人体中原葡萄糖依赖性胰岛素多肽的安全性。

Safety of native glucose-dependent insulinotropic polypeptide in humans.

机构信息

Center for Clinical Metabolic Research, Gentofte Hospital, University of Copenhagen, Hellerup, Denmark.

Center for Clinical Metabolic Research, Gentofte Hospital, University of Copenhagen, Hellerup, Denmark; Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.

出版信息

Peptides. 2024 Jul;177:171214. doi: 10.1016/j.peptides.2024.171214. Epub 2024 Apr 12.

Abstract

In this systematic review, we assessed the safety and possible safety events of native glucose-dependent insulinotropic polypeptide (GIP)(1-42) in human studies with administration of synthetic human GIP. We searched the PubMed database for all trials investigating synthetic human GIP(1-42) administration. A total of 67 studies were included. Study duration ranged from 30 min to 6 days. In addition to healthy individuals, the studies included individuals with impaired glucose tolerance, type 2 diabetes, type 1 diabetes, chronic pancreatitis and secondary diabetes, latent autoimmune diabetes in adults, diabetes caused by a mutation in the hepatocyte nuclear factor 1-alpha gene, end-stage renal disease, chronic renal insufficiency, critical illness, hypoparathyroidism, or cystic fibrosis-related diabetes. Of the included studies, 78% did not mention safety events, 10% of the studies reported that no safety events were observed in relation to GIP administration, and 15% of the studies reported safety events in relation to GIP administration with most frequently reported event being a moderate and transient increased heart rate. Gastrointestinal safety events, and changes in blood pressure were also reported. Plasma concentration of active GIP(1-42) increased linearly with dose independent of participant phenotype. There was no significant correlation between achieved maximal concentration of GIP(1-42) and reported safety events. Clearance rates of GIP(1-42) were similar between participant groups. In conclusion, the available data indicate that GIP(1-42) in short-term (up to 6 days) infusion studies is generally well-tolerated. The long-term safety of continuous GIP(1-42) administration is unknown.

摘要

在这项系统评价中,我们评估了在给予合成人源 GIP 的人体研究中内源性葡萄糖依赖性胰岛素释放肽(GIP)(1-42)的安全性和可能的安全性事件。我们在 PubMed 数据库中检索了所有研究 GIP(1-42)的合成物给药的试验。共纳入 67 项研究。研究持续时间从 30 分钟到 6 天不等。除了健康个体,这些研究还包括糖耐量受损、2 型糖尿病、1 型糖尿病、慢性胰腺炎和继发性糖尿病、成人隐匿性自身免疫性糖尿病、肝细胞核因子 1-α基因突变引起的糖尿病、终末期肾病、慢性肾功能不全、危重病、甲状旁腺功能减退症或囊性纤维化相关糖尿病患者。纳入的研究中,78%的研究未提及安全性事件,10%的研究报告 GIP 给药与无安全性事件相关,15%的研究报告 GIP 给药与安全性事件相关,最常报告的事件是中度和短暂性心率增加。还报告了胃肠道安全性事件和血压变化。活性 GIP(1-42)的血浆浓度与剂量呈线性增加,与参与者表型无关。达到的最大 GIP(1-42)浓度与报告的安全性事件之间无显著相关性。GIP(1-42)的清除率在各参与者组之间相似。总之,现有数据表明,在短期(最长 6 天)输注研究中,GIP(1-42)通常具有良好的耐受性。连续 GIP(1-42)给药的长期安全性尚不清楚。

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