The discovery of drugs for obesity, the metabolic effects of leptin and variable receptor pharmacology: perspectives from β3-adrenoceptor agonists
Abstract
Although beta3-adrenoceptor (beta3AR) agonists have not become drugs for the treatment of obesity or diabetes, they offer perspectives on obesity drug discovery, the physiology of energy expenditure and receptor pharmacology. beta3AR agonists, some of which also stimulate other betaARs in humans, selectively stimulate fat oxidation in rodents and humans. This appears to be why they improve insulin sensitivity and reduce body fat whilst preserving lean body mass. Regulatory authorities ask that novel anti-obesity drugs improve insulin sensitivity and reduce mainly body fat. Drugs that act on different targets to stimulate fat oxidation may also offer these benefits. Stimulation of energy expenditure may be easy to detect only when the sympathetic nervous system is activated. Leptin resembles beta3AR agonists in that it increases fat oxidation, energy expenditure and insulin sensitivity. This is partly because it raises sympathetic activity, but it may also promote fat oxidation by directly stimulating muscle leptin receptors. The beta1AR and beta2AR can, like the beta3AR, display atypical pharmacologies. Moreover, the beta3AR can display variable pharmacologies of its own, depending on the radioligand used in binding studies or the functional response measured. Studies on the beta3AR demonstrate both the difficulties of predicting the in vivo effects of agonist drugs from in vitro data and that there may be opportunities for identifying drugs that act at a single receptor but have different profiles in vivo.
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A second generation of β3 agonists with better binding properties had poor oral bioavailability or unfavorable pharmacokinetics.
“A second generation of β3 agonists with better binding properties had poor oral bioavailability or unfavorable pharmacokinetics 141.”
From Cellular bioenergetics as a target for obesity therapy (2010) · cites this paper as [141]
The effect of L-796568 seemed to be lost after 28 days of treatment.
“One β3 agonist, L-796568, increased lipolysis and energy expenditure in overweight men acutely 142, but its effect seemed to be lost after 28 days of treatment 79,141.”
From Cellular bioenergetics as a target for obesity therapy (2010) · cites this paper as [141]
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- Authors
- Arch, J. R. S.
- Affiliations
- University of Buckingham (GB)
- Corresponding author
- Arch, Jonathan R. S.
- Venue
- Naunyn-Schmiedeberg's Archives of Pharmacology
- Published
- 2008-07-09
- Volume
- 378
- Issue
- 2
- Pages
- 225-240
- ISSN
- 0028-1298 (ISSN-L)
- 1432-1912
- OpenAlex
- W1984351353
- Cited by
- 96
- References
- 200
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 3 · 2022: 3 · 2021: 3 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 5 · 2016: 7 · 2015: 11 · 2014: 5 · 2013: 7 · 2012: 13
- FWCI
- 1.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Naunyn-Schmiedeberg s Archives of Pharmacology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Medicine › Pharmacology › Pharmacology and Obesity Treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Receptor Mechanisms and Signaling
- Keywords
- beta3-adrenergic agonists, leptin, energy expenditure, fat oxidation, insulin sensitivity, beta1-adrenergic receptor, beta2-adrenergic receptor, sympathetic nervous system, leptin receptor, receptor pharmacology, fat loss, lean body mass
- MeSH terms
- Adrenergic beta-Agonists, Animals, Energy Metabolism, Humans, Obesity, Oxidation-Reduction, Anti-Obesity Agents, Leptin, Receptors, Adrenergic, beta-3, History, 20th Century, Lipid Metabolism, Receptors, Leptin, Adrenergic beta-3 Receptor Agonists
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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