TY - JOUR A1 - Heitel, Pascal A1 - Faudone, Giuseppe A1 - Helmstädter, Moritz A1 - Schmidt, Jurema A1 - Kaiser, Astrid A1 - Tjaden, Amelie A1 - Schröder, Martin A1 - Müller, Susanne A1 - Schierle, Simone A1 - Pollinger, Julius Carl A1 - Merk, Daniel T1 - A triple farnesoid X receptor and peroxisome proliferator-activated receptor α/δ activator reverses hepatic fibrosis in diet-induced NASH in mice T2 - Communications chemistry N2 - Non-alcoholic steatohepatitis (NASH) - a hepatic manifestation of the metabolic syndrome - is a multifactorial disease with alarming global prevalence. It involves steatosis, inflammation and fibrosis in the liver, thus demanding multiple modes of action for robust therapeutic efficacy. Aiming to fuse complementary validated anti-NASH strategies in a single molecule, we have designed and systematically optimized a scaffold for triple activation of farnesoid X receptor (FXR), peroxisome proliferator-activated receptor (PPAR) α and PPARδ. Pilot profiling of the resulting triple modulator demonstrated target engagement in native cellular settings and in mice, rendering it a suitable tool to probe the triple modulator concept in vivo. In DIO NASH in mice, the triple agonist counteracted hepatic inflammation and reversed hepatic fibrosis highlighting the potential of designed polypharmacology in NASH. KW - Medicinal chemistry KW - Pharmacology KW - Small molecules KW - Target validation Y1 - 2020 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/75068 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-750681 SN - 2399-3669 N1 - This research was financially supported by the WIPANO program of the German Federal Ministry for Economic Affairs and Energy (grant 03THW10H09) and by the Aventis Foundation. Open Access funding enabled and organized by Projekt DEAL. VL - 3 IS - art. 174 SP - 1 EP - 16 PB - Macmillan Publishers Limited, part of Springer Nature CY - [London] ER -