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Study on the bioactivity changes of hydroxylated sulfonylureas derivatives: A possible metabolism 被引量:2
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作者 Shu Rong Ban Cong Wei Niu +4 位作者 Wen Bin Chen Zhi Hong Yu Si Wu Chen Wang Zhen Xi 《Chinese Chemical Letters》 SCIE CAS CSCD 2007年第2期205-208,共4页
Some new sulfonylureas and their hydroxylation products had been synthesized from 2-amino-4-methylpyrimidine. Their bioactivities against E. coli AHAS II in vitro were tested and the results indicated that the hydroxy... Some new sulfonylureas and their hydroxylation products had been synthesized from 2-amino-4-methylpyrimidine. Their bioactivities against E. coli AHAS II in vitro were tested and the results indicated that the hydroxylation decreased the inhibition activities of sulfonylureas significantly. Subsequently herbicidal tests against stem-growth of barnyard grass and root-growth of rape confirmed the above conclusion. The preliminary molecular docking studies were also carried out to investigate the binding modes of non-hydroxylated and hydroxylated sulfonylureas with AHAS. 展开更多
关键词 sulfonylureas METABOLISM HYDROXYLATION E. coli AHASII Molecular docking
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Synthesis and Herbicidal Activity of Novel Sulfonylureas Containing Thiadiazol Moiety 被引量:4
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作者 GUO Wan-cheng LIU Xing-hai LI Yong-hong WANG Su-hua LI Zheng-ming 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2008年第1期32-35,共4页
Thirteen novel sulfonylureas containing thiadiazole moiety were synthesized in a two-step reaction. Their structures were determined using IR, ^1H NMR, HRFTMS, and elemental analysis. Herbicidal activities of these co... Thirteen novel sulfonylureas containing thiadiazole moiety were synthesized in a two-step reaction. Their structures were determined using IR, ^1H NMR, HRFTMS, and elemental analysis. Herbicidal activities of these compounds were determined in the green house bio-assay. The results show that four compounds among them exhibit some activity toward four tested herbs. 展开更多
关键词 SULFONYLUREA SYNTHESIS Herbicidal activity
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Synthesis and Herbicidal Activity of Novel 5-Substituted Benzenesulfonylureas 被引量:4
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作者 WANG Mei-yi MU Xiao-li GUO Wan-cheng LI Yong-hong LI Zheng-ming 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2007年第6期674-678,共5页
Sulfonylurea herbicides have been widely used because of their low application rates, good crop sdeetivities and low mammalian toxicities. However, some sulfonylureas might persist unfavourably in the environment with... Sulfonylurea herbicides have been widely used because of their low application rates, good crop sdeetivities and low mammalian toxicities. However, some sulfonylureas might persist unfavourably in the environment with residual problems. In order to look for ecologically safer and environmentally benign sulfonylureas, and on keeping the pyrimidine ring being monosubstitated, 15 novd C5-monosubstituted benzenesulfonylurea compounds were synthesized. The structures of all the compounds synthesized were confirmed by demental analysis and ^1H NMR. Preliminary herbicidal activities of these new sulfonylurea compounds were determined by ALS screening ( in vitro) and pot bioassay experiments( in vivo). The herbicidal results show that some novel sulfonylureas are comparable to commercial Foramsulfuron and Monosulfuron. 展开更多
关键词 SULFONYLUREA 5-Substituted phenyl ring Herbicidal activity
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Synthesis and herbicidal activities of pyridyl sulfonylureas:More convenient preparation process of phenyl pyrimidylcarbamates 被引量:1
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作者 Ning Ma Zhi Jin Fan +2 位作者 Bao Lei Wang Yong Hong Li Zheng Ming Li 《Chinese Chemical Letters》 SCIE CAS CSCD 2008年第11期1268-1270,共3页
Four 4-monosubstituted pyrimidine pyridyl sulfonylureas were synthesized from pyridinesulfonamide and phenyl pyrimidylcarbamate and screened for herbicidal activities. We also reported a convenient preparation process... Four 4-monosubstituted pyrimidine pyridyl sulfonylureas were synthesized from pyridinesulfonamide and phenyl pyrimidylcarbamate and screened for herbicidal activities. We also reported a convenient preparation process of phenyl pyrimidylcarbamates from pyrimidineamine and phenyl chloroformate. 展开更多
关键词 SULFONYLUREA Herbicidal activity Phenyl carbamate
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Clinical Observation on Trigonella Foenum-graecum L.Total Saponins in Combination with Sulfonylureas in the Treatment of Type 2 Diabetes Mellitus 被引量:16
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作者 卢芙蓉 沈霖 +3 位作者 秦铀 高兰 李恒 戴燚 《Chinese Journal of Integrative Medicine》 SCIE CAS 2008年第1期56-60,共5页
Objective: To evaluate the efficacy and safety of trigonella foenurn-graecurn L. total saponins (TFGs) in combination with sulfonylureas (SU) in the treatment of patients with type 2 diabetes mellitus (T2DM) no... Objective: To evaluate the efficacy and safety of trigonella foenurn-graecurn L. total saponins (TFGs) in combination with sulfonylureas (SU) in the treatment of patients with type 2 diabetes mellitus (T2DM) not well controlled by SU alone. Methods: Sixty-nine T2DM patients whose blood glucose levels were not well controlled by oral sulfonylureas hypoglycemic drug were randomly assigned to the treated group (46 cases) and the control group (23 cases), and were given TFGs or placebo three times per day, 6 pills each time for 12 weeks, respectively. Meanwhile, the patients continued taking their original hypoglycemic drugs. The following indexes, including effects on traditional Chinese medicine (TGM) symptoms, fast blood glucose (FBG), 2-h post-prandial blood glucose (2h PBG), glycosylated hemoglobin (HbAlc), clinical symptomatic quantitative scores (CSQS), body mass index (BMI), as well as hepatic and renal functions, were observed and compared before and after treatment. Results: The efficacy on TCM symptoms was obviously better in the treated group than that in the control group (P〈0.01), and there were statistically remarkable decreases in aspect of FBG, 2h PBG, HbAlc and CSQS in the treated group as compared to those in the control group (P〈0.05 or P〈0.01), while no significant difference was found in BMI, hepatic and renal functions between the two groups (P〉0.05). Conclusion: The combined therapy of TFGs with sulfonylureas hypoglycemic drug could lower the blood glucose level and ameliorate clinical symptoms in the treatment of T2DM, and the therapy was relatively safe. 展开更多
关键词 trigonella foenurn-graecurn L. type 2 diabetes mellitus sulfonylureas
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Transient diabetes mellitus with ABCC8 variant successfully treated with sulfonylurea:Two case reports and review of literature
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作者 Ling-Hua Shen Yan Cui +6 位作者 Dong-Xia Fu Wei Yang Sheng-Nan Wu Hui-Zhen Wang Hai-Hua Yang Yong-Xing Chen Hai-Yan Wei 《World Journal of Diabetes》 SCIE 2024年第8期1811-1819,共9页
BACKGROUND Transient neonatal diabetes mellitus(TNDM)is a rare form of diabetes mellitus that usually presents within the first 6 mo of life.Patients often enter remission within several months,although relapse can oc... BACKGROUND Transient neonatal diabetes mellitus(TNDM)is a rare form of diabetes mellitus that usually presents within the first 6 mo of life.Patients often enter remission within several months,although relapse can occur later in life.Mutations in the ABCC8 gene,which encodes the sulfonylurea receptor 1 of the ATP-sensitive potassium channel in pancreatic beta cells,are associated with TNDM and permanent neonatal diabetes.This study describes a novel de novo c.3880C>T heterozygous ABCC8 variant that causes TNDM and can be treated with sulfonylurea therapy.CASE SUMMARY We retrospectively analyzed 2 Chinese patients with TNDM who were diagnosed,treated,or referred for follow-up between September 2017 and September 2023.The patients were tested for mutations using targeted next-generation sequencing.Patients with neonatal diabetes mellitus caused by a c.3880C>T heterozygous missense variant in the ABCC8 gene have not been reported before.Both children had an onset of post-infectious diabetic ketoacidosis,which is worth noting.At a follow-up visit after discontinuing insulin injection,oral glyburide was found to be effective with no adverse reactions.CONCLUSION Early genetic testing of neonatal diabetes mellitus aids in accurate diagnosis and treatment and helps avoid daily insulin injections that may cause pain. 展开更多
关键词 Neonatal diabetes mellitus ABCC8 Sulfonylurea receptors 1 KATP channels SULFONYLUREA GLYBURIDE Insulinulin Case report
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Design, synthesis and bioactivity of novel herbicides targeted ALS (Ⅶ): Quantitative structure-activity relationships of herbicidal sulfonylureas 被引量:2
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作者 杨光富 杨华铮 《Chinese Journal of Chemistry》 SCIE CAS CSCD 1999年第6期650-657,5,共9页
The quantitative relationship between the structures of 20 sulfonylureas and their herbicidal activities against rape was analyzed using physicochemical parameters and regression analysis. The results showed that the ... The quantitative relationship between the structures of 20 sulfonylureas and their herbicidal activities against rape was analyzed using physicochemical parameters and regression analysis. The results showed that the electronic properties of the molecules are the dominant factor to the activity and there is apparently an optimum electronic property (∑σ or pKa) for the molecules to fit the receptor. Combined with the previous QSAR results for herbicidal triazolopyrimidine-2-sulfonamides, we can conclude that the structure-activity relationships of these two sets of compounds are identical, which suggested that these two sets of compounds acted on the same target site. 展开更多
关键词 ALS inhibitors QSAR sulfonylureas HERBICIDES
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Design, Synthesis and Herbicidal Activity of Novel Sulfonylureas Containing Tetrahydrophthalimide Substructure 被引量:3
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作者 HUA Xuewen ZHOU Sha +7 位作者 CHEN Minggui ZHANG Dongkai LIU Ming LIU Jingbo WU Changchun LIU Yang LI Yonghong LI Zhengming 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2016年第3期396-401,共6页
To develop novel sulfonylurea herbicides, a series of chlorsulfuron derivatives was designed and synthesized through introducing tetrahydrophthalimide substructure taken from protoporphyrinogen IX oxidase(PPO) inhib... To develop novel sulfonylurea herbicides, a series of chlorsulfuron derivatives was designed and synthesized through introducing tetrahydrophthalimide substructure taken from protoporphyrinogen IX oxidase(PPO) inhibitors onto the critical 5-position of the classical benzene ring. The structures of title compounds were confirmed by infrared spectroscopy, ultraviolet spectroscopy, 1H and 13C NMR spectrometry, mass spectrometry and elemental analysis. In addition, the crystal structure of compound I1-5 was further determined by X-ray diffraction analysis. Bioassay results showed that individual compounds exhibited good herbicidal activities, especially compound I1-8, which displayed 100% inhibition rate against Echinochloa crusgalli at 150 g/ha(1 ha=104 m2) with the method of foliage spray in the pot experiment. 展开更多
关键词 Sulfonylurea herbicide Tetrahydrophthalimde Herbicidal activity
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Design, synthesis and bioactivity of novel ALS inhibitors (V)——Initial model of the herbicidal sulfonylureas and fused heterocyclic sulfonamides binding with receptor 被引量:2
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作者 杨光富 赵国锋 +2 位作者 陆荣健 刘华银 杨华铮 《Science China Chemistry》 SCIE EI CAS 1998年第4期353-360,共8页
By means of the X\|ray diffraction method, quantum pharmacology analysis and quantitative structure\|activity relationships (QSAR) analysis, the structure\|activity relationships of the herbicidal sulfonylureas and fu... By means of the X\|ray diffraction method, quantum pharmacology analysis and quantitative structure\|activity relationships (QSAR) analysis, the structure\|activity relationships of the herbicidal sulfonylureas and fused heterocyclic sulfonamides were systematically studied. The results showed that the structure\|activity relationships of these two kinds of herbicides were identical and that the heterocyclic ring and sulfonyl moiety in the molecules were their pharmacophores which likely bind in the same receptor sites of acetolactate synthase (ALS). According to these results, the initial model of these two kinds of herbicides binding with the receptor was put forward. 展开更多
关键词 SULFONYLUREA FUSED HETEROCYCLIC SULFONAMIDE X\|ray diffraction quantum pharmacology QSAR ALS.
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Design, syntheses and biological activity of novel ALS inhibitors (Ⅸ)——CoMFA of sulfonylureas and triazolopyrimidine-2-sulfonamides ALS inhibitors 被引量:2
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作者 杨光富 刘华银 +1 位作者 杨秀风 杨华铮 《Science China Chemistry》 SCIE EI CAS 1999年第6期656-662,共7页
Quantitative structure-activity relationships for herbicidal activity against rape of sulfonylurea and tria-zolopyrimidine-2-sulfonamide derivatives were examined three-dimensionally using comparative molecular field ... Quantitative structure-activity relationships for herbicidal activity against rape of sulfonylurea and tria-zolopyrimidine-2-sulfonamide derivatives were examined three-dimensionally using comparative molecular field analysis (CoMFA) . The CoMFA results show that the slopes in steric and electrostatic fields around the molecule were significant for both series in governing the potency variations in herbicidal activity. Based upon the successful superposition between the two series, the herbicidal activity was analyzable with a single equation for the combined set of compounds, which suggested that the two different series of compounds have a common region of the receptor site. 展开更多
关键词 acteolactate synthase inhibitors comparative molecular field analysis COMFA structure-activity relationships pharmacophore SULFONYLUREA triazolopyrimidine-2-sulfonamide.
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Design, Synthesis and Herbicidal Activity of Novel Sulfonylureas Containing Triazole and Oxadiazole Moieties 被引量:1
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作者 ZHANG Dongkai HUA Xuewen +7 位作者 LIU Ming WU Changchun WEI Wei LIU Yang CHEN Minggui ZHOU Sha LI Yonghong LI Zhengming 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2016年第4期607-614,共8页
Three novel series of 5-substituted sulfonylurea derivatives were designed and synthesized via introducing a triazole or oxadiazole ring at the 5th position of the benzene ring in classical sulfonylurea herbicides. Al... Three novel series of 5-substituted sulfonylurea derivatives were designed and synthesized via introducing a triazole or oxadiazole ring at the 5th position of the benzene ring in classical sulfonylurea herbicides. All the target compounds were confirmed by means of IH nuclear magnetic resonance(NMR), 13C NMR and elemental analysis. The bioassay results show that the target compounds containing an oxadiazole ring at the 5th position display moderate to excellent herbicidal activities against Brassica campestris and Amaranthus retroflexus under soil treatment. Especially, compounds zdk20, zdk21 and zdk22 possess 98.6%, 96.5% and 94.5% inhibition rates, respectively, against Amaranthus retroflexus at a concentration of 75 g/ha(1 ha=1× 104 m2) under soil treatment, which approach to those of the commercial herbicide chlorsulfuron. 展开更多
关键词 SULFONYLUREA Herbicidal activity TRIAZINE OXADIAZOLE
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Synthesis and Herbicidal Activity of Novel Sulfonylureas Containing 1,2,4-Triazolinone Moiety 被引量:1
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作者 LIU Zhuo PAN Li LIYong-hong WANG Su-hua LI Zheng-ming 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2013年第3期466-472,共7页
A series of new sulfonylureas incorporating 1,2,4-triazolinone moiety was synthesized, which were further bio-assayed for the herbicidal activity against four herbs, representative of monocotyledons and dicotyledons. ... A series of new sulfonylureas incorporating 1,2,4-triazolinone moiety was synthesized, which were further bio-assayed for the herbicidal activity against four herbs, representative of monocotyledons and dicotyledons. Some of them exhibited high potency to inhibit the growth of dicotyledons(Bassica napus and Arnaranthus retroflexus) in the pot experiment. Compounds 9a and 9b also displayed an excellent herbicidal activity against Bassica napus at a concentration of 15 g/hectare, which were comparable with commercial triasulfuron. 展开更多
关键词 Sulfonylurea herbicide Acetohydroxyacid synthetase(AHAS) 1 2 4-Triazolinone derivative PROTOX Herbicidal activity
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Design, Syntheses and Biological Activities of Novel Sulfonylureas Containing an Oxime Ether Moiety 被引量:1
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作者 WEI Wei CHENG Dandan +6 位作者 CHEN Wei LIU Jingbo WAN Yingying LI Yuxin LI Yonghong YU Shujing LI Zhengming 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2016年第2期195-201,共7页
Since sulfonylurea is one of the most potent acetohydroxyacid synthase(AHAS) inhibitors, a series of novel sulfonylureas containing an oxime ether moiety was designed and synthesized and their chemical structures we... Since sulfonylurea is one of the most potent acetohydroxyacid synthase(AHAS) inhibitors, a series of novel sulfonylureas containing an oxime ether moiety was designed and synthesized and their chemical structures were determined by means of 1H nuclear magnetic resonance(NMR), 13C NMR and high-resolution mass spectrometry(HRMS). In the herbicidal bioassay, several compounds showed moderate to good herbicidal activities against dicotyledons, but their activities against monocotyledons decreased. The in vitro antifungal activity was tested at a dosage of 50 mg/L. And the results show that compounds 71, 7m and 7n exhibit promising antifungal activities against six common plant pathogenic fungi. Further investigations on molecular modification are in progress. 展开更多
关键词 Acetohydroxyacid synthase SULFONYLUREA Oxime ether
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Generation of sulfonylureas under photoredox catalysis and their biological evaluations
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作者 Xuefeng Wang Jun Zhang +2 位作者 Qi Chen Wei Zhou Jie Wu 《Chinese Chemical Letters》 SCIE CAS CSCD 2022年第11期4860-4864,共5页
Traditional synthesis of sulfonylureas largely depends on nucleophilic addition of arylsulfonamides to presynthesized isocyanates.Now we report a new access to alkylsulfonylureas with good yields and broad substrate s... Traditional synthesis of sulfonylureas largely depends on nucleophilic addition of arylsulfonamides to presynthesized isocyanates.Now we report a new access to alkylsulfonylureas with good yields and broad substrate scope.With the insertion of commercialized chlorosulfonyl isocyanate under photoredox catalysis,alkylsulfonylureas are synthesized in one-pot from the corresponding anilines and silyl enolates.A reaction mechanism is proposed showing the transformation undergoes a radical process,and the practicality of this methodology is proven via application to bioactive molecules.Additionally,the anti-cancer and anti-virus screening of these compounds is evaluated. 展开更多
关键词 SULFONYLUREA Chlorosulfonyl isocyanate PHOTOCATALYSIS
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Synthesis of novel herbicidal sulfonylureas
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作者 杨光富 杨华铮 《Chinese Journal of Chemistry》 SCIE CAS CSCD 2000年第4期585-589,共5页
Novel sulfonylurea derivatives containing five-membered heterocycle 3a—1 and 4a—d were synthesized in good yields by the regioselective addition of aryl sulfonylisocyanates 1 to 5-amino-3-benzyl(aryl) thio-1,2,4-tri... Novel sulfonylurea derivatives containing five-membered heterocycle 3a—1 and 4a—d were synthesized in good yields by the regioselective addition of aryl sulfonylisocyanates 1 to 5-amino-3-benzyl(aryl) thio-1,2,4-triazoles and its pyrazole analogues 2. The structures of all these compounds were evaluated by elemental analyses and 1H NMR spectroscopy. The preliminary biological tests showed that the products displayed herbicidal activity against rape to some extent. 展开更多
关键词 5-Amino-1 2 4-triazoles 5-amino-1H-pyrazoles SULFONYLUREA regioselectivity
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Antidiabetic treatment, stroke severity and outcome 被引量:3
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作者 Dimitra Magkou Konstantinos Tziomalos 《World Journal of Diabetes》 SCIE CAS 2014年第2期84-88,共5页
Ischemic stroke is a leading cause of mortality and long-term disability worldwide. Given the detrimental effects of acute stroke, several neuroprotective agents have been evaluated in these patients. However, the ben... Ischemic stroke is a leading cause of mortality and long-term disability worldwide. Given the detrimental effects of acute stroke, several neuroprotective agents have been evaluated in these patients. However, the benefits of the evaluated agents appear to be limited and none is currently recommended for clinical use. On the other hand, prior treatment with agents that are used for the primary and secondary prevention of stroke, including statins and antiplatelets, has been associated with better outcome in patients who experience an acute stroke. In contrast, there are limited data as to whether prior treatment with antidiabetic agents is beneficial in diabetic patients who suffer a stroke. In this context, the findings of a recent study that showed reduced stroke size following pretreatment with linagliptin, a dipeptidyl peptidase-4(DDP-4) inhibitor, compared with glimepiride, in both diabetic and non-diabetic mice, appear promising. Despite these preclinical findings suggesting neuroprotective effects of DPP-4 inhibitors in acute stroke, it is still unclear whether these actions will also be observed in humans. Of note, two recent large randomized, placebo-controlled studies did not show any effect of DPP-4 inhibitors on cardiovascular events, including stroke. Several other ongoing trials are evaluating the effects of DPP-4 inhibitors on cardiovascular morbidity and mortality. These studies also provide a major opportunity to assess whether patients treated with this class of antidiabetic agents will suffer from less severe strokes and whether their outcome after stroke will be more favorable. 展开更多
关键词 Type 2 diabetes MELLITUS Stroke Dipeptidyl peptidase-4 inhibitors sulfonylureas NEUROPROTECTION
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HNF1A mutation in a Thai patient with maturity-onset diabetes of the young: A case report 被引量:1
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作者 Nattachet Plengvidhya Watip Tangjittipokin +2 位作者 Nipaporn Teerawattanapong Tassanee Narkdontri Pa-thai Yenchitsomanus 《World Journal of Diabetes》 SCIE CAS 2019年第7期414-420,共7页
BACKGROUND Maturity-onset diabetes of the young(MODY)is the most common form of monogenic diabetes.The disease is transmitted in autosomal dominant mode and diabetes is usually diagnosed before age 25 year.MODY 3 is c... BACKGROUND Maturity-onset diabetes of the young(MODY)is the most common form of monogenic diabetes.The disease is transmitted in autosomal dominant mode and diabetes is usually diagnosed before age 25 year.MODY 3 is caused by mutation of hepatocyte nuclear factor(HNF)1A genes and is the most common MODY subtype.Diagnosis of MODY 3 is crucial since glycemic control can be accomplished by very low dose of sulfonylurea.In this report we described a Thai MODY 3 patient who had excellence plasma glucose control by treating with glicazide 20 mg per day and insulin therapy can be discontinued.CASE SUMMARY A 31-year-old woman was diagnosed diabetes mellitus at 14 years old.The disease was transmitted from her grandmother and mother compatible with autosomal dominant inheritance.Sanger sequencing of proband’s DNA identified mutation of HNF1A at codon 203 which changed amino acid from arginine to cysteine(R203C).This mutation was carried only by family members who have diabetes.The patient has been treated effectively with a combination of oral hypoglycemic agents and must include a very low dose of glicazide(20 mg/d).Insulin therapy was successfully discontinued.CONCLUSION We demonstrated a first case of pharmacogenetics in Thai MODY 3 patient.Our findings underscore the essential role of molecular genetics in diagnosis and guidance of appropriate treatment of diabetes mellitus in particular patient. 展开更多
关键词 ORAL sulfonylureas Maturity-onset diabetes of the YOUNG HNF1A Case report
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Synthesis and Characterization of Novel-4-Methyl-3-isoxazolidinone Derivatives
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作者 GAO Fei-fei ZHANG Guang-liang +2 位作者 ZHENG Liang-yu LI Yao-xian ZHANG Suo-qin 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2006年第6期717-720,共4页
A novel type of aeetohydrexyacid synthase inhibitors, 4-methyl-3-isoxazolidinone derivatives of sulfonylurea, was designed and synthesized. The structures of these compounds were confirmed by using MS, NMR, and elemen... A novel type of aeetohydrexyacid synthase inhibitors, 4-methyl-3-isoxazolidinone derivatives of sulfonylurea, was designed and synthesized. The structures of these compounds were confirmed by using MS, NMR, and elemental analysis. The results of preliminary active tests indicate that the compounds show a herbicidal activity. 展开更多
关键词 4-Methyl-3-isoxazolidinone sulfonylureas Acetohydroxyacid synthase Herbicidal activity
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Clinical characterization and follow-up analysis of twenty-one cases with neonatal diabetes mellitus
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作者 Xue Zhao Wei Gu 《Journal of Hainan Medical University》 2020年第11期51-55,共5页
Objective: We summarize the clinical and follow-up data of twenty-one children with neonatal diabetes mellitus (NDM) to strengthen the understanding of NDM and provide reference for clinical diagnosis and follow-up. M... Objective: We summarize the clinical and follow-up data of twenty-one children with neonatal diabetes mellitus (NDM) to strengthen the understanding of NDM and provide reference for clinical diagnosis and follow-up. Methods The clinical characteristics, growth and development of twenty-one children with NDM who were diagnosed and treated in the Children's Hospital of Nanjing Medical University from January 2011 to August 2018 were retrospectively analyzed. Results The median age of diagnosis was 97 days and the follow-up period was 0.96 to 47.6 months years. At the time of new diagnosis, 7 cases were complicated with diabetic ketoacidosis and 3 cases with diabetic ketoacidosis. Seven patients had diabetic ketoacidosis (DKA) and three patients had diabetic ketosis (DK). Three cases were unclassified because of short follow-up time. Two patients are Transient neonatal diabetes mellitus (TNDM). Sixteen cases are Permanent neonatal diabetes mellitus (PNDM). Thirteen patients underwent drug-experiential treatment with a success rate of 53.8%. Twelve patients had growth and development disorders or language and motor retardation. Eleven cases were improved by genetic testing and the positive rate of gene mutation was 81.8%. There was no significant difference in treatment regimen, complications, genotype and other factors among different growth and development conditions (P > 0.05). Fisher exact probability analysis of growth and development in different treatment schemes showed that there was no significant difference (P>0.05). Conclusions Patients with KCNJ11 and ABCC8 gene mutations often have developmental disorders and sulfonylurea drugs are effective, which can improve the outcome of developmental disorders. There was no correlation between age, complications, genotype and the outcome of growth. When conditions permit, we should perfect gene detection as soon as possible to identify the type of mutation, guiding treatment and judging prognosis. 展开更多
关键词 Neonatal diabetes mellitus(NDM) sulfonylureas Clinical characterization Growth and development
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Sulfonylurea Glimepiride: A Proven Cost Effective, Safe and Reliable War Horse in Combating Hyperglycemia in Type 2 Diabetes
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作者 Udaya M. Kabadi 《Journal of Diabetes Mellitus》 2015年第4期211-226,共16页
Recently, a debate has been raised regarding the place and the role of sulfonylureas (SU) amongst the armamentarium of drugs available for treatment of hyperglycemia in subjects with type 2 diabetes mellitus. With the... Recently, a debate has been raised regarding the place and the role of sulfonylureas (SU) amongst the armamentarium of drugs available for treatment of hyperglycemia in subjects with type 2 diabetes mellitus. With the advent of new drugs, SUs are being relegated and denigrated by some authorities contrary to present recommendations by various organizations e.g. American Diabetes Association, European Association for the Study of Diabetes and International Diabetes Federation. In this article, the advantages of SUs over the new agents in terms of their well established and proven better efficacy as well as their short term and long term (over 50 years) safety based on extensive literature data are documented. Moreover, lower costs of SUs render them to be far more cost effective when compared to new agents and therefore make them affordable in many regions of the world. Additionally, SUs are probably the initial drugs of choice in lean subjects with prediabetes and type 2 diabetes because they are the most effective secretogogues and major pathophysiologic mechanism of altered glucose metabolism in lean subjects is the decline in insulin secretion and not rising insulin resistance. Furthermore, SUs are also the most cost effective 2nd line agents in obese subjects with type 2 diabetes on lapse of glycemic control while receiving metformin. Finally, with progression of the disorder, the most cost effective combination of 2 oral agents in conjunction with basal insulin remains to be metformin and SUs. Many studies have documented a significantly greater extra pancreatic effect of glimepiride in comparison to other SUs probably because of its unique property in enhancing insulin sensitivity in conjunction with its ability to stimulate both 1st and 2nd phase insulin secretion. These characteristics may contribute to its greater efficacy with lesser hypoglycemia when compared with other SUs. Lack of hypoglycemic effect of metabolites of glimepiride may also be responsible for lesser hypoglycaemia. Moreover, metabolism of glimepiride performed partially by the liver and partially by the kidneys may render it suitable and adaptable to be administered safely in subjects with hepatic or renal dysfunctional as well as elderly. Finally, the documentation of its pleiotropic effects in lowering of cardiovascular surrogate markers, improving thrombotic milleau by reducing platelet aggregation factors along with improvement in glycemic control and its preferential binding to SU receptors on the pancreatic beta cells rather than myocardium may be responsible for providing better cardiovascular outcomes in comparison to other SUS and thus make it a better choice amongst SUs in subjects with or without presence of cardiovascular disease. Additionally, once daily administration because of lasting efficacy for 24 hours based on its half life is likely to enhance compliance on the part of patients and assist in attaining and maintaining desirable glycemic control. Therefore, SUs still deserve to be major players in management of hyperglycemia in subjects with type 2 diabetes mellitus and glimepiride may be the best choice amongst SUs because of its long term record regarding efficacy and safety in diverge population of subjects with type 2 diabetes mellitus. 展开更多
关键词 Type 2 Diabetes sulfonylureas (SU)
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