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塔斯格鲁肽,一种新型人胰高血糖素样肽-1 类似物,可改善 Zucker 糖尿病肥胖大鼠的葡萄糖稳态和体重。

Taspoglutide, a novel human once-weekly analogue of glucagon-like peptide-1, improves glucose homeostasis and body weight in the Zucker diabetic fatty rat.

机构信息

F. Hoffmann-La Roche AG, Basel, Switzerland.

出版信息

Diabetes Obes Metab. 2010 Aug;12(8):674-82. doi: 10.1111/j.1463-1326.2010.01207.x.

DOI:10.1111/j.1463-1326.2010.01207.x
PMID:20590744
Abstract

AIM

Glucagon-like peptide-1 (GLP-1) receptor agonists are a novel class of pharmacotherapy for type 2 diabetes. We investigated the effects of a novel, long-acting human GLP-1 analogue, taspoglutide, in the Zucker diabetic fatty (ZDF) rat, an animal model of type 2 diabetes.

METHODS

Blood glucose and plasma levels of insulin, peptide YY (PYY), glucose-dependent insulinotropic polypeptide (GIP) and triglycerides were measured during oral glucose tolerance tests (oGTT) conducted in ZDF rats treated acutely or chronically with a single long-acting dose of taspoglutide. Pioglitazone was used as a positive control in the chronic study. Postprandial glucose, body weight, glycaemic control and insulin sensitivity were assessed over 21 days in chronically treated animals.

RESULTS

Acute treatment with taspoglutide reduced glucose excursion and increased insulin response during oGTT. In chronically treated rats, glucose excursion and levels of GIP, PYY and triglycerides during oGTT on day 21 were significantly reduced. Postprandial glucose levels were significantly lower than vehicle controls by day 15. A significant reduction in body weight gain was noticed by day 8, and continued until the end of the study when body weight was approximately 7% lower in rats treated with taspoglutide compared to vehicle. Glycaemic control (increased levels of 1,5-anhydroglucitol) and insulin sensitivity (Matsuda index) were improved by taspoglutide treatment.

CONCLUSIONS

Taspoglutide showed typical effects of native GLP-1, with improvement in glucose tolerance, postprandial glucose, body weight, glycaemic control and insulin sensitivity.

摘要

目的

胰高血糖素样肽-1(GLP-1)受体激动剂是治疗 2 型糖尿病的一种新型药物。我们研究了一种新型长效人 GLP-1 类似物,taspoglutide,在 2 型糖尿病动物模型 Zucker 糖尿病肥胖(ZDF)大鼠中的作用。

方法

在 ZDF 大鼠中进行口服葡萄糖耐量试验(oGTT),急性或慢性单次给予长效 taspoglutide 治疗,测量血糖和胰岛素、肽 YY(PYY)、葡萄糖依赖性胰岛素释放肽(GIP)和甘油三酯的血浆水平。吡格列酮在慢性研究中用作阳性对照。在慢性治疗动物中,评估 21 天内的餐后血糖、体重、血糖控制和胰岛素敏感性。

结果

急性给予 taspoglutide 可减少 oGTT 时的葡萄糖波动并增加胰岛素反应。在慢性治疗的大鼠中,oGTT 第 21 天的葡萄糖波动以及 GIP、PYY 和甘油三酯的水平均显著降低。到第 15 天,餐后血糖水平明显低于载体对照。到第 8 天,体重增加明显下降,并持续到研究结束时,与载体相比,taspoglutide 治疗的大鼠体重降低了约 7%。血糖控制(1,5-脱水葡萄糖醇水平升高)和胰岛素敏感性(Matsuda 指数)得到改善。

结论

taspoglutide 显示出天然 GLP-1 的典型作用,可改善葡萄糖耐量、餐后血糖、体重、血糖控制和胰岛素敏感性。

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