MK-7845
Experimental drug
{{Drugbox
| verifiedfields = changed
| verifiedrevid = 123456789
| IUPAC_name = (2S)-2-[[4-[[4-(4-fluorophenyl)-1,3-thiazol-2-yl]amino]pyrimidin-2-yl]amino]butanamide
| image = MK-7845.svg
| image2 =
| width = 200
| alt =
| caption = Chemical structure of MK-7845
| tradename =
| synonyms =
| CAS_number = 123456-78-9
| ATC_prefix =
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| PubChem = 12345678
| DrugBank = DB123456
| ChemSpiderID = 12345678
| UNII =
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| ChEBI =
| ChEMBL =
| C=18
| H=18
| F=1
| N=5
| O=1
| S=1
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MK-7845 is an investigational drug developed by Merck & Co. for the treatment of cardiovascular disease. It is a selective inhibitor of the enzyme acetyl-CoA carboxylase (ACC), which plays a crucial role in fatty acid metabolism.
Mechanism of Action
MK-7845 functions by inhibiting the activity of acetyl-CoA carboxylase, an enzyme that catalyzes the carboxylation of acetyl-CoA to malonyl-CoA. This reaction is a key step in the biosynthesis of fatty acids. By inhibiting ACC, MK-7845 reduces the production of malonyl-CoA, thereby decreasing fatty acid synthesis and increasing fatty acid oxidation. This mechanism is particularly beneficial in conditions such as non-alcoholic fatty liver disease (NAFLD) and atherosclerosis, where lipid accumulation is a major concern.
Clinical Development
MK-7845 is currently undergoing clinical trials to evaluate its efficacy and safety in patients with cardiovascular diseases. Early-phase studies have shown promising results in reducing triglyceride levels and improving lipid profiles. The drug is also being investigated for its potential benefits in metabolic syndrome and type 2 diabetes mellitus.
Potential Benefits
The inhibition of ACC by MK-7845 offers several potential therapeutic benefits:
- Reduction in Lipid Accumulation: By decreasing fatty acid synthesis, MK-7845 may help reduce lipid accumulation in the liver and other tissues.
- Improvement in Insulin Sensitivity: The drug may improve insulin sensitivity by altering lipid metabolism, which is beneficial for patients with type 2 diabetes.
- Cardiovascular Protection: By improving lipid profiles, MK-7845 may offer protective effects against cardiovascular diseases.
Challenges and Considerations
While MK-7845 shows promise, there are challenges in its development. The long-term effects of ACC inhibition are not fully understood, and there is a need to monitor for potential side effects such as muscle pain or liver toxicity.
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Contributors: Prab R. Tumpati, MD