摘要
目的:本研究的目的是概述几种新兴的抗糖尿病分子。 背景:糖尿病是一种复杂的代谢紊乱,涉及各种水平的葡萄糖稳态失调。 β-胰腺细胞产生的胰岛素是葡萄糖代谢的主要调节剂,调节其在细胞内的消耗,从而导致能量的产生或作为糖原的存储。 β细胞的胰岛素分泌异常低,胰岛素不敏感性和胰岛素耐受性导致血浆葡萄糖水平升高,从而导致代谢并发症。上个世纪见证了科学界为开发抗糖尿病药物做出的巨大努力,这些努力导致发现了外源性胰岛素和各种口服抗糖尿病药物。 目的:尽管进行了详尽的抗糖尿病药物和治疗工作,但长期的血糖控制,降血糖危机,安全性问题,大规模的经济负担和副作用仍然是核心问题。 方法:过去十年见证了各种具有不同药代动力学和药效学特征的新型抗糖尿病药物的发展。这篇综述总结了其FDA批准和优缺点的详细信息。 结果:讨论了胰岛素地格曲克,钠-葡萄糖共转运蛋白2抑制剂,葡萄糖激酶激活剂,成纤维细胞生长因子21受体激动剂和GLP-1激动剂的显着特征。 结论:将来,这些新的抗糖尿病药物可能具有广泛的临床适用性。应该对这些新药进行其他的多中心临床研究。
关键词: 分子药物,糖尿病治疗剂,地高胰岛素,SGLT2抑制剂,葡萄糖激酶激活剂,FGF21受体激动剂,GLP激动剂。
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