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糖尿病领域参与情况分析:对 2008-2010 年专利文献中所描述的公司和靶点的综述。

Diabetes area participation analysis: a review of companies and targets described in the 2008 - 2010 patent literature.

机构信息

Pfizer PharmaTherapeutics, MS8220-2105, Groton, CT 06340, USA.

出版信息

Expert Opin Ther Pat. 2010 Dec;20(12):1627-51. doi: 10.1517/13543776.2010.533171.

Abstract

IMPORTANCE OF THE FIELD

Type 2 diabetes is a chronic disease characterized by the development of insulin resistance, impaired pancreatic β-cell function and, ultimately, hyperglycemia. The disease is highly associated with obesity and it is thought that the inappropriate deposition of lipid in tissues such as liver and muscle contributes to a reduction in insulin sensitivity which, in turn, places a burden on the β-cell to secrete more insulin to achieve normoglycemia. Over an extended period of time, this can result in β-cell failure and diminished glycemic control. When poorly managed, type 2 diabetes increases the risk of developing both microvascular and macrovascular complications, including retinopathy, nephropathy and coronary artery disease. The number of Americans with diabetes has approached 24 million in 2007 and the prevalence of the disease is projected to increase with the sedentary lifestyles and high caloric diets that are common today. First-line treatment for the disease involves lifestyle modifications and, if unsuccessful, pharmacotherapy to control symptoms. Anti-diabetic drugs belonging to several mechanistic classes are available (e.g., insulin secretagogues, insulin sensitizers, insulin mimetics and DPP IV inhibitors); however, many of these drugs lose their effectiveness over time, are not well-tolerated in some patients or may have suboptimal risk:benefit ratios. The search for new anti-diabetic drugs has continued to attract considerable interest from both academia and the pharmaceutical industry.

AREAS COVERED IN THIS REVIEW

An analysis of 2008 - 2010 patent applications claiming diabetes as an indication has been undertaken.

WHAT THE READER WILL GAIN

An understanding of: i) the pharmaceutical companies that have filed patent applications in the anti-diabetes area during 2008 - 2010; ii) the different pharmacological targets under investigation and the patent activity around such targets; iii) some of the targets in the research portfolios of selected companies; iv) chemical structures of compounds that modulate emerging targets and v) the pharmacological rationale underlying several targets with the largest patent counts.

TAKE HOME MESSAGE

Type 2 diabetes is a complex disease with many potential points of intervention for pharmacotherapy. A majority of anti-diabetic patent applications claim chemical matter for just eight targets which include five enzymes, a GPCR, a family of nuclear hormone receptors and a class of sodium-dependent glucose co-transporters (11β-HSD1, DGAT1, DPP IV, glucokinase, GPR119, PPAR-α, -δ, -γ, SGLT1 and SGLT2, and stearoyl-CoA desaturase 1 (SCD1)). The major pharmaceutical companies are all pursuing some combination of these top eight targets. Several companies stand out for the breadth of new targets under investigation (e.g., F. Hoffmann-La Roche, Merck & Co., Pfizer, Takeda Pharmaceuticals, Sanofi-Aventis).

摘要

重要性领域

2 型糖尿病是一种慢性疾病,其特征为胰岛素抵抗、β细胞功能受损,最终导致高血糖。该疾病与肥胖高度相关,人们认为脂质在肝脏和肌肉等组织中的不当沉积导致胰岛素敏感性降低,这反过来又使β细胞分泌更多的胰岛素以实现正常血糖水平。在较长时间内,这会导致β细胞衰竭和血糖控制减弱。如果管理不善,2 型糖尿病会增加发生微血管和大血管并发症的风险,包括视网膜病变、肾病和冠心病。2007 年,美国的糖尿病患者人数已接近 2400 万,预计随着当今久坐不动的生活方式和高卡路里饮食的普及,该疾病的患病率将会增加。该疾病的一线治疗方法包括生活方式的改变,如果不成功,则采用药物治疗来控制症状。目前有多种作用机制的抗糖尿病药物(例如胰岛素分泌剂、胰岛素增敏剂、胰岛素模拟物和 DPP IV 抑制剂)可供使用;然而,许多这些药物随着时间的推移会失去疗效,在某些患者中不耐受,或者可能具有不理想的风险:获益比。新的抗糖尿病药物的研发继续受到学术界和制药行业的广泛关注。

涵盖领域

对 2008 年至 2010 年申报糖尿病适应症的专利申请进行了分析。

读者将获得

了解:i)2008 年至 2010 年在抗糖尿病领域提交专利申请的制药公司;ii)正在研究的不同药理学靶点以及此类靶点的专利活动;iii)选定公司研究组合中的一些靶点;iv)调节新兴靶点的化合物的化学结构;v)具有最大专利数量的几个靶点的药理学原理。

结论

2 型糖尿病是一种复杂的疾病,有许多潜在的药物治疗干预点。大多数抗糖尿病专利申请仅针对八种靶点中的化学物质提出了主张,这些靶点包括五种酶、一种 GPCR、一组核激素受体和一类钠依赖性葡萄糖共转运蛋白(11β-HSD1、DGAT1、DPP IV、葡萄糖激酶、GPR119、PPAR-α、-δ、-γ、SGLT1 和 SGLT2,以及硬脂酰辅酶 A 去饱和酶 1(SCD1))。主要制药公司都在追求这八个主要靶点中的某些组合。一些公司因正在研究的新靶点广泛而脱颖而出(例如,F. Hoffmann-La Roche、默克公司、辉瑞公司、武田制药、赛诺菲-安万特)。

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