ursodeoxycholic acid   Click here for help

GtoPdb Ligand ID: 7104

Synonyms: Actigall® | UDCA
Approved drug
ursodeoxycholic acid is an approved drug (UK (2003))
Comment: Ursodeoxycholic acid (UDCA) acts as an antagonist of the bile acid receptor farnesoid X receptor (FXR) [5].

SARS-CoV-2 and COVID-19: ACE2's presence on host cells confers susceptibility to SARS-CoV-2 infection. UDCA attenuates bile acid-induced, FXR-mediated upregulation of ACE2 expression in vitro and in vivo [1]. For this effect, UDCA has been proposed as a repurposing drug with antiviral potential against SARS-CoV-2. It is hypothesised that UDCA would reduce SARS-CoV-2 infection potential by lowering the number of ACE2 binding sites on relevant tissues. In support of this theory, a correlation between UDCA treatment for liver conditions and a lower risk of developing severe COVID-19 has been identified,

Ursodeoxycholic acid is found in large quantities in bear bile [2] and this results in the practice of 'farming' bears for bile extraction, in some countries.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 4
Hydrogen bond donors 3
Rotatable bonds 4
Topological polar surface area 77.76
Molecular weight 392.29
XLogP 6.18
No. Lipinski's rules broken 1
SMILES / InChI / InChIKey
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Canonical SMILES OC1CCC2(C(C1)CC(C1C2CCC2(C1CCC2C(CCC(=O)O)C)C)O)C
Isomeric SMILES O[C@@H]1CC[C@]2([C@@H](C1)C[C@@H]([C@@H]1[C@@H]2CC[C@]2([C@H]1CC[C@@H]2[C@@H](CCC(=O)O)C)C)O)C
InChI InChI=1S/C24H40O4/c1-14(4-7-21(27)28)17-5-6-18-22-19(9-11-24(17,18)3)23(2)10-8-16(25)12-15(23)13-20(22)26/h14-20,22,25-26H,4-13H2,1-3H3,(H,27,28)/t14-,15+,16-,17-,18+,19+,20+,22+,23+,24-/m1/s1
InChI Key RUDATBOHQWOJDD-UZVSRGJWSA-N
References
1. Brevini T, Maes M, Webb GJ, John BV, Fuchs CD, Buescher G, Wang L, Griffiths C, Brown ML, Scott 3rd WE et al.. (2023)
FXR inhibition may protect from SARS-CoV-2 infection by reducing ACE2.
Nature, 615 (7950): 134-142. [PMID:36470304]
2. Hagey LR, Crombie DL, Espinosa E, Carey MC, Igimi H, Hofmann AF. (1993)
Ursodeoxycholic acid in the Ursidae: biliary bile acids of bears, pandas, and related carnivores.
J Lipid Res, 34 (11): 1911-7. [PMID:8263415]
3. Jackson H, Solaymani-Dodaran M, Card TR, Aithal GP, Logan R, West J. (2007)
Influence of ursodeoxycholic acid on the mortality and malignancy associated with primary biliary cirrhosis: a population-based cohort study.
Hepatology, 46 (4): 1131-7. [PMID:17685473]
4. Kim RB, Leake B, Cvetkovic M, Roden MM, Nadeau J, Walubo A, Wilkinson GR. (1999)
Modulation by drugs of human hepatic sodium-dependent bile acid transporter (sodium taurocholate cotransporting polypeptide) activity.
J Pharmacol Exp Ther, 291 (3): 1204-9. [PMID:10565843]
5. Sun L, Cai J, Gonzalez FJ. (2021)
The role of farnesoid X receptor in metabolic diseases, and gastrointestinal and liver cancer.
Nat Rev Gastroenterol Hepatol, 18 (5): 335-347. [PMID:33568795]