A Novel FXR-Targeted DUBTAC and Its Applications in Cholestasis Therapy

Ming Cui1,2, Bin Tang1,2, Tingting Yao1,2

  • 1State Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing 210000, P. R. China.

Insights

Researchers discovered D11, a novel compound that stabilizes Farnesoid X receptor (FXR) protein levels. This breakthrough offers a promising new therapeutic strategy for cholestatic liver diseases by preventing protein degradation.

Area of Science:

  • Pharmacology
  • Hepatology
  • Molecular Biology

Background:

  • Farnesoid X receptor (FXR) is crucial for treating cholestatic liver diseases.
  • FXR agonists often lose efficacy because the receptor degrades under disease conditions.

Purpose of the Study:

  • To discover and develop novel FXR stabilizers for cholestasis therapy.
  • To investigate a new therapeutic approach by stabilizing FXR instead of activating it.

Main Methods:

  • Synthesized 31 novel compounds by linking FXR ligands with an OTUB1 ligand.
  • Evaluated compound D11 for its ability to stabilize FXR protein in vitro (HepG2 cells) and in vivo (ANIT-induced cholestasis mouse model).
  • Assessed the mechanism of action, requiring a functional ubiquitin-proteasome system.

Main Results:

  • Compound D11 significantly increased FXR protein levels in HepG2 cells and in mice with cholestasis.
  • D11 demonstrated potent hepatoprotective effects against cholestasis.
  • The compound exhibited a favorable safety profile.

Conclusions:

  • D11 is a potent FXR deubiquitinase-activating compound (DUBTAC) stabilizer and a promising candidate for cholestasis treatment.
  • Stabilizing FXR offers a novel therapeutic avenue for cholestatic liver diseases, overcoming limitations of traditional FXR agonists.

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