REPURPOSING ANTIHYPERLIPIDEMIC DRUGS BEYOND LIPID LOWERING: IN SILICO APPROACH INTO ITS GLP-1 RECEPTOR MODULATOR POTENTIAL

Kerem BURAN, Şaban KALAY

Journal of Research in Pharmacy - 2026;30(2):381-387

Department of Pharmaceutical Chemistry, Hamidiye Faculty of Pharmacy, University of Health Sciences, İstanbul

 

Drug repositioning has recently become a crucial tool for discovering new biological effects of clinically used drugs. This study investigated the GLP-1 receptor modulator activity of antihyperlipidemic drugs, which are widely used by diabetic patients and those with cardiovascular diseases. The study was conducted using CB-Dock, an internet-based molecular docking program. The binding energies (kcal/mol) of the selected antihyperlipidemic drugs to the GLP-1 receptor were calculated, and Danuglipron was used as a reference compound. A comparison of the binding energies revealed that both the binding energy and localization of Ezetimibe were highly comparable those of Danuglipron. Following this analysis, the physicochemical and toxicological properties of Ezetimibe, the most potent compound, and Danuglipron were compared computationally. Docking analyses suggest that while Danuglipron engages the GLP-1 receptor through a canonical orthosteric binding mode, Ezetimibe preferentially occupies a more superficial cavity consistent with a potential allosteric modulatory interaction. This distinction highlights mechanistic differences between peptide-mimetic agonists and repurposed small-molecule candidates