Multifunctional agents based on benzoxazolone as promising therapeutic drugs for diabetic nephropathy

Eur J Med Chem. 2021 Apr 5:215:113269. doi: 10.1016/j.ejmech.2021.113269. Epub 2021 Feb 7.

Abstract

Diabetic nephropathy (DN) is resulted from activations of polyol pathway and oxidative stress by abnormal metabolism of glucose, and no specific medication is available. We designed a novel class of benzoxazolone derivatives, and a number of individuals were found to have significant antioxidant activity and inhibition of aldose reductase of the key enzyme in the polyol pathway. The outstanding compound (E)-2-(7-(4-hydroxy-3-methoxystyryl)-2-oxobenzo[d]oxazol-3(2H)-yl)acetic acid was identified to reduce urinary proteins in diabetic mice suggesting an alleviation in the diabetic nephropathy, and this was confirmed by kidney hematoxylin-eosin staining. Further investigations showed blood glucose normalization, declined in the polyol pathway and lipid peroxides, and raised glutathione and superoxide dismutase activity. Thus, we suggest a therapeutic function of the compound for DN which could be attributed to the combination of hypoglycemic, aldose reductase inhibition and antioxidant.

Keywords: Antioxidants; Diabetic nephropathy; Drug design; Hypoglycemic; Inhibitors.

MeSH terms

  • Aldehyde Reductase / antagonists & inhibitors
  • Aldehyde Reductase / metabolism
  • Animals
  • Antioxidants / chemical synthesis
  • Antioxidants / metabolism
  • Antioxidants / therapeutic use*
  • Benzoxazoles / chemical synthesis
  • Benzoxazoles / metabolism
  • Benzoxazoles / therapeutic use*
  • Diabetes Mellitus, Experimental / drug therapy
  • Diabetic Nephropathies / drug therapy*
  • Enzyme Inhibitors / chemical synthesis
  • Enzyme Inhibitors / metabolism
  • Enzyme Inhibitors / therapeutic use*
  • HEK293 Cells
  • Humans
  • Hypoglycemic Agents / chemical synthesis
  • Hypoglycemic Agents / metabolism
  • Hypoglycemic Agents / therapeutic use*
  • Mice
  • Molecular Docking Simulation
  • Molecular Structure
  • Protein Binding
  • Structure-Activity Relationship

Substances

  • Antioxidants
  • Benzoxazoles
  • Enzyme Inhibitors
  • Hypoglycemic Agents
  • benzoxazolone
  • Aldehyde Reductase