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- W2790759849 abstract "GPR40 is a clinically validated molecular target for the treatment of diabetes. Many GPR40 agonists have been identified to date, with the partial agonist fasiglifam (TAK-875) reaching phase III clinical trials before its development was terminated due to off-target liver toxicity. Since then, attention has shifted toward the development of full agonists that exhibit superior efficacy in preclinical models. Full agonists bind to a distinct binding site, suggesting conformational plasticity and a potential for biased agonism. Indeed, it has been suggested that alternative pharmacology may be required for meaningful efficacy. In this study, we described the discovery and characterization of Compound A, a newly identified GPR40 allosteric full agonist highly efficacious in human islets at potentiating glucose-stimulated insulin secretion. We compared Compound A–induced GPR40 activity to that induced by both fasiglifam and AM-1638, another allosteric full agonist previously reported to be highly efficacious in preclinical models, at a panel of G proteins. Compound A was a full agonist at both the G<i>α</i>q and G<i>α</i>i2 pathways, and in contrast to fasiglifam Compound A also induced G<i>α</i>12 coupling. Compound A and AM-1638 displayed similar activity at all pathways tested. The G<i>α</i><sub>12</sub>/G<i>α</i><sub>13</sub>-mediated signaling pathway has been linked to protein kinase D activation as well as actin remodeling, well known to contribute to the release of insulin vesicles. Our data suggest that the pharmacology of GPR40 is complex and that G<i>α</i>12/G<i>α</i>13-mediated signaling, which may contribute to GPR40 agonists therapeutic efficacy, is a specific property of GPR40 allosteric full agonists." @default.
- W2790759849 created "2018-03-29" @default.
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- W2790759849 date "2018-03-23" @default.
- W2790759849 modified "2023-09-27" @default.
- W2790759849 title "GPR40-Mediated G<i>α</i>12 Activation by Allosteric Full Agonists Highly Efficacious at Potentiating Glucose-Stimulated Insulin Secretion in Human Islets" @default.
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- W2790759849 doi "https://doi.org/10.1124/mol.117.111369" @default.
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