文摘
The peptide hormone ghrelin is the endogenous ligand for the type 1a growth hormone secretagogue receptor(GHS-R1a) and the only currently known circulating appetite stimulant. GHS-R1a antagonism has thereforebeen proposed as a potential approach for obesity treatment. More recently, ghrelin has been recognized toalso play a role in controlling glucose-induced insulin secretion, which suggests another possible benefit fora GHS-R1a antagonist, namely, the role as an insulin secretagogue with potential value for diabetes treatment.In our laboratories, piperidine-substituted quinazolinone derivatives were identified as a new class of small-molecule GHS-R1a antagonists. Starting from an agonist with poor oral bioavailability, optimization led topotent, selective, and orally bioavailable antagonists. In vivo efficacy evaluation of selected compoundsrevealed suppression of food intake and body weight reduction as well as glucose-lowering effects mediatedby glucose-dependent insulin secretion.