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Animal Models

Investigation of an ALDH1A1-specific inhibitor for suppression of weight gain in a diet-induced mouse model of obesity

Abstract

Background

Retinoic acid (RA) controls diverse physiological functions including weight regulation and energy metabolism. It has been reported that mice lacking ALDH1A1, one of the aldehyde dehydrogenases (ALDH) that synthesize RA, are healthy and resistant to weight gain, raising the possibility that inhibiting this enzyme might treat obesity. We previously demonstrated that treatment with a pan-ALDH1A enzyme inhibitor, WIN18446, suppressed weight gain in mice fed a high-fat diet (HFD), but caused increased hepatic lipidosis and reversible male infertility.

Methods

A series of piperazine compounds that inhibited ALDH1A1 were identified and their inhibitory activity was characterized in vitro using purified recombinant enzymes and cell-based assay systems. One potent compound, FSI-TN42 (N42) was examined for its oral bioavailability and pharmacodynamic effects. In addition, its effect on weight gain was investigated by daily oral administration to C57BL/6 male mice receiving a HFD, and compared with mice receiving WIN18446 or vehicle alone (n = 6/group, 200 mg compound/kg body weight) for 5 weeks. Body weights were measured weekly, and a glucose tolerance test was performed after 4 weeks of treatment. Tissues were collected to determine changes in adipose weight, hepatic lipidosis, retinoid metabolism, and expression of genes associated with RA and lipid metabolism.

Results

N42 irreversibly binds and inhibits ALDH1A1 in vitro with a low nM IC50 and 800-fold specificity for ALDH1A1 compared to ALDH1A2. Daily oral administration of N42 significantly suppressed weight gain (P < 0.05) and reduced visceral adiposity (p < 0.05) in mice fed a HFD without the hepatic lipidosis observed with WIN18446 treatment.

Conclusions

We developed a potent and specific inhibitor of ALDH1A1 that suppressed weight gain in mice fed a HFD. These findings demonstrate that inhibition of ALDH1A1 is a feasible target for drug development to treat and/or prevent obesity.

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Fig. 1: Characterization of novel ALDH1A1 inhibitor, N42.
Fig. 2: Pharmacokinetics and pharmacodynamics of N42.
Fig. 3: Efficacy of N42 in reduction of weight gain in mice fed a HFD.
Fig. 4: Effects of N42 in hepatic lipidosis.
Fig. 5: Pharmacodynamic effects of N42 on RA synthesis in various tissues after 5 weeks of treatment.

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Acknowledgements

This work was supported by the National Institute of Health (NIH) grant (R56 DK110239-01A1). Protein mass analysis was performed at Mass-Spectrometry Center (School of Pharmacy, UW) and liver histology was performed at Histology Imaging Core (Department of Comparative Medicine, UW).

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Correspondence to Jisun Paik.

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Conflict of interest

Authors (MH, ASG, JKA, PT, and JP) have filed a patent application (WO2020123855) for FSI-TN42. TN, CAF, and TB declare no potential competing interests.

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Haenisch, M., Nguyen, T., Fihn, C.A. et al. Investigation of an ALDH1A1-specific inhibitor for suppression of weight gain in a diet-induced mouse model of obesity. Int J Obes 45, 1542–1552 (2021). https://doi.org/10.1038/s41366-021-00818-1

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