1. Academic Validation
  2. Antidiabetic and cardiovascular beneficial effects of a liver-localized mitochondrial uncoupler

Antidiabetic and cardiovascular beneficial effects of a liver-localized mitochondrial uncoupler

  • Nat Commun. 2019 May 15;10(1):2172. doi: 10.1038/s41467-019-09911-6.
Naohide Kanemoto 1 Takashi Okamoto 2 Koji Tanabe 3 Takahiro Shimada 4 Hitomi Minoshima 5 Yuya Hidoh 4 Masashi Aoyama 6 Takashi Ban 7 Yusuke Kobayashi 2 Hikaru Ando 2 Yuki Inoue 8 Motohiro Itotani 9 Seiji Sato 10
Affiliations

Affiliations

  • 1 Department of Lead Discovery Research, New Drug Research Division, Otsuka Pharmaceutical Co., Ltd., 463-10 Kagasuno Kawauchi-cho, Tokushima, 771-0192, Japan. Kanemoto.Naohide@otsuka.jp.
  • 2 Department of Lead Discovery Research, New Drug Research Division, Otsuka Pharmaceutical Co., Ltd., 463-10 Kagasuno Kawauchi-cho, Tokushima, 771-0192, Japan.
  • 3 Department of CNS Research, New Drug Research Division, Otsuka Pharmaceutical Co., Ltd., 463-10 Kagasuno Kawauchi-cho, Tokushima, 771-0192, Japan.
  • 4 Department of Drug Metabolism and Pharmacokinetics, Nonclinical Research Center, Tokushima Research Institute, Otsuka Pharmaceutical Co., Ltd., 463-10 Kagasuno Kawauchi-cho, Tokushima, 771-0192, Japan.
  • 5 Pharmaceutical Planning Group, Otsuka Pharmaceutical Co., Ltd., 2-16-4 Shinagawa Grand Central Tower Minatominami Minato-ku, Tokyo, 108-8242, Japan.
  • 6 Biology and Translational Research Unit, Department of Medical Innovations, New Drug Research Division, Otsuka Pharmaceutical Co., Ltd., 463-10 Kagasuno Kawauchi-cho, Tokushima, 771-0192, Japan.
  • 7 Department of Renal and Cardiovascular Research, New Drug Research Division, Otsuka Pharmaceutical Co., Ltd., 463-10 Kagasuno Kawauchi-cho, Tokushima, 771-0192, Japan.
  • 8 Department of Drug Safety Research, Nonclinical Research Center, Tokushima Research Institute, Otsuka Pharmaceutical Co., Ltd., 463-10 Kagasuno Kawauchi-cho, Tokushima, 771-0192, Japan.
  • 9 Quality Assurance Section (Tokushima Wajiki Factory), Quality Assurance Department, Headquarters for Product Safety and Quality Assurance, Otsuka Pharmaceutical Co., Ltd., 306-2 Otsubo Koniu aza Naka-cho Naka-gun, Tokushima, 771-5209, Japan.
  • 10 Medicinal Chemistry Research Laboratories, New Drug Research Division, Otsuka Pharmaceutical Co., Ltd., 463-10 Kagasuno Kawauchi-cho, Tokushima, 771-0192, Japan.
Abstract

Inducing mitochondrial uncoupling (mUncoupling) is an attractive therapeutic strategy for treating metabolic diseases because it leads to calorie-wasting by reducing the efficiency of Oxidative Phosphorylation (OXPHOS) in mitochondria. Here we report a safe mUncoupler, OPC-163493, which has unique pharmacokinetic characteristics. OPC-163493 shows a good bioavailability upon oral administration and primarily distributed to specific organs: the liver and kidneys, avoiding systemic toxicities. It exhibits insulin-independent antidiabetic effects in multiple animal models of type I and type II diabetes and antisteatotic effects in fatty liver models. These beneficial effects can be explained by the improvement of glucose metabolism and enhancement of energy expenditure by OPC-163493 in the liver. Moreover, OPC-163493 treatment lowered blood pressure, extended survival, and improved renal function in the rat model of stroke/hypertension, possibly by enhancing NO bioavailability in blood vessels and reducing mitochondrial ROS production. OPC-163493 is a liver-localized/targeted mUncoupler that ameliorates various complications of diabetes.

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