Table 1 Clinical trials of metabolic diseases by targeting protein modifications

From: Targeting protein modifications in metabolic diseases: molecular mechanisms and targeted therapies

No.

Drug

Modification

Mechanism

Phase

NCT number

1

Atorvastatin

Prenylation

An HMG-CoA reductase inhibitor; Inhibits the posttranslational prenylation of small guanosine triphosphate binding proteins.

II

NCT02633956

2

Curcumin

Phosphorylation

Ubiquitination

O-GlcNAcylation

An ACC inhibitor; Phosphorylates and inactivates ACC;

Inhibits protein ubiquitination;

Inhibits O-GlcNAcylation pathway.

IV

NCT01052025

3

MK-4074

Phosphorylation

Ubiquitination

O-GlcNAcylation

An ACC inhibitor; Phosphorylates and inactivates ACC;

Inhibits protein ubiquitination;

Inhibits O-GlcNAcylation pathway.

I

NCT01431521

4

PF-05221304

Phosphorylation

Ubiquitination

O-GlcNAcylation

An ACC inhibitor; Phosphorylates and inactivates ACC;

Inhibits protein ubiquitination;

Inhibits O-GlcNAcylation pathway.

I

II

NCT03248882

NCT03776175

5

Firsocostat

Phosphorylation

Ubiquitination

O-GlcNAcylation

An ACC inhibitor; Phosphorylates and inactivates ACC;

Inhibits protein ubiquitination;

Inhibits O-GlcNAcylation pathway.

II

NCT02856555

6

Resveratrol

Acetylation

Decreases PGC-1α acetylation.

I

NCT02704494

7

Selonsertib (GS-4997)

Phosphorylation

An ASK1 inhibitor; Phosphorylates p38/JNK.

II

IIb

N/A

I

II

II

III

III

NCT02177786

NCT04026165

NCT02781584

NCT02509624

NCT02466516

NCT03449446

NCT03053063

NCT03053050

8

BGP-15

Phosphorylation

A PARP inhibitor; Phosphorylates Akt and GSK-3, prevents p38/JNK activation.

II

NCT01069965

9

Tropifexor

Acetylation

A FXR agonist; Acetylates FXR;

Blocks connection of FXR and the SUMO ligase PIASγ.

II

II

NCT02855164

NCT02854605

10

Cilofexor

Acetylation

A FXR agonist, acetylated FXR

Blocks connection of FXR and the SUMO ligase PIASγ.

II

II

II

NCT02854605

NCT03449446

NCT03987074

11

Emricasan

Phosphorylation

Nitrosylation

Ubiquitination

SUMOylation

Acetylation

A pan-Caspase inhibitor; Inhibits SUMOylation of the ligand-binding domain.

II

II

NCT02686762

NCT03205345

12

Dorzagliatin

SUMOylation

Nitrosylation

A GK agonist; Promotes SUMOylation of pancreatic glucokinase.

II

NCT03141073

13

MK-0941

SUMOylation

Nitrosylation

A GK agonist; Promotes SUMOylation of pancreatic glucokinase.

III

/

14

AZD1656

SUMOylation

Nitrosylation

A GK agonist; Promotes SUMOylation of pancreatic glucokinase.

II

II

NCT01152385

NCT01020123

15

Trodusquemine

Phosphorylation

Nitrosylation

Sumoylation

A PTP1B inhibitor; Inhibits phosphorylation, nitrosylation and SUMOylation at active site Cys215.

I

I

I

I

NCT00509132

NCT00806338

NCT00606112

NCT02524951

16

Sodium phenylbutyrate

Acetylation

A HDAC inhibitor; Inhibits histone deacetylase.

I

NTR7426

  1. HMG-CoA 3-hydroxymethylglutaryl coenzyme A, ACC acetyl-CoA carboxylase, FASN fatty acid synthase, AMPK AMP-activated protein kinase, PGC peroxisome proliferator-activated receptor-gamma coactivator, PARP poly (ADP-ribose) polymerase, ASK1 apoptosis signal-regulating kinase 1, JNK Jun N-terminal kinase, TGF transforming growth factor, FXR farnesoid X receptor, GK glucokinase, PTP1B protein tyrosine phosphatase 1B