N-{3-[2-(4-Alkoxyphenoxy)thiazol-5-yl]-1-methylprop-2-ynyl}carboxy Derivatives as Acetyl-CoA Carboxylase Inhibitors-Improvement of Cardiovascular and Neurological Liabilities via Structural Mod
A preliminary safety evaluation of ACC2 inhibitor 1-(S) revealed serious neurological and cardiovascularliabilities of this chemotype. A systematic structure-toxicity relationship study identified the alkyne linkeras the key motif responsible for these adverse effects. Toxicogenomic studies in rats showed that 1-(R) and1-(S) induced gene expression patterns similar to that seen with several known cardiotoxic agents such asdoxorubicin. Replacement of the alkyne with alternative linker groups led to a new series of ACC inhibitorswith drastically improved cardiovascular and neurological profiles.