Drug Discovery Institute and Department of Pharmacological Sciences, Icahn School of Medicine at Mount Sinai, New York, New York 10029, United States.
Diabetes, Obesity, and Metabolism Institute, Icahn School of Medicine at Mount Sinai, New York, New York 10029, United States.
J Med Chem. 2021 Mar 25;64(6):2901-2922. doi: 10.1021/acs.jmedchem.0c02050. Epub 2021 Mar 8.
According to the World Health Organization (WHO), 422 million people are suffering from diabetes worldwide. Current diabetes therapies are focused on optimizing blood glucose control to prevent long-term diabetes complications. Unfortunately, current therapies have failed to achieve glycemic targets in the majority of people with diabetes. In this context, regeneration of functional insulin-producing human β-cells in people with diabetes through the use of DYRK1A inhibitor drugs has recently received special attention. Several small molecule DYRK1A inhibitors have been identified that induce human β-cell proliferation and Furthermore, DYRK1A inhibitors have also been shown to synergize β-cell proliferation with other classes of drugs, such as TGFβ inhibitors and GLP-1 receptor agonists. In this perspective, we review the status of DYRK1A as a therapeutic target for β-cell proliferation and provide perspectives on technical and scientific challenges for future translational development.
根据世界卫生组织(WHO)的数据,全球有 4.22 亿人患有糖尿病。目前的糖尿病治疗方法侧重于优化血糖控制,以预防长期的糖尿病并发症。不幸的是,目前的治疗方法未能使大多数糖尿病患者达到血糖目标。在这种情况下,通过使用 DYRK1A 抑制剂药物在糖尿病患者中再生功能性胰岛素产生的人类β细胞最近受到了特别关注。已经确定了几种小分子 DYRK1A 抑制剂,它们可诱导人类β细胞增殖,此外,还表明 DYRK1A 抑制剂可与其他类别的药物(例如 TGFβ抑制剂和 GLP-1 受体激动剂)协同促进β细胞增殖。在这种观点下,我们回顾了 DYRK1A 作为β细胞增殖治疗靶标的现状,并就未来转化发展的技术和科学挑战提供了观点。