GPR40 is a
free fatty acid receptor that has been shown to regulate
glucose-dependent insulin secretion. This study aimed to discover novel GPR40 agonists and investigate the whole-body effect on
glucose metabolism of GPR40 activation using these novel GPR40 agonists. To identify novel GPR40-specific agonists, we conducted high-throughput chemical compound screening and evaluated
glucose-dependent insulin secretion. To investigate the whole-body effect on
glucose metabolism of GPR40 activation, we conducted repeat administration of the novel GPR40 agonists to diabetic model ob/ob mice and evaluated metabolic parameters. To characterize the effect of the novel GPR40 agonists more deeply, we conducted an
insulin tolerance test and a euglycemic-hyperinsulinemic clamp test. As a result, we discovered the novel GPR40-specific agonists, including
AS2034178 [bis{2-[(4-{[4'-(2-hydroxyethoxy)-2'-methyl[1,1'-
biphenyl]-3-yl]methoxy}phenyl)methyl]-3,5-dioxo-1,2,4-oxadiazolidin-4-ide} tetrahydrate], and found that its exhibited
glucose-dependent insulin secretion enhancement both in vitro and in vivo. In addition, the compounds also decreased plasma
glucose and HbA1c levels after repeat administration to ob/ob mice, with favorable oral absorption and pharmacokinetics. Repeat administration of
AS2034178 enhanced
insulin sensitivity in an
insulin tolerance test and a euglycemic-hyperinsulinemic clamp test. These results indicate that improvement of
glucose-dependent insulin secretion leads the improvement of whole-body
glucose metabolism chronically. In conclusion,
AS2034178 and other GPR40 agonists may become useful
therapeutics in the treatment of
type 2 diabetes mellitus.