Discovery of N-Aryl- N'-[4-(aryloxy)cyclohexyl]squaramide-Based Inhibitors of LXR/SREBP-1c Signaling Pathway Ameliorating Steatotic Liver Disease: Navigating the Role of SIRT6 Activation

  • J Med Chem. 2024 Oct 10;67(19):17608-17628. doi: 10.1021/acs.jmedchem.4c01597.
Long Huu Nguyen  1 Ye Eun Cho  1 Soyeong Kim  1  2 Yeonsoo Kim  1 Jinsook Kwak  1 Jung-Soo Suh  3 Jinyoung Lee  1 Kyuwon Son  1 Minseong Kim  1 Eun Seo Jang  1 Naghyun Song  1 BuChul Choi  1 Jiah Kim  1 Yealin Tak  1 Taeyeon Hwang  4 Jeyun Jo  1 Eun-Woo Lee  5 Sang-Bum Kim  2 Sanghyun Kim  6 Oh-Bin Kwon  2 Sangok Kim  4 Seoung Rak Lee  1  7 Haeseung Lee  1  7 Tae-Jin Kim  3 Seonghwan Hwang  1  7 Hwayoung Yun  1  7
Affiliations
  • 1. College of Pharmacy, Pusan National University, Busan 46241, Republic of Korea.
  • 2. New Drug Development Center, Daegu-Gyeongbuk Medical Innovation Foundation, Daegu 41061, Republic of Korea.
  • 3. Department of Integrated Biological Science, Pusan National University, Busan 46241, Republic of Korea.
  • 4. Korea Bioinformation Center, Korea Research Institute of Bioscience & Biotechnology, Daejeon 34141, Republic of Korea.
  • 5. Metabolic Regulation Research Center, Korea Research Institute of Bioscience and Biotechnology, Daejeon 34141, Republic of Korea.
  • 6. Laboratory Animal Center, Daegu-Gyeongbuk Medical Innovation Foundation, Daegu 41061, Republic of Korea.
  • 7. Research Institute for Drug Development, Pusan National University, Busan 46241, Republic of Korea.
Abstract

Metabolic dysfunction-associated steatotic liver disease (MASLD) is primarily attributed to the abnormal upregulation of hepatic lipogenesis, which is especially caused by the overactivation of the liver X receptor/sterol regulatory element-binding protein-1c (LXR/SREBP-1c) pathway in hepatocytes. In this study, we report the rational design and synthesis of a novel series of squaramides via bioisosteric replacement, which was evaluated for its inhibitory activity on the LXR/SREBP-1c pathway using dual cell-based assays. Compound 31 was found to significantly downregulate LXR, SREBP-1c, and their target genes associated with lipogenesis. Further investigation revealed that compound 31 may indirectly inhibit the LXR/SREBP-1c pathway by activating the upstream regulator Sirtuin 6 (SIRT6). Encouragingly, compound 31 substantially attenuated lipid accumulation in HepG2 cells and in the liver of high-fat-diet-fed mice. These findings suggest that compound 31 holds promise as a candidate for the development of treatments for MASLD and Other lipid metabolism-related diseases.

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