Identification of 2,2-Dimethylbutanoic Acid (HST5040), a Clinical Development Candidate for the Treatment of Propionic Acidemia and Methylmalonic Acidemia

نویسندگان

چکیده

Propionic acidemia (PA) and methylmalonic (MMA) are rare autosomal recessive disorders of propionyl-CoA (P-CoA) catabolism, caused by a deficiency in the enzymes P-CoA carboxylase methylmalonyl-CoA (M-CoA) mutase, respectively. PA MMA classified as intoxication-type inborn errors metabolism because intramitochondrial accumulation P-CoA, M-CoA, other metabolites results secondary inhibition multiple pathways intermediary metabolism, leading to organ dysfunction failure. Herein, we describe structure–activity relationships series short-chain carboxylic acids which reduce disease-related primary hepatocyte disease models. These studies culminated identification 2,2-dimethylbutanoic acid (10, HST5040) clinical candidate for treatment MMA. Additionally, vitro vivo absorption, distribution, excretion profile HST5040, data from preclinical studies, synthesis sodium salt HST5040 trials.

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ژورنال

عنوان ژورنال: Journal of Medicinal Chemistry

سال: 2021

ISSN: ['0022-2623', '1520-4804']

DOI: https://doi.org/10.1021/acs.jmedchem.1c00124