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替尔泊肽——一种双重 GIP/GLP-1 受体激动剂——一种具有潜在代谢活性的新型抗糖尿病药物,可用于治疗 2 型糖尿病。

Tirzepatide - a dual GIP/GLP-1 receptor agonist - a new antidiabetic drug with potential metabolic activity in the treatment of type 2 diabetes.

机构信息

Pathophysiology Division, Department of Pathophysiology and Endocrinology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Poland.

Science Students' Association, Pathophysiology Division, Department of Pathophysiology and Endocrinology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Poland., Poland.

出版信息

Endokrynol Pol. 2022;73(4):745-755. doi: 10.5603/EP.a2022.0029. Epub 2022 May 20.

Abstract

The incretin hormones glucagon-like peptide 1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP) are responsible for up to 65% of postprandial insulin secretion. Tirzepatide, developed by Eli Lilly, is a dual GIP/GLP-1 receptor agonist in the form of a synthetic linear peptide; its acylation technology allows it to bind to albumin, thus making it possible to dose the drug once a week. This review summarizes the key characteristics and pharmacokinetics of tirzepatide. The authors present the results of a phase 1, 2, and 3 clinical trial on the effects of tirzepatide on glycaemic and lipid control and the beneficial effects on body weight in a dose-dependent manner in patients with type 2 diabetes mellitus (T2DM). Tirzepatide has the ability to reduce glycaemic levels, improve insulin sensitivity, reduce body weight, and improve lipid metabolism, which is critically important in T2DM. Tirzepatide administered by weekly subcutaneous injections appears to be a promising drug for the treatment of T2DM as well as cardiometabolic disorders. The mechanism of action and safety profile of tirzepatide potentially fills important gaps in the current treatment of T2DM.

摘要

肠促胰岛素激素胰高血糖素样肽 1(GLP-1)和葡萄糖依赖性胰岛素释放肽(GIP)负责餐后胰岛素分泌的 65%左右。礼来公司开发的替西帕肽是一种合成线性肽形式的双重 GIP/GLP-1 受体激动剂;其酰化技术使其能够与白蛋白结合,从而有可能每周给药一次。这篇综述总结了替西帕肽的关键特征和药代动力学。作者介绍了一项 1 期、2 期和 3 期临床试验的结果,该试验表明替西帕肽对 2 型糖尿病(T2DM)患者的血糖和血脂控制以及体重的有益影响呈剂量依赖性。替西帕肽具有降低血糖水平、提高胰岛素敏感性、减轻体重和改善脂代谢的能力,这在 T2DM 中至关重要。每周皮下注射替西帕肽似乎是治疗 T2DM 以及心血管代谢疾病的一种有前途的药物。替西帕肽的作用机制和安全性概况可能填补了当前 T2DM 治疗的重要空白。

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