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Published on: August 16, 2018
Comparative molecular profiling of the PPARα/γ activator aleglitazar: PPAR selectivity, activity and interaction with
Michel Dietz1, Peter Mohr, Bernd Kuhn
1Discovery Technologies, F. Hoffmann-La Roche AG, Grenzacherstrasse 124, Basel 4070, Switzerland.
Abstract:
Peroxisome proliferator-activated receptors (PPARs) are a family of nuclear hormone receptors that control the expression of genes involved in a variety of physiologic processes, through heterodimerization with retinoid X receptor and complex formation with various cofactors. Drugs or treatment regimens that combine the beneficial effects of PPARα and γ agonism present an attractive therapeutic strategy to reduce cardiovascular risk factors. Aleglitazar is a dual PPARα/γ agonist currently in phase III clinical development for the treatment of patients with type 2 diabetes mellitus who recently experienced an acute coronary event. The potency and efficacy of aleglitazar was evaluated in a head-to-head comparison with other PPARα, γ and δ ligands. A comprehensive, 12-concentration dose-response analysis using a cell-based assay showed aleglitazar to be highly potent, with EC(50) values of 5 nM and 9 nM for PPARα and PPARγ, respectively. Cofactor recruitment profiles confirmed that aleglitazar is a potent and balanced activator of PPARα and γ. The efficacy and potency of aleglitazar are discussed in relation to other dual PPARα/γ agonists, in context with the published X-ray crystal structures of both PPARα and γ.
Insights
Aleglitazar, a dual PPARα/γ agonist, demonstrates high potency and balanced activation for treating type 2 diabetes and cardiovascular risk. Its efficacy is confirmed through cell-based assays and cofactor recruitment profiles.
Area of Science:
- Pharmacology
- Molecular Biology
- Endocrinology
Background:
- Peroxisome proliferator-activated receptors (PPARs) are nuclear receptors regulating physiological processes.
- PPARα and PPARγ agonism offers a therapeutic strategy for reducing cardiovascular risk factors.
- Aleglitazar is an investigational dual PPARα/γ agonist for type 2 diabetes mellitus patients post-acute coronary event.
Purpose of the Study:
- To evaluate the potency and efficacy of aleglitazar.
- To compare aleglitazar head-to-head with other PPAR ligands (α, γ, and δ).
- To analyze aleglitazar's cofactor recruitment profile and relate its activity to crystal structures.
Main Methods:
- Cell-based assays with a 12-concentration dose-response analysis.
- Evaluation of cofactor recruitment profiles.
- Comparison with other PPAR ligands and consideration of X-ray crystal structures.
Main Results:
- Aleglitazar exhibited high potency with EC50 values of 5 nM for PPARα and 9 nM for PPARγ.
- Cofactor recruitment profiles confirmed aleglitazar as a potent and balanced activator of PPARα and γ.
- Potency and efficacy were discussed in relation to other dual PPARα/γ agonists.
Conclusions:
- Aleglitazar is a potent and balanced dual PPARα/γ agonist.
- Its pharmacological profile supports its potential therapeutic application in managing type 2 diabetes and cardiovascular risk.
- Further clinical development is warranted based on its demonstrated preclinical efficacy.
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