The carboxylesterase Notum has been shown to act as a key negative regulator of the Wnt signalling pathway by mediating the depalmitoleoylation of Wnt proteins. LP-922056 () is an orally active inhibitor of Notum. We are investigating the role of Notum in modulating Wnt signalling in the central nervous system and wished to establish if would serve as a peripherally restricted control. An accessible and improved synthetic route would allow to become more readily available as a chemical tool to explore the fundamental biology of Notum and build target validation to underpin new drug discovery programs. An improved, scalable synthesis of is reported. Key modifications include: (1) the introduction of the C7-cyclopropyl group was most effectively achieved with a Suzuki-Miyaura cross-coupling reaction with MIDA-boronate ( → ), and (2) C6 chlorination was performed with 1-chloro-1,2-benziodoxol-3-one () ( → ) as a mild and selective electrophilic chlorination agent. This 7-step route from has been reliably performed on large scale to produce multigram quantities of in good efficiency and high purity. Pharmacokinetic studies in mouse showed CNS penetration of is very low with a brain/plasma concentration ratio of just 0.01. A small library of amides were prepared from acid to explore if could be modified to deliver a CNS penetrant tool by capping off the acid as an amide. Although significant Notum inhibition activity could be achieved, none of these amides demonstrated the required combination of metabolic stability along with cell permeability without evidence of P-gp mediated efflux. Mouse pharmacokinetic studies demonstrate that is unsuitable for use in models of disease where brain penetration is an essential requirement of the compound but would be an ideal peripherally restricted control. These data will contribute to the understanding of drug levels of to overlay with appropriate in vivo efficacy endpoints, i.e., the PK-PD relationship. The identification of a suitable analogue of (or ) which combines Notum inhibition with CNS penetration would be a valuable chemical probe for investigating the role of Notum in disease models.
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http://dx.doi.org/10.3762/bjoc.15.271 | DOI Listing |
Langmuir
January 2025
Department of Chemistry, Faculty of Science, University of Kurdistan, Pasdaran Boulevard, Sanandaj 66177-15175, Iran.
Water splitting by an electrochemical method to generate hydrogen gas is an economic and green approach to resolve the looming energy and environmental crisis. Designing a composite electrocatalyst having integrated multichannel charge separation, robust stability, and low-cost facile scalability could be considered to address the issue of electrochemical hydrogen evolution. Herein, we report a superhydrophilic, noble-metal-free bimetallic nanostructure TiO/NiP coated on graphitic polyacrylonitrile carbon fibers (g-C/TiO/NiP) using a facile hydrothermal method followed by phosphorylation.
View Article and Find Full Text PDFJ Med Internet Res
January 2025
Department of Health Promotion and Health Education, College of Education, National Taiwan Normal University, Taipei, Taiwan.
Background: Chronic kidney disease (CKD) imposes a significant global health and economic burden, impacting millions globally. Despite its high prevalence, public awareness and understanding of CKD remain limited, leading to delayed diagnosis and suboptimal management. Traditional patient education methods, such as 1-on-1 verbal instruction or printed brochures, are often insufficient, especially considering the shortage of nursing staff.
View Article and Find Full Text PDFPLOS Digit Health
January 2025
School of Nursing, McMaster University, Hamilton, Ontario, Canada.
The multicomponent Remission Evaluation of Medical Interventions in T2D (REMIT) program has shown reduction of hazard of diabetes relapse by 34-43%, but could benefit from improved ability to scale, spread, and sustain it. This study explored, at the conceptualization phase, patient and health coach perspectives on the acceptability, adoption, feasibility, and appropriateness of a digital REMIT adaptation (diabetes technology enabled coaching (DTEC)). Twelve semi-structured interviews were conducted with patients (n = 6) and health coaches (n = 6) to explore their experiences with the REMIT study, opportunities for virtualisation, and a cognitive walkthrough of solution concepts.
View Article and Find Full Text PDFMed Teach
January 2025
Professor of Medicine and Executive Dean, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Feedback plays a crucial role in the growth and development of trainees, particularly when addressing areas needing improvement. However, faculty members often struggle to deliver constructive feedback, particularly when discussing underperformance. A key obstacle is the lack of comfort many faculty experience in providing feedback that fosters growth.
View Article and Find Full Text PDFBackground: Alzheimer's disease (AD) impacts over 50 million individuals and imposes a substantial burden on patients, caregivers, and society at large. Recent research suggests that AD is a continuum comprising preclinical, prodromal, and dementia stages, with underlying pathology manifesting well before symptoms appear. Early and accurate diagnosis is therefore crucial for optimal clinical outcomes; yet current diagnostic methods, such as neuroimaging and cerebrospinal fluid lumbar puncture, are expensive and invasive.
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