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Pimozide is a conventional antipsychotic of the diphenylbutylpiperidine class that has been clinically used for over 30 years. The obvious side effect of this drug is weight gain. However, the mechanism of pimozide-induced weight gain is still unknown. In the present study, we identified pimozide as a novel fatty acid binding protein 4 (FABP4) inhibitor using molecular docking simulation as well as biochemical characterizations. BMS309403, a well-known FABP4 inhibitor, elevated the basal protein levels of PPARγ, therefore stimulating adipogenesis in adipocytes. The present study showed that the inhibitory effect of pimozide on FABP4 promoted adipocyte differentiation with the potency proportional to their propensities for weight gain. These effects in adipogenesis by pimozide may help to explain the weight gain that is frequently observed in patients treated with pimozide.

Original publication

DOI

10.1021/cn5002107

Type

Journal article

Journal

ACS Chem Neurosci

Publication Date

18/02/2015

Volume

6

Pages

211 - 218

Keywords

PPARγ, Pimozide, adipogenesis, fatty acid binding protein 4 inhibitor, molecular docking, 3T3-L1 Cells, Adipocytes, Adipogenesis, Anilides, Animals, Biphenyl Compounds, Cell Differentiation, Central Nervous System Agents, Dose-Response Relationship, Drug, Fatty Acid-Binding Proteins, Humans, Mice, Molecular Docking Simulation, PPAR gamma, Pimozide, Pyrazoles