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[胰岛素治疗的演变:过去、现在、未来]

[Evolution of insulin therapy: past, present, future].

作者信息

Kurkin D V, Bakulin D A, Robertus A I, Kolosov Yu A, Krysanov I S, Morkovin E I, Strygin A V, Gorbunova J V, Makarenko I E, Drai R V, Makarova E V, Pavlova E V, Kudrin R А, Ivanova O V

机构信息

Moscow State University of Medicine and Dentistry of A.I. Evdokimov.

Volgograd State Medical University.

出版信息

Probl Endokrinol (Mosk). 2024 Jan 24;69(6):86-101. doi: 10.14341/probl13251.

DOI:10.14341/probl13251
PMID:38311998
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10848184/
Abstract

2021 marks the 100th anniversary of the discovery of insulin, an event that forever changed the lives of people with diabetes mellitus. At present patients around the world experience the miracle of insulin therapy every day. A disease that used to kill children and teenagers in 2 years in 1920 has become a disease that can be controlled with a possibility to lead a long productive life. Over the past century, the great discovery of Banting, Best and Collip has forever changed the world and saved millions of lives. This review is devoted to the history of the development of insulin and its further improvement: from the moment of discovery to the present days. Various generations of insulin are considered: from animals to modern ultrashort and basal analogues. The article ends with a brief review of current trends in the development of new delivery methods and the development of new insulin molecules. Over the past century, insulin therapy has come a long way, which has significantly improved the quality of life of our patients. But research is actively continuing, including in the field of alternative methods of insulin delivery, which are more convenient for the patient, as well as in the development of «smart» molecules that will have a glucose-dependent effect.

摘要

2021年是胰岛素发现100周年,这一事件永远改变了糖尿病患者的生活。目前,世界各地的患者每天都在体验胰岛素治疗的奇迹。一种在1920年曾在两年内夺走儿童和青少年生命的疾病,如今已成为一种可以得到控制、患者有可能过上长寿且充实生活的疾病。在过去的一个世纪里,班廷、贝斯特和科利普的伟大发现永远改变了世界,拯救了数百万人的生命。这篇综述致力于胰岛素的发展历程及其进一步改进:从发现之时到如今。文中探讨了各代胰岛素:从动物胰岛素到现代超短效和基础胰岛素类似物。文章最后简要回顾了新型给药方法和新型胰岛素分子研发的当前趋势。在过去的一个世纪里,胰岛素治疗取得了长足的进步,显著提高了我们患者的生活质量。但研究仍在积极继续,包括更方便患者的胰岛素替代给药方法领域,以及研发具有葡萄糖依赖性作用的“智能”分子。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/820e/10848184/fb53dd573f53/problendo-69-13251-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/820e/10848184/cac62a5e63b7/problendo-69-13251-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/820e/10848184/ab15d09766d9/problendo-69-13251-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/820e/10848184/df524d9e85bb/problendo-69-13251-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/820e/10848184/fb53dd573f53/problendo-69-13251-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/820e/10848184/cac62a5e63b7/problendo-69-13251-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/820e/10848184/ab15d09766d9/problendo-69-13251-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/820e/10848184/df524d9e85bb/problendo-69-13251-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/820e/10848184/fb53dd573f53/problendo-69-13251-g004.jpg

相似文献

1
[Evolution of insulin therapy: past, present, future].[胰岛素治疗的演变:过去、现在、未来]
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本文引用的文献

1
A Comprehensive Review of the Evolution of Insulin Development and Its Delivery Method.胰岛素研发及其给药方法演变的综合综述
Pharmaceutics. 2022 Jul 4;14(7):1406. doi: 10.3390/pharmaceutics14071406.
2
Molecular and pharmacological characterization of insulin icodec: a new basal insulin analog designed for once-weekly dosing.胰岛素icodec 的分子和药理学特性:一种新的基础胰岛素类似物,旨在每周给药一次。
BMJ Open Diabetes Res Care. 2021 Aug;9(1). doi: 10.1136/bmjdrc-2021-002301.
3
A fully implantable device for intraperitoneal drug delivery refilled by ingestible capsules.
一种可完全植入的腹腔内药物输送装置,可通过口服胶囊进行补充。
Sci Robot. 2021 Aug 18;6(57). doi: 10.1126/scirobotics.abh3328.
4
One hundred years of insulin therapy.胰岛素治疗的百年历程。
Nat Rev Endocrinol. 2021 Dec;17(12):715-725. doi: 10.1038/s41574-021-00542-w. Epub 2021 Aug 17.
5
Efficacy and safety of 28-day treatment with oral insulin (ORMD-0801) in patients with type 2 diabetes: A randomized, placebo-controlled trial.口服胰岛素(ORMD-0801)治疗 2 型糖尿病患者 28 天的疗效和安全性:一项随机、安慰剂对照试验。
Diabetes Obes Metab. 2021 Nov;23(11):2529-2538. doi: 10.1111/dom.14499. Epub 2021 Aug 18.
6
Molecular Engineering of Insulin Icodec, the First Acylated Insulin Analog for Once-Weekly Administration in Humans.胰岛素 ICDec 的分子工程:首个用于人体每周一次给药的酰化胰岛素类似物。
J Med Chem. 2021 Jul 8;64(13):8942-8950. doi: 10.1021/acs.jmedchem.1c00257. Epub 2021 May 4.
7
Glycaemic efficacy and safety of mealtime faster-acting insulin aspart administered by injection as compared to insulin aspart in people with diabetes mellitus: A meta-analysis of randomized controlled trials.餐时速效胰岛素门冬氨酸经注射给药与门冬胰岛素相比在糖尿病患者中的降糖疗效和安全性:一项随机对照试验的荟萃分析。
Diabet Med. 2021 Mar;38(3):e14515. doi: 10.1111/dme.14515. Epub 2021 Jan 24.
8
ADO09, a co-formulation of the amylin analogue pramlintide and the insulin analogue A21G, lowers postprandial blood glucose versus insulin lispro in type 1 diabetes.ADO09 是一种胰淀素类似物普兰林肽和胰岛素类似物 A21G 的复方制剂,与赖脯胰岛素相比,可降低 1 型糖尿病患者餐后血糖。
Diabetes Obes Metab. 2021 Apr;23(4):961-970. doi: 10.1111/dom.14302. Epub 2021 Jan 18.
9
Review: Glucose-sensitive insulin.综述:葡萄糖敏感型胰岛素。
Mol Metab. 2021 Apr;46:101107. doi: 10.1016/j.molmet.2020.101107. Epub 2020 Oct 31.
10
Insulin's centenary: the birth of an idea.胰岛素百年:理念诞生。
Lancet Diabetes Endocrinol. 2020 Dec;8(12):971-977. doi: 10.1016/S2213-8587(20)30337-5. Epub 2020 Oct 29.