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. Epub 2024 Sep 11.

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.

MeSH terms

  • Animals
  • Diet, High-Fat
  • Drug Discovery
  • Fatty Liver / drug therapy
  • Fatty Liver / metabolism
  • Hep G2 Cells
  • Humans
  • Liver X Receptors* / antagonists & inhibitors
  • Liver X Receptors* / metabolism
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Signal Transduction* / drug effects
  • Sirtuins* / antagonists & inhibitors
  • Sirtuins* / metabolism
  • Sterol Regulatory Element Binding Protein 1* / antagonists & inhibitors
  • Sterol Regulatory Element Binding Protein 1* / metabolism
  • Structure-Activity Relationship

Substances

  • Sterol Regulatory Element Binding Protein 1
  • Liver X Receptors
  • Sirtuins
  • SIRT6 protein, human