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开发代谢综合征疗法:挑战、机遇和……未知。

Developing therapies for the metabolic syndrome: challenges, opportunities, and… the unknown.

出版信息

Ther Adv Endocrinol Metab. 2010 Apr;1(2):89-94. doi: 10.1177/2042018810375812.

DOI:10.1177/2042018810375812
PMID:23148153
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3475288/
Abstract

Metabolic syndrome refers to a clustering of established and emerging cardiovascular disease risk factors within a single individual. The established risk factors, such as obesity, diabetes, dyslipidaemia and hypertension, and other emerging risk factors are closely related to central obesity (especially intra-abdominal adiposity) and insulin resistance. However, debate continues about the very existence of the metabolic syndrome. Despite the controversies, many existing and new therapies are targeting the metabolic syndrome and component risk factors. To date, no therapies have been approved specifically for treating the metabolic syndrome. In this article some of the challenges and opportunities in developing therapies for the metabolic syndrome are discussed.

摘要

代谢综合征是指个体中存在多种已确立和新兴的心血管疾病危险因素。这些已确立的危险因素,如肥胖、糖尿病、血脂异常和高血压,以及其他新兴的危险因素,与中心性肥胖(尤其是内脏型肥胖)和胰岛素抵抗密切相关。然而,代谢综合征的存在仍然存在争议。尽管存在争议,但许多现有的和新的治疗方法都针对代谢综合征及其组成的危险因素。迄今为止,尚无专门用于治疗代谢综合征的疗法获得批准。本文讨论了开发代谢综合征治疗方法所面临的一些挑战和机遇。

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本文引用的文献

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The metabolic syndrome: what's in a name?代谢综合征:名称中有何含义?
Ther Adv Endocrinol Metab. 2010 Apr;1(2):39-45. doi: 10.1177/2042018810374290.
2
Advances in the treatment of prediabetes.糖尿病前期治疗的进展。
Ther Adv Endocrinol Metab. 2010 Feb;1(1):5-14. doi: 10.1177/2042018810366429.
3
The genetics of obesity and the metabolic syndrome.肥胖与代谢综合征的遗传学
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Thiazolidinedione drugs and cardiovascular risks: a science advisory from the American Heart Association and American College of Cardiology Foundation.噻唑烷二酮类药物与心血管风险:美国心脏协会和美国心脏病学基金会的科学咨询意见
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Lancet. 2010 Feb 27;375(9716):735-42. doi: 10.1016/S0140-6736(09)61965-6. Epub 2010 Feb 16.
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Weighing risks and benefits of liraglutide--the FDA's review of a new antidiabetic therapy.权衡利拉鲁肽的风险与益处——美国食品药品监督管理局对一种新型抗糖尿病疗法的审评
N Engl J Med. 2010 Mar 4;362(9):774-7. doi: 10.1056/NEJMp1001578. Epub 2010 Feb 17.
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The rise and fall of rosiglitazone.罗格列酮的兴衰
Eur Heart J. 2010 Apr;31(7):773-6. doi: 10.1093/eurheartj/ehq016. Epub 2010 Feb 12.
8
Withdrawal of sibutramine in Europe.西布曲明在欧洲的撤市
BMJ. 2010 Feb 9;340:c824. doi: 10.1136/bmj.c824.
9
Regulatory challenges for new drugs to treat obesity and comorbid metabolic disorders.治疗肥胖症和合并代谢紊乱的新药的监管挑战。
Br J Clin Pharmacol. 2009 Dec;68(6):861-74. doi: 10.1111/j.1365-2125.2009.03549.x.
10
Effect of intensive control of glucose on cardiovascular outcomes and death in patients with diabetes mellitus: a meta-analysis of randomised controlled trials.强化血糖控制对糖尿病患者心血管结局和死亡的影响:随机对照试验的荟萃分析
Lancet. 2009 May 23;373(9677):1765-72. doi: 10.1016/S0140-6736(09)60697-8.