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新型长效二肽基肽酶-4抑制剂ZYDPLA1的药理学特性

Pharmacological characterization of ZYDPLA1, a novel long-acting dipeptidyl peptidase-4 inhibitor.

作者信息

Jain Mukul R, Joharapurkar Amit A, Bahekar Rajesh H, Patel Harilal, Jadav Pradip, Kshirsagar Samadhan G, Patel Vishal J, Patel Kartikkumar N, Ramanathan Vikram K, Patel Pankaj R, Desai Ranjit C

机构信息

Department of Pharmacology and Toxicology, Zydus Research Centre, Ahmedabad, India.

Department of Medicinal Chemistry, Zydus Research Centre, Ahmedabad, India.

出版信息

J Diabetes. 2015 Sep;7(5):708-17. doi: 10.1111/1753-0407.12233. Epub 2014 Dec 17.

Abstract

OBJECTIVE

Dipeptidyl peptidase-4 (DPP-4) is responsible for degradation of glucagon-like peptide 1 (GLP-1) and gastric inhibitory polypeptide (GIP), the endogenous incretins that stimulate glucose-dependent insulin secretion. The objective was to evaluate preclinical profile of a novel DPP-4 inhibitor ZYDPLA1.

METHODS

In vitro inhibition potency and selectivity were assessed using recombinant enzymes and/or plasma. In vivo efficacy was determined in oral glucose tolerance test or mixed meal tolerance test in C57BL/6J mice, db/db mice and Zucker fatty rats. Pharmacokinetics/pharmacodynamics was studied in mice, rats, dogs, and non-human primates.

RESULTS

ZYDPLA1 is a potent, competitive and long acting inhibitor of DPP-4 (Ki 0.0027 μM; Koff 2.3 × 10(-4 ) s(-1) ). ZYDPLA1 was more than 7000-fold selective for recombinant DPP-4 relative to DPP-8 and DPP-9, and more than 60 000-fold selective relative to fibroblast activation protein (FAP) in vitro. DPP-4 inhibition was comparable across species. In vivo, oral ZYDPLA1 elevated circulating GLP-1 and insulin levels in mice and rats and showed dose-dependent anti-hyperglycemic effect. Anti-hyperglycemic effect was also observed in db/db mice and Zucker fatty rats. ZYDPLA1 showed low clearance, large volume of distribution, and a long half-life with excellent oral bioavailability in all species. It significantly inhibited plasma DPP-4 activity in mice and rats for more than 48 h, and for up to 168 h in dogs and non-human primates. Allometric scaling predicted a half-life in humans of 53 to 166 h.

CONCLUSION

ZYDPLA1 is a potent, selective, long-acting oral DPP-4 inhibitor with potential to become once-a-week therapy for treatment of type 2 diabetes mellitus.

摘要

目的

二肽基肽酶-4(DPP-4)负责降解胰高血糖素样肽-1(GLP-1)和胃抑制多肽(GIP),这两种内源性肠促胰岛素可刺激葡萄糖依赖性胰岛素分泌。本研究旨在评估新型DPP-4抑制剂ZYDPLA1的临床前特性。

方法

使用重组酶和/或血浆评估体外抑制效力和选择性。在C57BL/6J小鼠、db/db小鼠和Zucker肥胖大鼠中进行口服葡萄糖耐量试验或混合餐耐量试验以确定体内疗效。在小鼠、大鼠、犬和非人灵长类动物中研究药代动力学/药效学。

结果

ZYDPLA1是一种强效、竞争性且长效的DPP-4抑制剂(Ki 0.0027 μM;Koff 2.3×10(-4) s(-1))。相对于DPP-8和DPP-9,ZYDPLA1对重组DPP-4的选择性超过7000倍,在体外相对于成纤维细胞活化蛋白(FAP)的选择性超过60000倍。DPP-4抑制作用在各物种间相当。在体内,口服ZYDPLA1可提高小鼠和大鼠的循环GLP-1和胰岛素水平,并呈现剂量依赖性的抗高血糖作用。在db/db小鼠和Zucker肥胖大鼠中也观察到了抗高血糖作用。ZYDPLA1在所有物种中均显示出低清除率、大分布容积和长半衰期,口服生物利用度良好。它能在小鼠和大鼠中显著抑制血浆DPP-4活性超过48小时,在犬和非人灵长类动物中长达168小时。根据异速生长比例模型预测,其在人类中的半衰期为53至166小时。

结论

ZYDPLA1是一种强效、选择性、长效的口服DPP-4抑制剂,有潜力成为治疗2型糖尿病的每周一次用药。

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