial step in glycolysis and is a key regulator of glucose homeostasis. Therefore, glucokinase activators (GKa) have potential benefit in treating type 2 diabetes. Administration of a Bristol-Myers Squibb GKa (BMS-820132) to healthy euglycemic Sprague-Dawley (SD) rats and beagle dogs in 1 mo toxicology studies resulted in marked and extended hypoglycemia with associated clinical signs of toxicity and degenerative histopathological changes in the stomach, sciatic nerve, myocardium, and skeletal muscles at exposures comparable to those expected at therapeutic clinical exposures. To investigate whether these adverse effects were secondary to exaggerated pharmacology (prolonged hypoglycemia), BMS-820132 was administered daily to male Zucker diabetic fatty (ZDF) rats for 1 mo. ZDF rats are markedly hyperglycemic and insulin resistant. BMS-820132 did not induce hypoglycemia, clinical signs of hypoglycemia, or any of the histopathologic adverse effects observed in the 1 mo toxicology studies at exposures that exceeded those observed in SD rats and dogs. This indicates that the toxicity observed in euglycemic animals was secondary to the exaggerated pharmacology of potent GK activation. This study indicates that ZDF rats, with conventional toxicity studies, are a useful disease model for testing antidiabetic agents and determining toxicities that are independent of prolonged hypoglycemia.


Subject(s)
Diabetes Mellitus/genetics , Enzyme Activators/toxicity , Hypoglycemia/chemically induced , Hypoglycemic Agents/toxicity , Rats, Zucker/metabolism , Animals , Blood Glucose/metabolism , Body Weight/drug effects , Diabetes Mellitus/pathology , Dogs , Eating/drug effects , Enzyme Activators/pharmacokinetics , Glucokinase/genetics , Hypoglycemia/pathology , Hypoglycemic Agents/pharmacokinetics , Hypoglycemic Agents/pharmacology , Insulin/blood , Insulin Resistance/genetics , Male , Rats , Species Specificity , Toxicokinetics
9.
Bioorg Med Chem Lett ; 25(6): 1196-205, 2015 Mar 15.
Article in English | MEDLINE | ID: mdl-25686852

ABSTRACT

The design, synthesis and structure-activity relationships of a novel series of 3,4-disubstituted pyrrolidine acid analogs as PPAR ligands is outlined. In both the 1,3- and 1,4-oxybenzyl pyrrolidine acid series, the preferred stereochemistry was shown to be the cis-3R,4S isomer, as exemplified by the potent dual PPARα/γ agonists 3k and 4i. The N-4-trifluoromethyl-pyrimidinyl pyrrolidine acid analog 4i was efficacious in lowering fasting glucose and triglyceride levels in diabetic db/db mice.


Subject(s)
Hypoglycemic Agents/chemical synthesis , PPAR alpha/agonists , PPAR gamma/agonists , Pyrrolidines/chemistry , Animals , Blood Glucose/analysis , Diabetes Mellitus, Type 2/drug therapy , Drug Design , Female , Hypoglycemic Agents/chemistry , Hypoglycemic Agents/therapeutic use , Ligands , Mice , Mice, Obese , PPAR alpha/metabolism , PPAR gamma/metabolism , Pyrrolidines/chemical synthesis , Pyrrolidines/therapeutic use , Stereoisomerism , Structure-Activity Relationship , Triglycerides/blood
10.
Bioorg Med Chem Lett ; 20(9): 2933-7, 2010 May 01.
Article in English | MEDLINE | ID: mdl-20356736

ABSTRACT

The synthesis and follow-up SAR studies of our development candidate 1 by incorporating 2-aryl-4-oxazolylmethoxy and 2-aryl-4-thiazolylmethoxy moieties into the oxybenzylglycine framework of the PPARalpha/gamma dual agonist muraglitazar is described. SAR studies indicate that different substituents on the aryloxazole/thiazole moieties as well as the choice of carbamate substituent on the glycine moiety can significantly modulate the selectivity of PPARalpha versus PPARgamma. Potent, highly selective PPARalpha activators 2a and 2l, as well as PPARalpha activators with significant PPARgamma activity, such as 2s, were identified. The in vivo pharmacology of these compounds in preclinical animal models as well as their ADME profiles are discussed.


Subject(s)
Anti-Inflammatory Agents/chemical synthesis , Glycine/analogs & derivatives , PPAR alpha/agonists , PPAR gamma/agonists , Animals , Anti-Inflammatory Agents/chemistry , Anti-Inflammatory Agents/pharmacokinetics , Binding Sites , Cricetinae , Crystallography, X-Ray , Glycine/chemical synthesis , Glycine/pharmacokinetics , Humans , Male , PPAR alpha/metabolism , PPAR gamma/metabolism , Rats , Rats, Sprague-Dawley , Structure-Activity Relationship
11.
J Med Chem ; 53(7): 2854-64, 2010 Apr 08.
Article in English | MEDLINE | ID: mdl-20218621

ABSTRACT

An 1,3-oxybenzylglycine based compound 2 (BMS-687453) was discovered to be a potent and selective peroxisome proliferator activated receptor (PPAR) alpha agonist, with an EC(50) of 10 nM for human PPARalpha and approximately 410-fold selectivity vs human PPARgamma in PPAR-GAL4 transactivation assays. Similar potencies and selectivity were also observed in the full length receptor co-transfection assays. Compound 2 has negligible cross-reactivity against a panel of human nuclear hormone receptors including PPARdelta. Compound 2 demonstrated an excellent pharmacological and safety profile in preclinical studies and thus was chosen as a development candidate for the treatment of atherosclerosis and dyslipidemia. The X-ray cocrystal structures of the early lead compound 12 and compound 2 in complex with PPARalpha ligand binding domain (LBD) were determined. The role of the crystal structure of compound 12 with PPARalpha in the development of the SAR that ultimately resulted in the discovery of compound 2 is discussed.


Subject(s)
Drug Discovery , Glycine/analogs & derivatives , Oxazoles/chemistry , Oxazoles/pharmacology , PPAR alpha/agonists , Animals , Cell Line , Cricetinae , Crystallography, X-Ray , Drug-Related Side Effects and Adverse Reactions , Glycine/chemical synthesis , Glycine/chemistry , Glycine/pharmacology , Glycine/toxicity , Humans , Male , Mice , Models, Molecular , Oxazoles/chemical synthesis , Oxazoles/toxicity , PPAR alpha/chemistry , PPAR alpha/genetics , Protein Structure, Tertiary , Substrate Specificity , Transcriptional Activation/drug effects
12.
Bioorg Med Chem Lett ; 19(5): 1451-6, 2009 Mar 01.
Article in English | MEDLINE | ID: mdl-19201606

ABSTRACT

The design, synthesis and structure-activity relationships of a novel series of N-phenyl-substituted pyrrole, 1,2-pyrazole and 1,2,3-triazole acid analogs as PPAR ligands are outlined. The triazole acid analogs 3f and 4f were identified as potent dual PPARalpha/gamma agonists both in binding and functional assays in vitro. The 3-oxybenzyl triazole acetic acid analog 3f showed excellent glucose and triglyceride lowering in diabetic db/db mice.


Subject(s)
Azoles/chemical synthesis , Drug Design , PPAR alpha/agonists , PPAR gamma/agonists , Animals , Azoles/pharmacology , Cell Line/enzymology , Crystallography, X-Ray , Female , Humans , Hydrogen-Ion Concentration , Mice , Mice, Transgenic , PPAR alpha/metabolism , PPAR gamma/metabolism , Structure-Activity Relationship
13.
Bioorg Med Chem Lett ; 18(12): 3545-50, 2008 Jun 15.
Article in English | MEDLINE | ID: mdl-18511276

ABSTRACT

Several series of substituted dehydropiperidine and piperidine-4-carboxylic acid analogs have been designed and synthesized as novel, potent dual PPARalpha/gamma agonists. The SAR of these series of analogs is discussed. A rare double bond migration occurred during the basic hydrolysis of the alpha,beta-unsaturated dehydropiperidine esters 12, and the structures of the migration products were confirmed through a series of 2D NMR experiments.


Subject(s)
Carboxylic Acids , PPAR alpha/agonists , PPAR gamma/agonists , Piperidines , Binding, Competitive/drug effects , Carboxylic Acids/chemical synthesis , Carboxylic Acids/chemistry , Carboxylic Acids/pharmacology , Dose-Response Relationship, Drug , Drug Design , Humans , Inhibitory Concentration 50 , Molecular Structure , Piperidines/chemical synthesis , Piperidines/chemistry , Piperidines/pharmacology , Stereoisomerism , Structure-Activity Relationship
14.
Bioorg Med Chem Lett ; 18(6): 1939-44, 2008 Mar 15.
Article in English | MEDLINE | ID: mdl-18291645

ABSTRACT

A novel class of azetidinone acid-derived dual PPARalpha/gamma agonists has been synthesized for the treatment of diabetes and dyslipidemia. The preferred stereochemistry in this series for binding and functional agonist activity against both PPARalpha and PPARgamma receptors was shown to be 3S,4S. Synthesis, in vitro and in vivo activities of compounds in this series are described. A high-yielding method for N-arylation of azetidinone esters is also described.


Subject(s)
Azetidines/chemistry , Azetidines/pharmacology , PPAR alpha/agonists , PPAR gamma/agonists , Administration, Oral , Animals , Azetidines/chemical synthesis , Biological Availability , Copper/pharmacology , Crystallography, X-Ray , Cytochrome P-450 Enzyme Inhibitors , Diabetes Mellitus, Experimental/drug therapy , Dyslipidemias/drug therapy , ERG1 Potassium Channel , Ether-A-Go-Go Potassium Channels/metabolism , Glucose/metabolism , Mice , Mice, Mutant Strains , Molecular Structure , PPAR alpha/metabolism , PPAR gamma/metabolism , Protein Conformation , Stereoisomerism , Structure-Activity Relationship , Triglycerides/blood
15.
J Med Chem ; 50(24): 5890-3, 2007 Nov 29.
Article in English | MEDLINE | ID: mdl-17973363

ABSTRACT

A tetrazole-based peptidomimetic 2 (BMS-317180) was discovered as a human growth hormone secretagogue (GHS). Compound 2 is a potent, novel, orally effective GHS that shows an excellent safety profile in preclinical studies. The compound was advanced into clinical development.


Subject(s)
Carbamates/chemical synthesis , Growth Hormone/metabolism , Tetrazoles/chemical synthesis , Administration, Oral , Animals , Biological Availability , Carbamates/pharmacokinetics , Carbamates/pharmacology , Dogs , Esters , Growth Hormone/blood , Human Growth Hormone/metabolism , Humans , Macaca fascicularis , Rats , Solubility , Structure-Activity Relationship , Tetrazoles/pharmacokinetics , Tetrazoles/pharmacology , Water
16.
Bioorg Med Chem Lett ; 17(21): 5928-33, 2007 Nov 01.
Article in English | MEDLINE | ID: mdl-17869100

ABSTRACT

A novel class of Growth Hormone Secretagogues (GHS), based on a tetrazole template, has been discovered. In vitro SAR and in vivo potency within this new class of GHS are described. The tetrazole 9q exhibits good oral bioavailability in rats and dogs as well as efficacy following an oral 10 mg/kg dose in dogs. Solution and solid phase protocols for the synthesis of tetrazole based GHS have been developed.


Subject(s)
Growth Hormone/metabolism , Tetrazoles/chemistry , Tetrazoles/pharmacology , Animals , Dogs , Structure-Activity Relationship , Tetrazoles/chemical synthesis
17.
Anal Biochem ; 363(2): 263-74, 2007 Apr 15.
Article in English | MEDLINE | ID: mdl-17335769

ABSTRACT

Peroxisome proliferator-activated receptors (PPARs) and other members of the nuclear hormone receptor family are important drug targets for the treatment of metabolic diseases. PPARalpha and PPARgamma play crucial roles in lipid and glucose metabolism, respectively. Therefore, screening methods that help to rapidly identify activators of these receptors should be of considerable value. A homogeneous fluorescence polarization (FP) ligand binding assay capable of rapidly identifying ligands that bind to both PPARalpha and PPARgamma has been developed using purified PPARalpha or PPARgamma ligand binding domains and a fluorescein-labeled analog (FLA) of a potent dual PPARalpha/gamma activator. FLA activator showed good binding affinity toward both PPARalpha (K(i)=0.7microM) and PPARgamma (K(i)=0.4microM). The binding of FLA activator was rapid and reached a plateau within 10 min. The resulting FP signal was stable for at least 18h. The FP binding assay performed robustly in a 384-well format, and the average Z' value was 0.77. There was a good correlation between the binding potency (IC(50) values) and rank order of binding potency for a panel of standard PPAR ligands obtained in FP binding assay and scintillation proximity assay or gel filtration binding assays using (3)H-labeled PPARalpha (r(2)=0.99) and PPARgamma (r(2)=0.99) ligands. There was also a good correlation of IC(50) values obtained by FP binding assay and scintillation proximity assay for the clinically used PPAR activators. Thus, the FP binding assay with a single fluorescein-labeled PPARalpha/gamma dual activator offers a homogeneous nonradioactive, sensitive, robust, and less expensive high-throughput assay for detecting compounds that bind to both PPARgamma and PPARalpha. Using this FP binding assay, we have identified a large number of PPARalpha/gamma dual activators. A similar assay platform may be easily adapted to other members of the nuclear hormone receptor family.


Subject(s)
Fluorescence Polarization/methods , Ligands , PPAR alpha/metabolism , PPAR gamma/metabolism , Chromatography, Gel , Dimethyl Sulfoxide/chemistry , Humans , Kinetics , Models, Biological , Molecular Structure , PPAR alpha/agonists , PPAR alpha/genetics , PPAR gamma/agonists , PPAR gamma/genetics , Protein Binding , Reproducibility of Results
19.
Chirality ; 18(9): 746-53, 2006 Sep.
Article in English | MEDLINE | ID: mdl-16856170

ABSTRACT

Compound A, a novel disubstituted pyrrolidine acid, is a member of a new class of agents that are potentially useful for the treatment of diabetes and dyslipidemia. The absolute configuration of this compound was determined by using vibrational circular dichroism (VCD). The results are in agreement with the assignments based on both X-ray analysis and the stereo-selective chemical synthesis. During VCD analysis, the solution conformation for a portion of compound A in CDCl(3) was also established. The compound is found to associate as an H-bonded carboxylic acid "dimer" in CDCl(3) solution, and VCD calculations on a model dimer fragment were required to establish the absolute configuration.


Subject(s)
Acids/analysis , Acids/chemistry , Circular Dichroism/methods , Pyrrolidines/analysis , Pyrrolidines/chemistry , Dimerization , Models, Molecular , Molecular Conformation , Molecular Structure , Solutions/chemistry , Spectrophotometry, Infrared , Stereoisomerism
20.
Mini Rev Med Chem ; 5(8): 741-53, 2005 Aug.
Article in English | MEDLINE | ID: mdl-16101410

ABSTRACT

Peroxisome proliferator-activated receptors (PPARs) alpha, gamma and delta (beta) are ligand-activated transcription factors of the nuclear hormone receptor superfamily which have been shown to play key roles in maintaining glucose and lipid homeostasis. The physiological effects of several marketed drugs for the treatment of dyslipidemia (fenofibrate and gemfibrozil) and diabetes (rosiglitazone and pioglitazone) have now been shown to be mediated through PPARalpha and PPARgamma respectively. Over the past few years our understanding of how PPAR ligands and receptors modulate gene expression has greatly increased; this knowledge is being used to design even more potent and efficacious PPAR ligands for the treatment of diabetes, dyslipidemia, atherosclerosis and obesity. This review is a brief survey of the PPAR field which highlights recent progress, with an emphasis on new ligands with novel PPAR profiles, particularly compounds which are co-agonists of PPAalpha, gamma and beta (delta).


Subject(s)
Antimetabolites/therapeutic use , Cardiovascular Diseases/drug therapy , Homeostasis/drug effects , Metabolic Diseases/drug therapy , Peroxisome Proliferator-Activated Receptors/metabolism , Transcription Factors/drug effects , Animals , Cardiovascular Diseases/metabolism , Drug Delivery Systems , Glucose/metabolism , Homeostasis/physiology , Humans , Ligands , Lipid Metabolism , Metabolic Diseases/metabolism , Peroxisome Proliferator-Activated Receptors/agonists , Peroxisome Proliferator-Activated Receptors/antagonists & inhibitors , Transcription Factors/metabolism
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