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Antidiabetic thiazolidinediones induce ductal differentiation but not apoptosis in pancreatic cancer cells 被引量:15
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作者 Elisabetta Ceni Tommaso Mello +6 位作者 Mirko Tarocchi David W Crabb Anna Caldini Pietro Invernizzi Calogero Surrenti Stefano Milani Andrea Galli 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第8期1122-1130,共9页
AIM: Thiazolidinediones (TZD) are a new class of oral antidiabetic drugs that have been shown to inhibit growth of same epithelial cancer cells. Although TZD were found to be ligands for peroxisome proliferator-activa... AIM: Thiazolidinediones (TZD) are a new class of oral antidiabetic drugs that have been shown to inhibit growth of same epithelial cancer cells. Although TZD were found to be ligands for peroxisome proliferator-activated receptor γ (PPARγ), the mechanism by which TZD exert their anticancer effect is presently unclear. In this study, we analyzed the mechanism by which TZD inhibit growth of human pancreatic carcinoma cell lines in order to evaluate the potential therapeutic use of these drugs in pancreatic adenocarcinoma. METHODS: The effects of TZD in pancreatic cancer cells were assessed in anchorage-independent growth assay. Expression of PPARy was measured by reverse-transcription polymerase chain reaction and confirmed by Western blot analysis. PPARy activity was evaluated by transient reporter gene assay. Flow cytometry and DMA fragmentation,assay were used to determine the effect of TZD on cell cycle progression and apoptosis respectively. The effect of TZD on ductal differentiation markers was performed by Western blot. RESULTS: Exposure to TZD inhibited colony formation in a PPARγ-dependent manner. Growth inhibition was linked to G1 phase cell cycle arrest through induction of the ductal differentiation program without any increase of the apoptotic rate. CONCLUSION: TZD treatment in pancreatic cancer cells has potent inhibitory effects on growth by a PPAR-dependent induction of pacreatic ductal differentiation. 展开更多
关键词 thiazolidinediones Pancreatic cancer PPARγ Cancer growth DIFFERENTIATION
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Design,synthesis and in vitro evaluation of a series thiazolidinediones analogs as PPAR modulators
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作者 Jun Feng Ying Lu Zhe Feng Cai Shi Peng Zhang Zong Ru Guo 《Chinese Chemical Letters》 SCIE CAS CSCD 2007年第1期45-47,共3页
A series of thiazolidinediones analogs, as PPAR modulators, were designed, synthesized and evaluated in vitro.
关键词 Peroxisome proliferator-activated receptors PPAR modulators thiazolidinediones
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Oral bisphosphonates improve the bone mineral density in men with diabetes with or without thiazolidinediones
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作者 Subhashini Yaturu Jared Davis 《Journal of Diabetes Mellitus》 2011年第4期129-132,共4页
Objective: Osteoporosis and type 2 diabetes mellitus (DM) two of the most common chronic conditions and represent major public health burdens. Epidemiological and observational studies indicate that thiazolidinedione ... Objective: Osteoporosis and type 2 diabetes mellitus (DM) two of the most common chronic conditions and represent major public health burdens. Epidemiological and observational studies indicate that thiazolidinedione (TZD) therapy with rosiglitazone and pioglitazone is associated with an increased risk of fractures and decreased bone mineral density (BMD). To our knowledge, no data are available to evaluate bisphosphonate therapy in thiazolidinedione-treated patients. The aim of this study was to investigate the benefit of bisphosphonates to improve changes in BMD in subjects with DM associated with TZDs. Methods: In a cross-sectional observational study using a retrospective review of electronic medical records, the changes in BMD in subjects with type 2 DM. The study subjects were divided into four groups. First group with DM receiving both TZDs and BPs;second group neither;third group receiving only TZDs and the fourth only BPs. The comparison of annual percent changes in BMD between the groups were carried out. Results: Decreased BMD noted in subjects with DM on TZDs. Bisphosphonates improved BMD in subjects with DM on TZDs. BMD improved in subjects with DM in those not receiving TZDs also. Conclusion: We conclude that concomitant treatment with bisphosphonates improves BMD in subjects with diabetes and on TZDs. 展开更多
关键词 DIABETES thiazolidinediones Bone Mineral Density BISPHOSPHONATES PIOGLITAZONE ROSIGLITAZONE Osteoporosis
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ZnO Nanobelts: An Efficient Catalyst for Synthesis of 5-Arylidine-2,4-Thiazolidinediones and 5-Arylidine-Rhodanines
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作者 Suresh   Jagir S. Sandhu 《International Journal of Organic Chemistry》 2012年第3期305-310,共6页
A facile preparation of ZnO nanobelts by chemical precipitation technique and its utility as catalyst in Knoevenagel condensation of 2,4-thiazolidinedione/rhodanine has been described. X-ray diffraction and transmissi... A facile preparation of ZnO nanobelts by chemical precipitation technique and its utility as catalyst in Knoevenagel condensation of 2,4-thiazolidinedione/rhodanine has been described. X-ray diffraction and transmission electron microscopy techniques revealed the formation ZnO nanobelts. Scanning electron microscopic observations indicate that the lengths of nanobelts are ranging from a few hundreds of micrometers to a few millimeters. Its use for the condensation of aldehydes and active methylene compounds under solvent free reaction condition at 90℃ afforded the corresponding products in excellent yields in minute time. 展开更多
关键词 ZnO NANOBELTS KNOEVENAGEL Condensation 2 4-thiazolidinedione RHODANINE Solvent-Free
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过氧化物酶体增殖物激活受体γ、TZD与非酒精性脂肪性肝病 被引量:4
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作者 王晓敏 陈东风 艾正琳 《国际消化病杂志》 CAS 2007年第3期219-221,共3页
过氧化物酶体增殖物激活受体γ(PPARγ)作为一种核转录因子,能与其特异性配体结合,进而在转录水平上调控多种基因表达,参与脂肪细胞分化、糖脂代谢、动脉硬化、炎症与免疫、肿瘤分化、诱导细胞凋亡等多种生理性效应。PPARγ的合成配体... 过氧化物酶体增殖物激活受体γ(PPARγ)作为一种核转录因子,能与其特异性配体结合,进而在转录水平上调控多种基因表达,参与脂肪细胞分化、糖脂代谢、动脉硬化、炎症与免疫、肿瘤分化、诱导细胞凋亡等多种生理性效应。PPARγ的合成配体噻唑烷二酮类(TZD)通过改善胰岛素抵抗,有抑制巨噬细胞浸润,抑制炎症介质和血管活性物质合成,抑制肝星状细胞激活、增殖以及减少细胞外基质蓄积等作用,已证实TZD在非酒精性脂肪性肝病的防治中发挥重要作用。 展开更多
关键词 过氧化物酶体增殖物激活受体Γ 噻唑烷二酮类 非酒精性脂肪肝
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PPARγ PPARγ配体TZDs与高血压 被引量:1
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作者 王浩 杨晔 《心肺血管病杂志》 CAS 2005年第4期245-246,249,共3页
关键词 PPARΓ配体 过氧化物酶体增殖物激活受体 tzds 高血压 动脉粥样硬化病变 受体超家族 血管内皮细胞 单核细胞 结构域 核转录因子
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PPARα/γ双重激动剂TZD18与脂质代谢的研究进展
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作者 单利珍 任跃忠 《国外医学(药学分册)》 2005年第5期318-321,共4页
噻唑烷二酮(TZD)包括一系列具有2,4-噻唑烷二酮结构的化合物。它们均具有不同的侧链取代基,因而药理特点各有不同。最近发现一种化合物TZD18,一种兼具有改善胰岛素抵抗和降低甘油三酯、胆固醇作用的PPARα/γ的双重激动剂。本文综述了TZ... 噻唑烷二酮(TZD)包括一系列具有2,4-噻唑烷二酮结构的化合物。它们均具有不同的侧链取代基,因而药理特点各有不同。最近发现一种化合物TZD18,一种兼具有改善胰岛素抵抗和降低甘油三酯、胆固醇作用的PPARα/γ的双重激动剂。本文综述了TZD18在脂质代谢方面的研究进展。 展开更多
关键词 tzd18 PPARα/γ的双重激动剂 脂质代谢
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Indirect comparison of efficacy and safety of chiglitazar and thiazolidinedione in patients with type 2 diabetes:A meta-analysis 被引量:1
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作者 Chu Lin Zong-Lin Li +4 位作者 Xiao-Ling Cai Sui-Yuan Hu Fang Lv Wen-Jia Yang Li-Nong Ji 《World Journal of Diabetes》 SCIE 2023年第10期1573-1584,共12页
BACKGROUND Chiglitazar is an emerging pan-agonist of all peroxisome proliferator activated receptors(PPAR)-α,δandγ,and has therapeutic potential for type 2 diabetes(T2D).However,to date,no clinical studies or meta-... BACKGROUND Chiglitazar is an emerging pan-agonist of all peroxisome proliferator activated receptors(PPAR)-α,δandγ,and has therapeutic potential for type 2 diabetes(T2D).However,to date,no clinical studies or meta-analyses have compared the efficacy and safety of chiglitazar and traditional PPAR-γagonist thiazolidinediones(TZDs).A meta-analysis concerning this topic is therefore required.AIM To compare the efficacy and safety of chiglitazar and TZD in patients with T2D.METHODS PubMed,Medline,Embase,the Cochrane Central Register of Controlled Trials,Reference Citation Analysis and Clinicaltrial.gov websites were searched from August 1994 to March 2022.Randomized controlled trials(RCTs)of chiglitazar or TZD vs placebo in patients with T2D were included.Indirect comparisons and sensitivity analyses were implemented to evaluate multiple efficacy and safety endpoints of interest.RESULTS We included 93 RCTs that compared TZD with placebo and one that compared chiglitazar with placebo.For efficacy endpoints,the augmented dose of chiglitazar resulted in greater reductions in hemoglobin(Hb)A1c[weighted mean difference(WMD)=-0.15%,95%confidence interval(CI):-0.27 to-0.04%],triglycerides(WMD=-0.17 mmol/L,95%CI:-0.24 to-0.11 mmol/L)and alanine aminotransferase(WMD=-5.25 U/L,95%CI:-8.50 to-1.99 U/L),and a greater increase in homeostasis model assessment-β(HOMA-β)(WMD=17.75,95%CI:10.73-24.77)when compared with TZD treatment.For safety endpoints,the risks of hypoglycemia,edema,bone fractures,upper respiratory tract infection,urinary tract infection,and weight gain were all comparable between the augmented dose of chiglitazar and TZD.In patients with baseline HbA1c≥8.5%,body mass index≥30 kg/m^(2)or diabetes duration<10 years,the HbA1c reduction and HOMA-βincrease were more conspicuous for the augmented dose of chiglitazar compared with TZD.CONCLUSION Augmented dose of chiglitazar,a pan-activator of PPARs,may serve as an antidiabetic agent with preferable glycemic and lipid control,betterβ-cell function preserving capacity,and does not increase the risk of safety concerns when compared with TZD. 展开更多
关键词 Chiglitazar thiazolidinedionE Glycemic control β-cell function Drug safety
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The Future of TZD,from Lab Bench to Bedside 被引量:2
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作者 Y. Eugene Chen 《中国动脉硬化杂志》 CAS CSCD 北大核心 2009年第7期580-580,共1页
The metabolic syndrome is strongly associated with insulin resistance and consists of a constellation of factors such as hypertension and hyperlipidemia that raise the risk for cardiovascular disease (CVD) and diabete... The metabolic syndrome is strongly associated with insulin resistance and consists of a constellation of factors such as hypertension and hyperlipidemia that raise the risk for cardiovascular disease (CVD) and diabetes mellitus. Emerging data suggest that peroxisome proliferator-activated receptor-γ (PPARγ) is a critical determinant that may provide functional links between diabetes and CVD. 展开更多
关键词 高血压 胰岛素 预防措施 临床分析
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Targeting PPAR<i>γ</i>Receptor Using New Phosphazene Derivative Containing Thiazolidinedione: Design, Synthesis, and Glucose Uptake
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作者 Shaikha S. Al Neyadi Abdu Adem +1 位作者 Naheed Amir Ibrahim M. Abdou 《Open Journal of Medicinal Chemistry》 2020年第2期35-45,共11页
The peroxisome proliferator activator receptor-<em>γ</em> (PPAR-<em>γ</em>) remained the most effective target for management of diabetes mellitus. The present work endeavors rational designi... The peroxisome proliferator activator receptor-<em>γ</em> (PPAR-<em>γ</em>) remained the most effective target for management of diabetes mellitus. The present work endeavors rational designing new PPAR-<em>γ</em> agonist bearing cyclotriphosphazene and thiazolidine-2,4-dione scaffolds. Thiazolidinedione (TZD) derivatives are the novel class of oral antidiabetic drugs which are selective agonist for the nuclear PPAR<em>γ</em> that enhances the transcription of several insulin responsive genes but TZDs are known to cause weight gain, hepatotoxicity and fluid retention. So, cyclotriphosphazene containing thiazolidine-2,4-dione was designed, synthesized as PPAR<em>γ</em> agonist. The <em>in-vitro</em> antidiabetic activity showed that compound <strong>8</strong> has similar activity and exhibited higher glucose uptake in comparison to pioglitazone as reference drugs. This research opened new avenues for smart designing of molecules with high efficiency towards the management of hyperglycemia. 展开更多
关键词 Type 2 Diabetes PPARS tzd Compound CYCLOTRIPHOSPHAZENE
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Role of renal proximal tubule transport in thiazolidinedioneinduced volume expansion
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作者 George Seki Yoko Endo +3 位作者 Masashi Suzuki Hideomi Yamada Shoko Horita Toshiro Fujita 《World Journal of Nephrology》 2012年第5期146-150,共5页
Thiazolidinediones (TZDs), pharmacological activa-tors of peroxisome-proliferator-activated receptors γ (PPARγ), significantly improve insulin resistance and lower plasma glucose concentrations. However, the us... Thiazolidinediones (TZDs), pharmacological activa-tors of peroxisome-proliferator-activated receptors γ (PPARγ), significantly improve insulin resistance and lower plasma glucose concentrations. However, the use of TZDs is associated with plasma volume expansion, the mechanism of which has been a matter of contro-versy. Originally, PPARγ-mediated enhanced transcrip-tion of the epithelial Na channel (ENaC) γ subunit was thought to play a central role in TZD-induced volume expansion. However, later studies suggested that the activation of ENaC alone could not explain TZD-induced volume expansion. We have recently shown that TZDs rapidly stimulate sodium-coupled bicarbonate absorp-tion from renal proximal tubule (PT) in vitro and in vivo. TZD-induced transport stimulation was dependent on PPARγ/Src/EGFR/ERK, and observed in rat, rabbit and human. However, this stimulation was not observed in mouse PTs where Src/EGFR is constitutively activated. Analysis in mouse embryonic fbroblast cells confrmed the existence of PPARγ/Src-dependent non-genomic signaling, which requires the ligand binding ability but not the transcriptional activity of PPARγ. The TZD-in-duced enhancement of association between PPARγ and Src supports an obligatory role for Src in this signal-ing. These results support the view that TZD-induced volume expansion is multifactorial. In addition to the PPARγ-dependent enhanced expression of the sodium transport system(s) in distal nephrons, the PPARγ-dependent non-genomic stimulation of renal proximal transport may be also involved in TZD-induced volume expansion. 展开更多
关键词 thiazolidinediones Peroxisome-proliferator-activated receptors γ Volume expansion EDEMA NBCe1 NHE3 Epithelial Na channel
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胰岛素拮抗与其药物(TZDS)增敏机制的探讨
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作者 王爱明 潘震宇 范萃莉 《中国民族民间医药》 2009年第22期51-51,共1页
目前公认糖尿病的起因,由于外周胰岛素抵抗(IR)及B细胞功能紊乱引起,并视IR为糖尿病之前已发生,其进一步发展才成为真正糖尿病。为此对IR发病机制和药物噻唑脘二酮类TZDS药物的增敏机制,已为临床所日益重视。
关键词 胰岛素 拮抗 药物(tzdS)增敏机制
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噻唑烷二酮通过脂联素介导的AMPK信号通路抑制鸡的生长
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作者 唐瑶 王涛 +4 位作者 薛梦晴 张文芋 石美 王鲜忠 张姣姣 《畜牧兽医学报》 CAS CSCD 北大核心 2024年第11期5247-5258,共12页
噻唑烷二酮(thiazolidinedione,TZD)是一种治疗胰岛素抵抗的口服糖尿病药物,滥用或不当使用TZD对动物和人类的健康具有不良影响。本研究探讨了TZD对健康雏鸡生长和代谢的影响以及这一过程的潜在机制。80只6日龄雏鸡分为对照组(雌雄各20... 噻唑烷二酮(thiazolidinedione,TZD)是一种治疗胰岛素抵抗的口服糖尿病药物,滥用或不当使用TZD对动物和人类的健康具有不良影响。本研究探讨了TZD对健康雏鸡生长和代谢的影响以及这一过程的潜在机制。80只6日龄雏鸡分为对照组(雌雄各20只)、试验组(雌雄各20只),对照组的鸡不灌服TZD,试验组的鸡连续14 d每日灌服25 mg·(kg·d)^(-1)TZD,检测雏鸡的生长情况;利用生化试剂盒检测腺嘌呤核苷三磷酸(ATP)和脂联素水平、生长代谢相关激素浓度、线粒体功能;通过RT-PCR和蛋白质印迹法检测调节细胞代谢和增殖相关基因的mRNA和蛋白质水平。结果发现,TZD显著降低了雏鸡的平均日增重以及血清ATP、胰岛素(insulin,INS)、生长激素(growth hormone,GH)和胰岛素样生长因子1(insulin-like growth factor 1,IGF1)的水平(P<0.05),而提高了脂联素和胰岛素样生长因子结合蛋白2(IGFBP2)的水平(P<0.05)。TZD还降低了雏鸡肝、肾和肌肉的ATP水平及线粒体酶活性(P<0.05)。此外,TZD的摄入使雏鸡脂联素及其受体、AMP活化蛋白激酶α2(AMPKα2)、p21和p27的mRNA及蛋白表达增强(P<0.05),而INS及其受体、IGF1及其受体、磷脂酰肌醇-3-激酶(PI3K)、AKT、哺乳动物雷帕霉素靶蛋白(mTOR)、细胞周期蛋白依赖性激酶2(CDK2)和细胞周期蛋白E1(cyclin E1)的mRNA和蛋白表达受到抑制(P<0.05)。TZD通过脂联素介导的AMPK信号通路降低了雏鸡生长代谢相关激素水平和线粒体功能,该信号通路抑制其下游PI3K/AKT/mTOR,进一步导致p21/p27表达增加以及CDK2/Cyclin E1表达降低,从而抑制雏鸡生长和代谢组织中的细胞增殖。综上表明,TZD通过调节脂联素介导的AMPK信号通路对鸡的生长产生不利影响,这为临床实践与畜禽生产中避免滥用或不当使用TZD提供了一定的理论依据。 展开更多
关键词 噻唑烷二酮 生长代谢 脂联素 AMPK
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罗格列酮与胰岛素合用对LADA患者胰岛β细胞功能保护作用的初步观察 被引量:63
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作者 李霞 周智广 +4 位作者 黄干 彭健 颜湘 王建平 杨琳 《中国糖尿病杂志》 CAS CSCD 2003年第4期242-246,共5页
目的 探讨罗格列酮 (Rosiglitazone,RSG)与胰岛素 (Ins)合用对成人隐匿性自身免疫糖尿病 (L ADA)患者胰岛β细胞功能的影响。 方法 对临床初诊为 2型糖尿病 (T2 DM)患者进行谷氨酸脱羧酶抗体 (GADA )检测 ,筛选出 GADA阳性、空腹 C肽... 目的 探讨罗格列酮 (Rosiglitazone,RSG)与胰岛素 (Ins)合用对成人隐匿性自身免疫糖尿病 (L ADA)患者胰岛β细胞功能的影响。 方法 对临床初诊为 2型糖尿病 (T2 DM)患者进行谷氨酸脱羧酶抗体 (GADA )检测 ,筛选出 GADA阳性、空腹 C肽≥ 30 0 pm ol/ L的 L ADA患者 1 2例 ,随机分为 Ins组 (n=6 )、Ins+RSG组 (合用组 ) (n=6 )。分别在入组时和入组后 1 2个月检测空腹血糖、C肽、糖化血红蛋白 (Hb A1 c)、75 g葡萄糖负荷后 2 h血糖和 C肽 ,进行胰岛功能的比较。用放射配体法检测 GADA水平 ,放免法检测 C肽。 结果 随访 1年时 Ins+RSG组的糖负荷后 2 h C肽高于 Ins组 (1 6 95 .0 pmol/ L对 782 .1 pmol/ L ,P<0 .0 5 ) ;Ins组随访 1年前后的 C肽有下降趋势 (从 1 71 0 .5pmol/ L到 782 .1 pm ol/ L ) ,而 Ins+RSG组变化不明显 (从 1 2 4 2 .9pm ol/ L到 1 6 95 .0 pm ol/ L ) ,合用组治疗前后糖负荷后 C肽的差值 (治疗后 -治疗前 )较单用 Ins组为高 (2 4 3.0 pm ol/ L - 1 0 79.6pmol/ L ,P<0 .0 5 )。逐步回归分析显示 :入组时的餐后 2 h C肽、体质指数 (BMI)、Ins和 RSG联合治疗与随访 1年时的糖负荷后 C肽水平呈正相关 ,其中以最后一个因素的标准回归系数为大 (分别为0 .3、1 37.2、76 7.1 ;P值分? 展开更多
关键词 罗格列酮 胰岛素 胰岛Β细胞 成人隐匿性自身免疫糖尿病 谷氨酸脱羧酶抗体 放射配体法
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罗格列酮对大鼠血管平滑肌细胞凋亡和转化生长因子分泌的影响 被引量:1
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作者 刘厂辉 游三丽 +2 位作者 阳辉 郭慧 彭芳 《中国现代医学杂志》 CAS CSCD 北大核心 2007年第6期689-692,696,共5页
目的观察罗格列酮对大鼠胸主动脉平滑肌细胞(SMC)凋亡和转化生长因子-β1(TGF-β1)水平的影响。方法采用罗格列酮处理体外培养的大鼠胸主动脉平滑肌细胞(SMC),用ELISA法检测培养基中转化生长因子-β1(TGF-β1)的水平,同时用流式细胞学和... 目的观察罗格列酮对大鼠胸主动脉平滑肌细胞(SMC)凋亡和转化生长因子-β1(TGF-β1)水平的影响。方法采用罗格列酮处理体外培养的大鼠胸主动脉平滑肌细胞(SMC),用ELISA法检测培养基中转化生长因子-β1(TGF-β1)的水平,同时用流式细胞学和TUNEL法检测细胞凋亡。结果罗格列酮诱导SMC快速分泌TGF-β1,在0.5h内达到高峰,并且这种快速分泌可被GW9662逆转;罗格列酮诱导SMC凋亡存在浓度依赖,随着罗格列酮浓度的增加SMC凋亡率越来越高,100μmol/L时SMC凋亡率达到最高,而超过100μmol/L时,凋亡率并没有随着罗格列酮浓度的增加而增加,甚至有所下降,并且GW9662和anti-TGF-β1抗体均可逆转罗格列酮对SMC凋亡的诱导。结论罗格列酮通过诱导的激活及转化生长因子β1(PPAR-γ)的快速分泌促进血管平滑肌细胞凋亡。 展开更多
关键词 tzd TGF-β1 凋亡 转化生长因子 罗格列酮 血管平滑肌细胞 血管再狭窄
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罗格列酮的合成 被引量:9
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作者 雷琴 广兵 +2 位作者 王良兵 卫永祉 张国林 《四川大学学报(工程科学版)》 EI CAS CSCD 2003年第3期107-109,共3页
以2-氯吡啶和2-甲氨基乙醇为原料,经过威廉森成醚反应、缩合反应、催化氢化反应合成得到了噻唑烷二酮类胰岛素增敏剂罗格列酮。在此过程中改进了合成中间体4-[2-(甲基-2-吡啶氨基)乙氧基]苯甲醛的威廉森成醚反应条件;简化了中间体的纯... 以2-氯吡啶和2-甲氨基乙醇为原料,经过威廉森成醚反应、缩合反应、催化氢化反应合成得到了噻唑烷二酮类胰岛素增敏剂罗格列酮。在此过程中改进了合成中间体4-[2-(甲基-2-吡啶氨基)乙氧基]苯甲醛的威廉森成醚反应条件;简化了中间体的纯化方法;优化了5-{4-[2-(甲基-2-吡啶氨基)-乙氧基]-亚苄基}-噻唑烷-2,4-二酮的催化氢化反应条件。实验结果表明,该合成路线具有反应条件温和、收率高且操作简便。 展开更多
关键词 罗格列酮 糖尿病 胰岛素增敏剂 噻唑烷二酮
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吡格列酮联合二甲双胍对初诊2型糖尿病患者血清视黄醇结合蛋白4水平的影响 被引量:9
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作者 陈红梅 李洪彬 +2 位作者 邱谷 戴士荣 汤永新 《中国临床保健杂志》 CAS 2016年第4期366-368,共3页
目的观察吡格列酮联合二甲双胍对初诊2型糖尿病(T2DM)患者血清视黄醇结合蛋白4(RBP4)水平的影响。方法 60例初发T2DM(A组)患者随机分二组,30例予二甲双胍(A1组)和30例予吡格列酮联合二甲双胍(A2组)治疗12周,30例正常体检者为对照组(B组... 目的观察吡格列酮联合二甲双胍对初诊2型糖尿病(T2DM)患者血清视黄醇结合蛋白4(RBP4)水平的影响。方法 60例初发T2DM(A组)患者随机分二组,30例予二甲双胍(A1组)和30例予吡格列酮联合二甲双胍(A2组)治疗12周,30例正常体检者为对照组(B组)。观察两组治疗前后空腹血糖(FBG)、糖化血红蛋白(Hb A1c)、RBP4、血脂、空腹胰岛素(FIns)、体质量指数(BMI)、腰臀比(WHR)及胰岛素抵抗指数(HOMA-IR)、Homeβ细胞功能指数(HBCI)的变化。结果 (1)A组血清RBP4水平明显高于B组(P<0.05);(2)A1组和A2组治疗后FPG、Hb Alc、FIns、RBP4、HOMA-IR、BMI、WHR、低密度胆固醇(LDL-C)均明显低于治疗前(P<0.05)。A2组血清RBP4、HOMA-IR和LDL-C更低于A1组(P<0.05)。A1组、A2组治疗后HBCI均明显高于治疗前(P<0.05),两组治疗后比较差异无统计学意义(P>0.05)。结论二甲双胍联合吡格列酮可更有效降低血清RBP4,更好发挥降血糖,改善胰岛素抵抗和β细胞功能的疗效。 展开更多
关键词 糖尿病 2 视黄醇结合蛋白质类 二甲双胍 噻唑烷二酮类
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PPAR与胰岛素抵抗 被引量:20
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作者 丁世英 申竹芳 谢明智 《中国药理学通报》 CAS CSCD 北大核心 2002年第3期241-245,共5页
PPAR即过氧化物酶体增殖物激活受体 ,是核受体超家族成员之一 ,它可以促进脂肪细胞分化 ,在脂肪代谢中起重要作用。近年来随着对胰岛素增敏剂噻唑烷二酮 (TZD)类药物作用机制的深入研究 ,发现PPARγ是该类药物的主要功能受体 ,于是展开... PPAR即过氧化物酶体增殖物激活受体 ,是核受体超家族成员之一 ,它可以促进脂肪细胞分化 ,在脂肪代谢中起重要作用。近年来随着对胰岛素增敏剂噻唑烷二酮 (TZD)类药物作用机制的深入研究 ,发现PPARγ是该类药物的主要功能受体 ,于是展开了对于PPAR与胰岛素抵抗之间关系的研究。TZD类药物激活PPARγ ,可以改善胰岛素抵抗 ,而在基因敲除的PPARγ+ / -中 ,却发现胰岛素敏感性增加。所以 ,PPAR激活与改善胰岛素抵抗之间不是简单的正相关关系。对二者关系的进一步明确 。 展开更多
关键词 PPAR 胰岛素抵抗 噻唑烷二酮类 Ⅱ型糖尿病
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脂联素及其受体在吡格列酮抑制ApoE基因敲除小鼠主动脉粥样硬化中的作用 被引量:4
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作者 达娃次仁 赵锋 +2 位作者 齐永芬 陈路增 霍勇 《北京大学学报(医学版)》 CAS CSCD 北大核心 2009年第2期174-178,共5页
目的:观察吡格列酮对ApoE基因敲除小鼠(ApoE-/-小鼠)主动脉粥样硬化病变的影响,并初步探讨血清脂联素及其受体在其中的作用。方法:ApoE-/-小鼠动脉粥样硬化模型组:随机分成3个亚组,安慰剂组(n=10)、小剂量吡格列酮治疗组[10mg/(kg.d),n=... 目的:观察吡格列酮对ApoE基因敲除小鼠(ApoE-/-小鼠)主动脉粥样硬化病变的影响,并初步探讨血清脂联素及其受体在其中的作用。方法:ApoE-/-小鼠动脉粥样硬化模型组:随机分成3个亚组,安慰剂组(n=10)、小剂量吡格列酮治疗组[10mg/(kg.d),n=10]、大剂量吡格列酮治疗组[20mg/(kg.d),n=10]。以野生型C57BL/6J小鼠(n=9)为对照组。观察ApoE-/-小鼠主动脉病理学改变、腹主动脉超声改变及血清脂联素水平、主动脉脂联素受体R1(adiponectin receptor1,AdipoR1)及脂联素受体R2(adiponectin receptor2,AdipoR2)mRNA表达水平。结果:与野生型C57BL/6J小鼠相比,ApoE-/-小鼠有较明显的主动脉内膜增厚及粥样斑块的形成,而经吡格列酮治疗后病变减轻。ApoE-/-小鼠安慰剂组腹主动脉平均内膜中层厚度(intima-media thickness,IMT)较野生型C57BL/6J小鼠明显增加[(0.290±0.063vs0.178±0.012)cm,P<0.01],而经大剂量吡格列酮治疗后IMT显著减轻[(0.208±0.012vs0.290±0.063)cm,P<0.05]。ApoE-/-小鼠安慰剂组血清脂联素水平低于野生型C57BL/6J小鼠[(12.41±3.84vs18.96±4.89)μg/L,P<0.05],而经低剂量及高剂量吡格列酮治疗后,与安慰剂组比较,均可增加血清脂联素水平(18.78±7.24μg/Lvs12.41±3.84μg/L,P<0.05;24.00±4.71μg/Lvs12.41±3.84μg/L,P<0.05)。ApoE-/-小鼠安慰剂组主动脉脂联素受体AdipoR1mRNA的表达低于野生型C57BL/6J小鼠(0.789±0.167vs0.950±0.071,P<0.05),并且AdipoR1/AdipoR2比值显著下降(1.039±0.062vs0.940±0.102,P<0.05),而经吡格列酮治疗可轻度上调AdipoR1和AdipoR2型受体mRNA的表达,大剂量吡格列酮治疗可显著增加AdipoR1/AdipoR2比值(1.063±0.051vs0.940±0.102,P<0.01)。结论:吡格列酮可抑制动脉粥样硬化的形成,其作用机制可能与提高血清脂联素水平和上调主动脉脂联素受体(尤其是AdipoR1型)表达有关。 展开更多
关键词 脂联素 噻唑烷二酮类 动脉粥样硬化 小鼠 基因敲除
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噻唑烷二酮类药物改善多囊卵巢综合征患者胰岛素抵抗的作用 被引量:22
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作者 郑俊 滕香宇 刘伟 《中国全科医学》 CAS CSCD 北大核心 2009年第20期1920-1922,共3页
多囊卵巢综合征(PCOS)是常见的育龄期女性内分泌疾病,高雄激素状态和慢性的无排卵是其主要特征。目前认为胰岛素敏感性的下降导致代偿性的高胰岛素水平是导致高雄激素血症和卵巢功能改变的重要原因,是P-COS患者代谢异常及生殖功能障碍... 多囊卵巢综合征(PCOS)是常见的育龄期女性内分泌疾病,高雄激素状态和慢性的无排卵是其主要特征。目前认为胰岛素敏感性的下降导致代偿性的高胰岛素水平是导致高雄激素血症和卵巢功能改变的重要原因,是P-COS患者代谢异常及生殖功能障碍的病理基础。胰岛素增敏剂噻唑烷二酮类药物(TZD)用于临床治疗PCOS,可纠正PCOS的代谢和内分泌紊乱,恢复患者的排卵和受孕功能。其作用机制目前认为主要与改善胰岛素抵抗(IR)有关;但也有部分报道提示TZD可能存在与IR无关的作用途径。本文主要就TZD在改善多囊卵巢综合征患者IR方面的作用进行综述。 展开更多
关键词 噻唑烷二酮类 多囊卵巢综合征 胰岛素抵抗
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