Gysin B, Johnson D G, Trivedi D, Hruby V J
J Med Chem. 1987 Aug;30(8):1409-15. doi: 10.1021/jm00391a024.
In diabetes mellitus, hyperglycemia is often associated with elevated levels of glucagon in the blood. This suggests that glucagon is a contributing factor in the metabolic abnormalities of diabetes mellitus. A glucagon-receptor antagonist would provide direct evidence for glucagon's role in diabetes mellitus. On the basis of careful consideration of conformational, amphiphilic, and structural factors, we have synthesized two new glucagon analogues with antagonist biological activities by using solid-phase methodology. These two new analogues, [Asp3,D-Phe4,Ser5,Lys17,18,Glu21]glucagon (2) and [D-Phe4,Tyr5,3,5-I2-Tyr10,Arg12,Lys17,18,G lu21]glucagon (3) had IC50 values 5.4% and 50% those of glucagon, respectively, and showed no measurable adenylate cyclase activity. When tested in normal rats, 2 lowered plasma glucose levels and suppressed glucagon-mediated hyperglycemia 105 +/- 8%, back to basal levels. Analogue 3, which lowered the basal adenylate cyclase activity in rat liver plasma membranes, increased plasma glucose levels at very high concentration in vivo and inhibited glucagon-mediated hyperglycemia in normal rats by 50%. However, neither of the new glucagon antagonists lowered the plasma glucose levels of diabetic animals. The data would suggest these new glucagon-receptor antagonists may have two actions: (a) in normal rats they can act as standard glucagon-receptor inhibitors of glucagon-mediated glycogenolysis; (b) in diabetic rats, however, because of the low levels of glycogen in the liver, the antagonists apparently have little or no antagonist effect or enhancement on glucagon-mediated glucose production.
在糖尿病中,高血糖症常与血液中胰高血糖素水平升高相关。这表明胰高血糖素是糖尿病代谢异常的一个促成因素。胰高血糖素受体拮抗剂将为胰高血糖素在糖尿病中的作用提供直接证据。基于对构象、两亲性和结构因素的仔细考虑,我们采用固相方法合成了两种具有拮抗剂生物活性的新型胰高血糖素类似物。这两种新类似物,即[天冬氨酸3、D-苯丙氨酸4、丝氨酸5、赖氨酸17,18、谷氨酸21]胰高血糖素(2)和[D-苯丙氨酸4、酪氨酸5、3,5-二碘酪氨酸10、精氨酸12、赖氨酸17,18、谷氨酸21]胰高血糖素(3)的IC50值分别为胰高血糖素的5.4%和50%,且未表现出可测量的腺苷酸环化酶活性。在正常大鼠中进行测试时,2降低了血浆葡萄糖水平,并将胰高血糖素介导的高血糖症抑制了105±8%,恢复到基础水平。类似物3降低了大鼠肝细胞膜中的基础腺苷酸环化酶活性,在体内极高浓度时升高了血浆葡萄糖水平,并在正常大鼠中抑制了胰高血糖素介导的高血糖症达50%。然而,这两种新型胰高血糖素拮抗剂均未降低糖尿病动物的血浆葡萄糖水平。这些数据表明,这些新型胰高血糖素受体拮抗剂可能有两种作用:(a)在正常大鼠中,它们可作为胰高血糖素介导的糖原分解的标准胰高血糖素受体抑制剂;(b)然而,在糖尿病大鼠中,由于肝脏中糖原水平较低,这些拮抗剂显然对胰高血糖素介导的葡萄糖生成几乎没有或没有拮抗作用或增强作用。