摘要
DPP-IV酶的抑制剂作为一个被确定的药物靶标,在2型糖尿病治疗中一直处在研究的中心,这些针对开发有效的DPP-IV抑制剂的研究效果导致了第一个此类临床的候选药物在1998年就实现了。因此,在1998年到2013年,这16年里见证了许多重要的研究,其致力于发现和开发临床相关的DPP-IV抑制剂作为抗糖尿病的药剂。在这样的研究努力下,有效的DPP-IV抑制剂起到了关键的作用,并导致了8个列汀类药物被批准用于临床使用,而其他的药物都处在不同的临床实验阶段。纵多的DPP-IV抑制剂被合成和评估了,基于他们的核心结构被分为4类。在这篇文章中,基于灵敏度、临床疗效、和安全性对所有的临床相关的DPP-IV抑制剂的分类以代系的方式进行了综述。此综述也包含了对所有临床DPP-IV抑制剂临床方面公正地讨论,发展进程,化学性质和结合方式。此外,未来我们在设计和开发安全的DPP-IV抑制剂将面临的主要挑战也简单的提及。
关键词: 结合方式,临床实验,二肽基肽酶-IV (DPP-IV)代系,二肽基肽酶-IV抑制剂,胰岛血糖素样肽,葡萄糖稳态,非模拟肽,模拟肽,2型糖尿病。
Current Medicinal Chemistry
Title:Sixteen-Years of Clinically Relevant Dipeptidyl Peptidase-IV (DPP-IV) Inhibitors for Treatment of Type-2 Diabetes: A Perspective
Volume: 21 Issue: 35
Author(s): R.N. Kushwaha, W. Haq and S.B. Katti
Affiliation:
关键词: 结合方式,临床实验,二肽基肽酶-IV (DPP-IV)代系,二肽基肽酶-IV抑制剂,胰岛血糖素样肽,葡萄糖稳态,非模拟肽,模拟肽,2型糖尿病。
摘要: Inhibition of DPP-IV enzyme has taken centre stage as a validated drug target for type 2 diabetes therapy and as a result of research efforts done towards developing effective DPP-IV inhibitors, the first clinical candidate of this class came in focus in 1998. Thus, from 1998 to 2013, these 16-years have witnessed heightened research activities in the discovery and development of clinically relevant inhibitors of DPP-IV as antidiabetic agents. The effective DPP-IV inhibitors have played a key role in this endeavour and as result there are eight approved gliptins in the clinical usage while others are in different stages of clinical trials. A wide variety of DPP-IV inhibitors were synthesized and evaluated; and were classified into several categories based on their core structural features. In this article, classification of all the clinically relevant DPP-IV inhibitors based on selectivity, clinical efficacy and safety profiles is reviewed in terms of generations. This review also encompasses clinical phase wise discussion, developmental progress, chemistry and binding modes of all clinical DPP-IV inhibitors. In addition, major challenges facing the future design and development of safe clinical DPP-IV inhibitor are also briefly mentioned.
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Kushwaha R.N., Haq W. and Katti S.B., Sixteen-Years of Clinically Relevant Dipeptidyl Peptidase-IV (DPP-IV) Inhibitors for Treatment of Type-2 Diabetes: A Perspective, Current Medicinal Chemistry 2014; 21 (35) . https://dx.doi.org/10.2174/0929867321666140915143309
DOI https://dx.doi.org/10.2174/0929867321666140915143309 |
Print ISSN 0929-8673 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-533X |
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