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非肽类胰高血糖素受体拮抗剂的进展

Advances in non-peptide glucagon receptor antagonists.

作者信息

Madsen P, Brand C L, Holst J J, Knudsen B

机构信息

Departments of Medicinal Chemistry, Novo Nordisk A/S, Novo Nordisk Park, Maaloev, DK-2760 Maaloev, Denmark.

出版信息

Curr Pharm Des. 1999 Sep;5(9):683-691.

Abstract

This review deals with glucagon receptor antagonism as a possible treatm ent of Type 2 diabetes. The role of glucagon in animal models has been studied by glucagon antibodies as model antagonists. Depending upon the animal model studied, selective glucagon deficiency produced by immunone utralisation suggests that glucagon plays a modest (rats) to substantial (rabbits) role in the maintenance of euglycaemia and is an important dia betogenic factor. These data strongly suggest that glucagon antagonism may be a beneficial and safe therapeutic approach for the treatment of T ype 2 diabetes. Further, the progress on non-peptide glucagon receptor antagonists is reviewed with special focus on the different classes of g lucagon receptor antagonists published, namely quinoxalines /pyrrolo[1,2 -a]quinoxalines, mercaptobenzimidazoles, 2-pyridyl-3,5-diarylpyrroles, q uinoline hydrazones, 4-phenylpyridines, and alkylidene hydrazides.

摘要

本综述探讨了胰高血糖素受体拮抗作用作为2型糖尿病一种可能治疗方法的相关内容。在动物模型中,已通过使用胰高血糖素抗体作为模型拮抗剂来研究胰高血糖素的作用。根据所研究的动物模型,免疫中和产生的选择性胰高血糖素缺乏表明,胰高血糖素在维持血糖正常方面发挥着适度(大鼠)到显著(兔子)的作用,并且是一个重要的致糖尿病因素。这些数据有力地表明,胰高血糖素拮抗作用可能是治疗2型糖尿病的一种有益且安全的治疗方法。此外,还综述了非肽类胰高血糖素受体拮抗剂的进展,特别关注已发表的不同类别的胰高血糖素受体拮抗剂,即喹喔啉/吡咯并[1,2 -a]喹喔啉、巯基苯并咪唑、2-吡啶基-3,5-二芳基吡咯、喹啉腙、4-苯基吡啶和亚烷基酰肼。

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