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德谷胰岛素:一种新型基础胰岛素。

Degludec: a novel basal insulin.

作者信息

Kalra Sanjay, Baruah Manash P, Niazi Asfandyar K

机构信息

Bharti Hospital & BRIDE, Karnal, India.

出版信息

Recent Pat Endocr Metab Immune Drug Discov. 2012 Jan;6(1):18-23. doi: 10.2174/187221412799015326.

DOI:10.2174/187221412799015326
PMID:22280221
Abstract

Limitations of conventional human basal insulins like NPH have led to the development of more stable and peak less analogs. However, the first generation of basal analogs like glargine and detemir has certain shortcomings which do not allow them to be termed ideal basal insulins. Degludec, a novel basal insulin analog has the potential to overcome these limitations. This paper reviews the potential advantages of degludec over existing basal insulins and analogs. It discusses the basic and clinical studies performed on degludec so far, and highlights the possible role this molecule can play in the management of diabetes mellitus. In this paper, the recent patents on basal insulin have been reviewed so as to provide an insight into the advances in this field. In this article, we present a review of Degludec, as well as related patents.

摘要

常规人基础胰岛素(如中性鱼精蛋白锌胰岛素)的局限性促使了更稳定且峰值较小的类似物的研发。然而,第一代基础胰岛素类似物(如甘精胰岛素和地特胰岛素)存在某些缺点,这使得它们不能被称为理想的基础胰岛素。德谷胰岛素,一种新型基础胰岛素类似物,有潜力克服这些局限性。本文综述了德谷胰岛素相对于现有基础胰岛素和类似物的潜在优势。它讨论了迄今为止对德谷胰岛素进行的基础和临床研究,并强调了该分子在糖尿病管理中可能发挥的作用。在本文中,对基础胰岛素的近期专利进行了综述,以便深入了解该领域的进展。在本文中,我们对德谷胰岛素以及相关专利进行了综述。

相似文献

1
Degludec: a novel basal insulin.德谷胰岛素:一种新型基础胰岛素。
Recent Pat Endocr Metab Immune Drug Discov. 2012 Jan;6(1):18-23. doi: 10.2174/187221412799015326.
2
Degludec: A Novel Basal Insulin.德谷胰岛素:一种新型基础胰岛素。
Recent Pat Endocr Metab Immune Drug Discov. 2012 Jan 25.
3
Long-Acting Basal Insulins: A Review of the More Recently Approved Agents.长效基础胰岛素:近期获批药物的综述。
Cardiol Rev. 2019 Sep/Oct;27(5):260-266. doi: 10.1097/CRD.0000000000000266.
4
Insulin detemir (levemir), a new long-acting insulin.德谷胰岛素(来得时),一种新型长效胰岛素。
Med Lett Drugs Ther. 2006 Jul 3;48(1238):54-5.
5
Degludec, a new ultra-long-acting basal insulin for the treatment of diabetes mellitus type 1 and 2: advances in clinical research.德谷胰岛素,一种用于治疗1型和2型糖尿病的新型超长效基础胰岛素:临床研究进展
Endocrinol Nutr. 2014 Mar;61(3):153-9. doi: 10.1016/j.endonu.2013.03.012. Epub 2013 Jul 25.
6
Basal insulin analogues in the management of diabetes mellitus: What progress have we made?基础胰岛素类似物在糖尿病治疗中的应用:我们取得了哪些进展?
Diabetes Metab Res Rev. 2014 Feb;30(2):104-19. doi: 10.1002/dmrr.2469.
7
Clinical relevance of pharmacokinetic and pharmacodynamic profiles of insulin degludec (100, 200 U/mL) and insulin glargine (100, 300 U/mL) - a review of evidence and clinical interpretation.胰岛素地特胰岛素(100、200 U/mL)和甘精胰岛素(100、300 U/mL)的药代动力学和药效学特征的临床相关性-证据回顾与临床解读。
Diabetes Metab. 2019 Sep;45(4):330-340. doi: 10.1016/j.diabet.2018.11.004. Epub 2018 Nov 26.
8
Insulin degludec. Uncertainty over cardiovascular harms.德谷胰岛素。心血管危害存在不确定性。
Prescrire Int. 2014 Jun;23(150):149.
9
Efficacy and safety among second-generation and other basal insulins in adult patients with type 1 diabetes: a systematic review and network meta-analysis.二代及其他基础胰岛素在成年 1 型糖尿病患者中的疗效和安全性:系统评价和网络荟萃分析。
Naunyn Schmiedebergs Arch Pharmacol. 2021 Oct;394(10):2091-2101. doi: 10.1007/s00210-021-02128-9. Epub 2021 Jul 28.
10
Understanding how pharmacokinetic and pharmacodynamic differences of basal analog insulins influence clinical practice.了解基础胰岛素类似物的药代动力学和药效学差异如何影响临床实践。
Curr Med Res Opin. 2017 Oct;33(10):1821-1831. doi: 10.1080/03007995.2017.1335192. Epub 2017 Jun 23.

引用本文的文献

1
Insulin degludec in pregestational diabetes: evidence and perspectives.德谷胰岛素用于孕前糖尿病:证据与展望。
Arch Med Sci Atheroscler Dis. 2024 May 10;9:e86-e93. doi: 10.5114/amsad/188092. eCollection 2024.
2
Reassessment of an Innovative Insulin Analogue Excludes Protracted Action yet Highlights the Distinction between External and Internal Diselenide Bridges.对一种创新胰岛素类似物的再评估排除了其延长作用,但突出了外部和内部硒二键的区别。
Chemistry. 2020 Apr 9;26(21):4695-4700. doi: 10.1002/chem.202000309. Epub 2020 Mar 18.
3
The basal to total insulin ratio in outpatients with diabetes on basal-bolus regimen.
接受基础-餐时胰岛素治疗方案的糖尿病门诊患者的基础胰岛素与总胰岛素比值。
J Diabetes Metab Disord. 2018 Oct 1;17(2):393-399. doi: 10.1007/s40200-018-0358-2. eCollection 2018 Dec.
4
Insulin degludec/insulin aspart combination for the treatment of type 1 and type 2 diabetes.德谷胰岛素/门冬胰岛素联合制剂用于治疗1型和2型糖尿病。
Vasc Health Risk Manag. 2014 Aug 5;10:465-75. doi: 10.2147/VHRM.S40097. eCollection 2014.
5
Future of newer basal insulin.新型基础胰岛素的未来
Indian J Endocrinol Metab. 2013 Mar;17(2):249-53. doi: 10.4103/2230-8210.109690.