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不同的胰高血糖素样肽-1(GLP-1)类似物在作用上有何不同?

How do different GLP-1 mimetics differ in their actions?

作者信息

Choukem Simeon Pierre, Gautier Jean-François

出版信息

Curr Diab Rep. 2006 Nov;6(5):365-72. doi: 10.1007/s11892-006-0007-x.

Abstract

Glucagon-like peptide-1 (GLP-1) mimetics have been developed to overcome the pharmacokinetic limitations of GLP-1 for the treatment of type 2 diabetes. Their mechanisms of action and clinical effects appear particularly interesting because they target the main pathophysiologic mechanisms involved in type 2 diabetes. GLP-1 receptor agonists are more powerful and are particularly advantageous by their weight loss-inducing capacity, whereas dipeptidyl peptidase IV inhibitors exhibit a better tolerance profile. However, their ultimate role is still to be defined in the therapeutic strategy of type 2 diabetes.

摘要

胰高血糖素样肽-1(GLP-1)类似物已被开发出来,以克服GLP-1在治疗2型糖尿病时的药代动力学局限性。它们的作用机制和临床效果显得尤为有趣,因为它们针对的是2型糖尿病所涉及的主要病理生理机制。GLP-1受体激动剂作用更强,尤其因其具有诱导体重减轻的能力而具有优势,而二肽基肽酶IV抑制剂则表现出更好的耐受性。然而,它们在2型糖尿病治疗策略中的最终作用仍有待确定。

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