Drug intelligence / Profile preview

R,S-1,3-butanediol diacetoacetate

Development stage
Preclinical
Lead developer
Case Western Reserve University
Modality
Small Molecules
Administration
Oral
01

Overview

R,S-1,3-butanediol diacetoacetate (BD-AcAc2) is a synthetic, orally active exogenous ketone diester. It consists of R,S-1,3-butanediol esterified with two molecules of acetoacetate. Upon ingestion, BD-AcAc2 is rapidly hydrolyzed by gastric and tissue esterases to release acetoacetate and R,S-1,3-butanediol, which is subsequently metabolized in the liver to beta-hydroxybutyrate (BHB). This metabolic conversion effectively elevates circulating levels of the ketone bodies acetoacetate, BHB, and acetone, inducing a state of therapeutic ketosis without the need for dietary restriction or fasting. BD-AcAc2 has been investigated in preclinical models for its anti-obesity, anticonvulsant, anti-inflammatory, and neuroprotective properties, showing potential in mitigating high-fat diet-induced obesity, hepatic steatosis, central nervous system oxygen toxicity seizures, and chronic colitis.

Other names
(R,S)-1,3-butanediol diacetoacetate1,3-butanediol acetoacetate diesterR,S-1,3-butanediol acetoacetate diesterbutanediol diacetoacetateketone diester
02

Targets

HCAR2 (Hydroxycarboxylic acid receptor 2)HDAC10 (Histone Deacetylase 10)NLRP3 (Nod-like receptor family pyrin domain-containing protein 3)

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