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Synthesis and Biological Evaluation of Ezetimibe Analogs as Possible Cholesterol Absorption Inhibitors

TLDR
Eight new derivatives of the 2-azetidinone cholesterol absorption inhibitors have been synthesized, and all of them were enantiomerically pure and showed comparable effects in lowering the levels of total cholesterol in the serum.
Abstract
In order to investigate the SAR of Ezetimibe analogs for cholesterol absorption inhibitions, amide group and electron-deficient pyridine ring were introduced to the C-(3) carbon chain of Ezetimibe. Eight new derivatives of the 2-azetidinone cholesterol absorption inhibitors have been synthesized, and all of them were enantiomerically pure. All the new compounds were evaluated for their activity to inhibit cholesterol absorption in hamsters, and most of them showed comparable effects in lowering the levels of total cholesterol in the serum.

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Non-systemic drugs: a critical review.

TL;DR: The rapid progress in the identification of intestinal receptors and transporters, their functional characterization and role in metabolic and inflammatory disorders, will undoubtedly renew interest in the development of novel, safe, non-systemic therapeutics.
Journal ArticleDOI

The chemistry and biological potential of azetidin-2-ones.

TL;DR: The biological and pharmacological profile of azetidin-2-ones is reviewed here comprehensively with several examples under fourteen different activity heads.
Journal ArticleDOI

Squalene monooxygenase – a target for hypercholesterolemic therapy

TL;DR: It is suggested that squalene monooxygenase inhibitors could become the hypocholesterolemic agents of the future.
Journal ArticleDOI

Discovery of 2-azetidinone and 1H-pyrrole-2,5-dione derivatives containing sulfonamide group at the side chain as potential cholesterol absorption inhibitors.

TL;DR: 2-azetidinone analogue 9e considerably reduced total cholesterol, LDL-C, FFA and triglyceride in the serum and increased the rate of HDL-C tototal cholesterol, suggesting it could regulate the lipid metabolism and act as a potent CAI.
Journal ArticleDOI

Design, synthesis and biological evaluation of some 2-azetidinone derivatives as potential antihyperlipidemic agents.

TL;DR: In an effort to develop new molecules with improved antihyperlipidemic activity, eight new 2‐azetidinone analogs (4a–4h) of ezetimibe were designed through in silico docking experiments with the crystal structure of the Niemann‐Pick C1‐like 1 protein (NPC1L1).
References
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Journal ArticleDOI

Intestinal absorption of triglyceride and cholesterol. Dietary and pharmacological inhibition to reduce cardiovascular risk

Emilio Ros
- 01 Aug 2000 - 
TL;DR: This review focuses first on present knowledge of the physiology of intestinal fat absorption, necessary to understand the ways to manipulate it in order to obtain the desired effects on dietary triglyceride and cholesterol disposition, and on potential therapeutic targets for inducing a controlled malabsorption of triglyceride.
Journal ArticleDOI

Hypocholesterolemic activity of a novel inhibitor of cholesterol absorption, SCH 48461

TL;DR: A novel hypocholesterolemic agent is described and its pharmacological effects in animal models of hypercholesterolemia are documented and it is shown that 1 mg/kg SCH 48461 rapidly reversed the elevated VLDL + LDL-cholesterol levels of the previous control group to near baseline values.
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β-lactam cholesterol absorption inhibitors

TL;DR: The discovery, SAR, and asymmetric synthesis of this class of hypolipidemic agents are described and mechanism of action studies have led to the development of many biochemical tools for the investigation and identification of novel proteins involved in cholesterol uptake.
Journal ArticleDOI

Characterization of the putative native and recombinant rat sterol transporter Niemann-Pick C1 Like 1 (NPC1L1) protein

TL;DR: Biochemical data indicate that NPC1L1 exists as a predominantly cell surface membrane expressed protein, consistent with its proposed role as the putative intestinal sterol transporter.
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