Novel Derivative of Bardoxolone Methyl Improves Safety for the Treatment of Diabetic Nephropathy

J Med Chem. 2017 Nov 9;60(21):8847-8857. doi: 10.1021/acs.jmedchem.7b00971. Epub 2017 Oct 19.

Abstract

Currently, no effective and safe medicines are available to treat diabetic nephropathy (DN). Bardoxolone methyl (CDDO-Me) has displayed promising anti-DN activity as well as serious side effects in clinical trials, probably because the highly reactive α-cyano-α,β-unsaturated ketone (CUK) in ring A of CDDO-Me can covalently bind to thiol functionalities in many biomacromolecules. In this study, we designed and synthesized a γ-glutamyl transpeptidase (GGT)-based and CUK-modified derivative of CDDO-Me (2) to address this issue. 2 can be specifically cleaved by GGT, which is highly expressed in the kidney, to liberate CDDO-Me in situ. It should be noted that 2 exhibited anti-DN efficacy comparable to that of CDDO-Me with much less toxicity in cells and db/db mice, suggesting that its safety is better than CDDO-Me. Our findings not only reveal the therapeutic potential of 2 but also provide a strategy to optimize other synthetic molecules or natural products bearing a pharmacophore like CUK to achieve safer pharmaceutical drugs.

MeSH terms

  • Animals
  • Diabetic Nephropathies / drug therapy*
  • Drug Therapy / methods
  • HEK293 Cells
  • Humans
  • Kidney / injuries
  • Mice
  • Oleanolic Acid / analogs & derivatives*
  • Oleanolic Acid / chemistry
  • Oleanolic Acid / pharmacokinetics
  • Oleanolic Acid / pharmacology
  • Oleanolic Acid / toxicity
  • Rats
  • gamma-Glutamyltransferase

Substances

  • Oleanolic Acid
  • bardoxolone methyl
  • gamma-Glutamyltransferase