Background::Cholesterol is considered a major factor contributing to cardiovascular diseases.
Statins, the most commonly prescribed cholesterol-lowering drugs, are known to have various limitations. Inhibition
of Adenosine Triphosphate-Citrate Lyase (ACLY) has been proposed as an alternative therapeutic
strategy for managing hypercholesterolemia by lowering cholesterol levels. This has led to the discovery of a
cell-permeable small molecule ACLY inhibitor.
Methods::ACLY enzyme activity was assessed using an ACLY Assay Kit with the ADP-Glo Kinase Assay
Kit. HepG2 cells were treated with test compounds to demonstrate cholesterol and fatty acid synthesis. Pharmacokinetic
studies were performed on CD-1 mice following a single oral dose of the compounds. Hypercholesterolemia
was induced in mice through a High-Fat and High Cholesterol Diet (HFHCD), and drugs were
administered orally for six weeks. Serum and hepatic lipid profiles were subsequently analyzed.
Results::To increase the pharmacochemical properties, four analogues of BMS-303141, ID0018, ID0023,
ID0085, and ID0106, were designed and synthesized. These compounds showed superior ACLY inhibitory
activity and dose-dependent suppression of cholesterol and fatty acid synthesis in HepG2 cells. Among the
analogues, ID0085 exhibited the most potent ACLY inhibition (IC50: 45 nM, 10-fold lower than BMS-
303141) and achieved near-complete suppression in cholesterol and fatty acid synthesis at the highest concentration.
Pharmacokinetic studies revealed improved half-lives and systemic exposures for all analogues.
In hypercholesterolemic mouse models, test compounds significantly reduced serum total cholesterol
(32.0-57.3%) and low-density lipoprotein cholesterol (67.5-80.2%) levels compared to the vehicle group. Notably,
ID0085 also increased high-density lipoprotein cholesterol levels.
Conclusion::Based on the results, ID0085 appears to be the most promising therapeutic candidate for the
treatment of hypercholesterolemia.