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Role of dipeptidyl peptidase 4 inhibitors in the new era of antidiabetic treatment 被引量:4
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作者 Matilda Florentin Michael S Kostapanos Athanasia K Papazafiropoulou 《World Journal of Diabetes》 SCIE 2022年第2期85-96,共12页
The last few years important changes have occurred in the field of diabetes treatment.The priority in the therapy of patients with diabetes is not glycemic control per se rather an overall management of risk factors,w... The last few years important changes have occurred in the field of diabetes treatment.The priority in the therapy of patients with diabetes is not glycemic control per se rather an overall management of risk factors,while individualization of glycemic target is suggested.Furthermore,regulatory authorities now require evidence of cardiovascular(CV)safety in order to approve new antidiabetic agents.The most novel drug classes,i.e.,sodium-glucose transporter 2 inhibitors(SGLT2-i)and some glucagon-like peptide-1 receptor agonists(GLP-1 RA),have been demonstrated to reduce major adverse CV events and,thus,have a prominent position in the therapeutic algorithm of hyperglycemia.In this context,the role of previously used hypoglycemic agents,including dipeptidyl peptidase 4(DPP-4)inhibitors,has been modified.DPP-4 inhibitors have a favorable safety profile,do not cause hypoglycemia or weight gain and do not require dose uptitration.Furthermore,they can be administered in patients with chronic kidney disease after dose modification and elderly patients with diabetes.Still,though,they have been undermined to a third line therapeutic choice as they have not been shown to reduce CV events as is the case with SGLT2-i and GLP-1 RA.Overall,DPP-4 inhibitors appear to have a place in the management of patients with diabetes as a safe class of oral glucose lowering agents with great experience in their use. 展开更多
关键词 Cardiovascular safety dipeptidyl peptidase 4 inhibitors Glucose lowering HYPOGLYCEMIA Therapeutic algorithm Weight gain
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Identification and dipeptidyl peptidase Ⅳ(DPP-Ⅳ) inhibitory activity verification of peptides from mouse lymphocytes 被引量:2
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作者 Juan Wang Yujia Xie +4 位作者 Yuanyuan Luan Tingting Guo Shanshan Xiao Xingxing Zeng Shaohui Zhang 《Food Science and Human Wellness》 SCIE 2022年第6期1515-1526,共12页
The objective of this study was to isolate and identify the intracellular bioactive peptides from mouse lymphocytes before and after lipopolysaccharide(LPS)stimulation,to explore novel peptides and to research the bio... The objective of this study was to isolate and identify the intracellular bioactive peptides from mouse lymphocytes before and after lipopolysaccharide(LPS)stimulation,to explore novel peptides and to research the bioactive function.Mouse spleen lymphocytes were isolated and cultured with LPS stimulation(experimental group)or not(control group)to collect intracellular peptides.Totally 385 peptides were analyzed by nanoliter liquid phase-Q Exactive quadrupole ultra-high resolution orbitrap mass spectrometer(Nano LC-Q Exactive Plus)and identifi ed by PEAKS X software.After compared with peptides reported,131 novel peptides were discovered,which then were predicted bioactivity by Peptide Ranker and 6 peptides with high bioactivity were predicted function by BIOPEP-UMW database.Prediction data showed that they may have dipeptidyl peptidase IV(DPP-IV)inhibitory activity.Finally,two peptides showed better potent inhibition were verifi ed with competitive and noncompetitive modes. 展开更多
关键词 LYMPHOCYTES PEPTIDES LIPOPOLYSACCHARIDE dipeptidyl peptidase(DPP-)inhibitory activity
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Neonatal Exposure to the Dipeptidyl Peptidase-IV Inhibitors Diprotin A and Sitagliptin Induces Depression-Like Behavior, Anxiety, and Latent Aggression in Adolescent and Adult Rats 被引量:1
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作者 Nataliya A. Krupina Nadezhda N. Khlebnikova 《Journal of Behavioral and Brain Science》 2016年第4期167-183,共17页
Emotional and motivational disorders in adults are often considered to be the result of altered neurodevelopment. Clinical and experimental data provide evidence that serine protease dipeptidyl peptidase-IV (DPP-IV, E... Emotional and motivational disorders in adults are often considered to be the result of altered neurodevelopment. Clinical and experimental data provide evidence that serine protease dipeptidyl peptidase-IV (DPP-IV, EC 3.4.14.5) is involved in the pathophysiology of psycho-emotional disorders. Recently, we have shown that adolescent and adult rats exhibit an increase in anxiety and depression-related behaviors after neonatal administration of a synthetic non-competitive inhibitor of DPP-IV, methionyl-2(S)-cyano-pyrrolidine. In the present study, we tested the effects of two competitive, selective DPP-IV inhibitors, sitagliptin (4 mg/kg) and diprotin A (2 mg/kg), administered at postnatal days 5 - 18 on the emotional and motivational behavior of adolescent and adult rats. We observed increased anxiety in one-month-old diprotin A- or sitagliptin-treated rats in the elevated plus maze;diprotin A also enhanced the animals’ anxiety score using a ranked scale for evaluating anxiety and phobias. In the sucrose consumption and preference test, depressive-like behavior was pronounced in both the diprotin A- and sitagliptin-treated one-month-old animals, while only the diprotin A-treated rats exhibited a decrease in sucrose consumption at the age of 2 months. The diprotin A-treated rats also demonstrated behavioral despair and decreased activity in the forced swimming test within 1 - 3 months of age. Increased aggression was observed in 1 - 3-month-old diprotin A-treated rats and in two-month-old sitagliptin-treated rats. These findings support the hypothesis that DPP-IV is involved in the genesis of emotional and motivational disorders. Additionally, the results show that diprotin А impairs the adolescent and adult rats’ behavior more significantly than sitagliptin when the animals were treated with the DPP-IV inhibitors in the early postnatal period. 展开更多
关键词 dipeptidyl peptidase IV inhibitors Rat Depression ANXIETY AGGRESSION
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Dipeptidyl peptidase Ⅳ(DPP Ⅳ):a novel emerging target for thetreatment of type 2 diabetes 被引量:9
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作者 Jing Wu Yiding Chen +1 位作者 Xiaoli Shi Wei Gu 《Journal of Nanjing Medical University》 2009年第4期228-235,共8页
The enzyme, dipeptidyl peptidase IV(DPP IV), is a novel target for the treatment of type 2 diabetes. Dipeptidyl peptidase IV inhibition improves the impaired insulin secretion and decrease postprandial concentration... The enzyme, dipeptidyl peptidase IV(DPP IV), is a novel target for the treatment of type 2 diabetes. Dipeptidyl peptidase IV inhibition improves the impaired insulin secretion and decrease postprandial concentrations of glucagon by enhancing the incretin hormone levels lucagon-like peptide-1(GLP-1) and glucose-dependent insulinotropic polypeptide/gastric inhibitory polypeptide(GIP). Recently, DPP IV inhibitors have attracted more and more attention, several of which have entered pre-clinical and clinical trials, and one has received approval for use as an anti-diabetic agent. Among the DPP IV inhibitors, two leading agents(sitagliptin and vildagliptin) have been shown to be effective in reducing glycosylated hemoglobin(HbAlc) and fasting plasma glucose(FPG) in patients with type 2 diabetes. This review summarizes the evidence supporting DPP IV inhibitors as potential antidiabetic agents. 展开更多
关键词 dipeptidyl peptidase IV DPP IV inhibitors type 2 diabetes incretin hormone
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Risk of pancreatic adverse events associated with the use of glucagon-like peptide-1 receptor agonist and dipeptidyl peptidase-4 inhibitor drugs: A systematic review and metaanalysis of randomized trials 被引量:1
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作者 Hasan M Shihab Tokunbo Akande +2 位作者 Kacie Armstrong Sonal Singh Yoon K Loke 《World Journal of Meta-Analysis》 2015年第6期254-283,共30页
AIM: To systematically assess risk of pancreatic adverse events with glucagon-like peptide-1(GLP-1) receptor agonist and dipeptidyl peptidase-4(DPP-4) inhibitor drugs.METHODS: We searched Pub Med, Embase, CINAHL, Coch... AIM: To systematically assess risk of pancreatic adverse events with glucagon-like peptide-1(GLP-1) receptor agonist and dipeptidyl peptidase-4(DPP-4) inhibitor drugs.METHODS: We searched Pub Med, Embase, CINAHL, Cochrane review of clinical trials, pharmaceutical company clinical trials register, United States Food and Drug Administration website, European Medicines Agency website and Clinical Trials.gov for randomized controlled trials from inception to October 2013. Randomized control trial studies were selected for inclusion if they reported on pancreatic complication events and/or changes in pancreatic enzyme levels(serum amylase and serum lipase) as adverse events or as serious adverse events for patients who were on GLP-1 receptor agonist and DPP-4 inhibitor drugs. Two independent reviewers extracted data directly. We performed Peto odds ratio(OR) fixed effect meta-analysis of pancreatic adverse events a, and assessed heterogeneity with the I^2 statistic.RESULTS: Sixty-eight randomized controlled trials were eligible. A total of 60720 patients were included in our analysis of the association of risk of pancreatic complication events with GLP-1 agents. A total of 89 pancreatic related adverse events occurred among the GLP-1 agents compared to 74 events among the controls. There was a statistically significant increased risk of elevation of pancreatic enzymes associated with GLP-1 agents compared with control(Peto OR = 3.15, 95%CI: 1.56-6.39, P = 0.001, I2 = 0%). There was no statistically significant difference in the risk of pancreatic adverse event associated with GLP-1 agent compared with controls(Peto OR = 1.00, 95%CI: 0.73-1.37, P = 1.00, I2 = 0%). There were a total of 71 pancreatitis events in patients on GLP-1 agents and 56 pancreatitis events occurred in the control patients. There were 36 reports of pancreatic cancer in these studies. Of these cases, 2 used linagliptin, 2 used alogliptin, 1 used vildagliptin, 7 used saxagliptin while 6 used sitagliptin. The remaining 18 cases occurred among controls.CONCLUSION: Although GLP-1 based agents are associated with pancreatic enzyme elevation, we were unable to confirm a significant risk of pancreatitis or pancreatic cancer. 展开更多
关键词 Diabetes MELLITUS PANCREATITIS Glucagon-like peptide-1 AGONISTS dipeptidyl peptidase-4 inhibitors Meta-analysis
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Effect of Urena lobataleaves extract on glucagon like peptide-1 serum level by inhibition of dipeptidyl peptidase-Ⅳ on diabetic rats
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作者 YudiPURNOMO DjokoWahonoS +1 位作者 SutimanBSUMITRO MArisWIDODO 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2015年第S1期76-76,共1页
OBJECTIVE To investigate effect of Urenalobataleaves extract on glucagon like peptide-1(GLP-1)serum level by inhibition of dipeptidyl peptidase-Ⅳ(DPP-Ⅳ)on diabetic rat. METHODS This study uses control group post tes... OBJECTIVE To investigate effect of Urenalobataleaves extract on glucagon like peptide-1(GLP-1)serum level by inhibition of dipeptidyl peptidase-Ⅳ(DPP-Ⅳ)on diabetic rat. METHODS This study uses control group post test only with male spraque dawley rats.Diabetic rats was induced by High Fructose Diet(HFD)and single dose streptozotocin 25mg·kg-1 bw intra peritoneal.The rat was administrated orally with ethanolic extract of U.lobataleaves in dose of 250,500 and 1000mg·kg-1 for 4weeks.Blood sample were collected from the tail vein at 15 min after oral glucose administration and then DPP-Ⅳserum level and GLP-1were examined using a rat elisa kits of DPP-Ⅳ and GLP-1.The data was analyzed using ANOVA test continued with LSD test(P<0.05).RESULTS The oral administration of U.lobataleaves extract at dose of 250,500 and 1000mg·kg-1 bw were able to prolong GLP-1 bioavaibility approximately 5,2and 2.5-fold respectively compared to diabetic group(P<0.05),while the DPP-Ⅳ serum level was decreased by 60%,50% and 40%(P<0.05),respectively.In diabetic groups,DPP-Ⅳ serum level was increased more and less 4-fold compared to normal group(P<0.05)while the GLP level were decreased by 8-fold(P<0.05).CONCLUSION U.lobataleaves extract could prolong GLP-1 bioavaibility by reducing of DPP-Ⅳserum level.This effect may be related to active compounds that act as an DPP-Ⅳinhibitor in U.lobata extract. 展开更多
关键词 U.lobata DIABETIC dipeptidyl peptidase- GLUCAGON
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Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of E3024, a Novel and Selective Dipeptidyl Peptidase-IV Inhibitor, in Healthy Japanese Male Subjects: Rash Development in Men and Its Possible Mechanism
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作者 Yutaka Takeuchi Masayuki Namiki +6 位作者 Yasumi Kitahara Setsuo Hasegawa Akihiro Ohnishi Nobuyuki Yasuda Takashi Inoue Richard Clark Kazuto Yamazaki 《Pharmacology & Pharmacy》 2013年第9期663-678,共16页
E3024 (3-but-2-ynyl-5-methyl-2-piperazin-1-yl-3,5-dihydro-4H-imidazo[4,5-d]pyridazin-4-one tosylate) is a dipeptidyl peptidase-IV (DPP-IV) inhibitor that was expected to be an antidiabetic agent. Its safety, tolerabil... E3024 (3-but-2-ynyl-5-methyl-2-piperazin-1-yl-3,5-dihydro-4H-imidazo[4,5-d]pyridazin-4-one tosylate) is a dipeptidyl peptidase-IV (DPP-IV) inhibitor that was expected to be an antidiabetic agent. Its safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) were investigated in a randomized, double-blind, placebo-controlled, ascending single-dose study in 48 healthy Japanese male subjects. Fasted subjects were orally administered E3024 (5, 10, 20, 40, or 80 mg) or placebo. E3024 was rapidly absorbed, with tmax values ranging between 0.33 and 3 h after dosing. The mean t1/2 ranged from 5.34 to 11.68 h. AUC0-inf and Cmax increased dose-proportionately. PK-PD relationship of E3024 was evaluated by using an Imax model, indicating that plasma E3024 concentrations and inhibitory effects of plasma DPP-IV activity were well correlated. The IC50 value was calculated as 33.7 ng/mL, which was consistent with in vitro data. Thus, E3024 showed a good PK profile and inhibited DPP-IV dose-dependently. Of 30 subjects administered E3024, 12 (40%) experienced adverse events (AEs). Dose escalation to 160 mg was abandoned owing to undesired subjective/objective findings in 4 of 6 subjects receiving 40 mg and 5 of 6 subjects receiving 80 mg. The most prominent AE was rash, but there were no serious AEs or deaths. The maximum tolerated dose was considered to be 20 mg. We hypothesized that histamine was a cause of the rash induction, and examined blood histamine levels of normal Fischer rats treated with E3024. Blood histamine levels were increased significantly by E3024 at 500 mg/kg (p < 0.001), but not by vildagliptin or valine-pyrrolidide (DPP-IV inhibitors) at the same dose. No blood histamine increases were observed in genetically mast cell-deficient Ws/Ws rats treated with E3024 at 500 mg/kg. In in vitro assays, E3024 induced histamine release from normal rat peritoneal mast cells in a concentration-dependent manner, but not from basophils. The structure-activity relationship study suggested that a piperazine group N-linked to the 2-position of the 5,6-membered fused heterocyclic rings was a key structural element for triggering histamine release. 展开更多
关键词 dipeptidyl peptidase-IV inhibitor RASH HISTAMINE STRUCTURE-ACTIVITY Relationship
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二肽基肽酶-Ⅳ有机小分子荧光探针的研究进展
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作者 杨政敏 钟甜甜 +2 位作者 胡先运 韩忠耀 覃江克 《广州化学》 CAS 2024年第3期17-24,I0002,共9页
二肽基肽酶-IV(DPP-IV)是一种重要的跨膜糖蛋白水解酶,与各种生理过程和疾病密切相关,检测DPP-IV的有机小分子荧光探针被相继报道,是当前研究生物酶检测的热点。首次综述了用于DPP-IV体外和体内检测及成像的3类有机小分子荧光探针,分别... 二肽基肽酶-IV(DPP-IV)是一种重要的跨膜糖蛋白水解酶,与各种生理过程和疾病密切相关,检测DPP-IV的有机小分子荧光探针被相继报道,是当前研究生物酶检测的热点。首次综述了用于DPP-IV体外和体内检测及成像的3类有机小分子荧光探针,分别是非近红外荧光探针(λ_(em)<650nm)、近红外荧光探针(λ_(em)>650nm)和双光子荧光探针,对比并总结了三种探针的设计原理、结构特点、生物应用情况及其在DPP-IV相关疾病诊断中的应用,并探讨了DPP-IV活性检测在未来发展方向上所面临的挑战。 展开更多
关键词 二肽基肽酶- 荧光探针 有机小分子 生物成像 研究进展
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基于FAERS的二肽基肽酶-Ⅳ抑制剂皮肤不良事件信号挖掘与评价
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作者 幸婷婷 陈光华 李文东 《中国药业》 CAS 2024年第2期105-109,共5页
目的为临床合理使用二肽基肽酶-Ⅳ(DPP-4)抑制剂提供参考。方法通过美国食品和药物管理局药品不良事件报告系统(FAERS)收集2010年至2021年各季度以全球已上市DPP-4抑制剂为首要怀疑药物的药品不良事件(ADE)报告,采用报告比值比(ROR)法挖... 目的为临床合理使用二肽基肽酶-Ⅳ(DPP-4)抑制剂提供参考。方法通过美国食品和药物管理局药品不良事件报告系统(FAERS)收集2010年至2021年各季度以全球已上市DPP-4抑制剂为首要怀疑药物的药品不良事件(ADE)报告,采用报告比值比(ROR)法挖掘DPP-4抑制剂的ADE信号,并利用《监管活动医学词典》(MedDRA)中的系统器官分类(SOC)提取并整理其中的皮肤ADE信号。结果以吉格列汀、奥格列汀、曲格列汀、安奈格列汀、依格列汀为首要怀疑药物的ADE报告数均为0份;以西格列汀、维格列汀、沙格列汀、阿格列汀、利格列汀、替格列汀为首要怀疑药物的ADE报告数分别为192131,2034,6787,3635,4532,2份,对应的皮肤ADE信号数依次为20,4,15,10,14,0个,且其中分别有18,2,7,9,8,0个ADE信号未在相应药品说明书中提及。在发生皮肤ADE的患者中,阿格列汀用药患者女性多于男性,其余4种药物反之;年龄多在65岁以上;维格列汀用药时长集中在0.5~1年,其余4种药物的用药时长集中在半年内或1年以上;西格列汀、维格列汀、沙格列汀、阿格列汀、利格列汀用药剂量依次集中在100,50,5,25,5 mg/d。使用西格列汀、阿格列汀的患者临床结局大多为住院,其余3种药物多为其他临床结局。结论DPP-4抑制剂可致多种皮肤ADE,临床用药时应密切监测。 展开更多
关键词 二肽基肽酶-抑制剂 皮肤不良事件 FAERS 报告比值比法 信号挖掘
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Treatment of type 2 diabetes, lifestyle, GLP1 agonists and DPP4 inhibitors 被引量:2
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作者 Gerald H Tomkin 《World Journal of Diabetes》 SCIE CAS 2014年第5期636-650,共15页
In recent years the treatment focus for type 2 diabetes has shifted to prevention by lifestyle change and to more aggressive reduction of blood sugars during the early stage of treatment. Weight reduction is an import... In recent years the treatment focus for type 2 diabetes has shifted to prevention by lifestyle change and to more aggressive reduction of blood sugars during the early stage of treatment. Weight reduction is an important goal for many people with type 2 diabetes.Bariatric surgery is no longer considered a last resort treatment. Glucagon-like peptide-1 agonists given by injection are emerging as a useful treatment since they not only lower blood sugar but are associated with a modest weight reduction. The role of the oral dipeptidyl peptidase 4 inhibitors is emerging as second line treatment ahead of sulphonylureas due to a possible beneficial effect on the beta cell and weight neutrality.Drugs which inhibit glucose re-absorption in the kidney,sodium/glucose co-transport 2 inhibitors, may have a role in the treatment of diabetes. Insulin treatment still remains the cornerstone of treatment in many patients with type 2 diabetes. 展开更多
关键词 Type 2 diabetes LIFESTYLE modification dipeptidyl peptidase 4 inhibitors Glucagon-like peptide-1 AGONISTS INSULIN
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基于医院卫生技术评估的5种二肽基肽酶4抑制剂的临床应用情况
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作者 张俊珂 王晓娟 +2 位作者 鲁憬莉 张瑞 郝洁 《河南医学研究》 CAS 2024年第4期614-620,共7页
目的通过医院卫生技术评估(HB-HTA)对5种二肽基肽酶4抑制剂(DPP-4i)(西格列汀、维格列汀、沙格列汀、利格列汀和阿格列汀)进行评估,为医疗机构药品的遴选、临床的合理安全使用提供依据。方法通过HB-HTA,依照百分制评分体系,参考药品说... 目的通过医院卫生技术评估(HB-HTA)对5种二肽基肽酶4抑制剂(DPP-4i)(西格列汀、维格列汀、沙格列汀、利格列汀和阿格列汀)进行评估,为医疗机构药品的遴选、临床的合理安全使用提供依据。方法通过HB-HTA,依照百分制评分体系,参考药品说明书、临床指南和文献,从安全性、有效性、经济型、创新性、适宜性和可及性等方面分别对5种DPP-4i进行评估。结果西格列汀、维格列汀、沙格列汀、利格列汀和阿格列汀得分分别为85.0、75.0、77.0、80.0、78.5分。评分差异主要在安全性、经济性、适宜性和可及性方面。西格列汀综合得分最高。结论HB-HTA评估DPP-4i结果比较合理,为医院药品遴选、安全合理使用提供依据。 展开更多
关键词 医院卫生技术评估 药品遴选 二肽基肽酶4抑制剂 药品安全性 药品有效性
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DPP4抑制剂在2型糖尿病中的临床应用及研究进展
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作者 张瑾 齐一洁 +2 位作者 向晨昱 郝晋璇 杨喜枫 《中外医疗》 2024年第5期194-198,共5页
2型糖尿病(Type 2 Diabetes Mellitus,T2DM)在我国具有较高的发病率,是中老年患者常见的一种慢性代谢疾病,可累及心脑血管等多个系统发生病变,危及生命安全,需及时治疗。二肽基肽酶-4(Dipeptidyl Peptidase-4,DPP4)可促进胰岛素生成,并... 2型糖尿病(Type 2 Diabetes Mellitus,T2DM)在我国具有较高的发病率,是中老年患者常见的一种慢性代谢疾病,可累及心脑血管等多个系统发生病变,危及生命安全,需及时治疗。二肽基肽酶-4(Dipeptidyl Peptidase-4,DPP4)可促进胰岛素生成,并分泌胰高血糖素,与T2DM有着密切关联,是目前我国T2DM治疗研究中的一个新方向。DPP4抑制剂是多项研究的结果,能够提高降糖效果,对多种降糖无效的患者均有显著作用。基于此,本文主要综述了DPP4抑制剂治疗T2DM的作用机制,分析DPP4抑制剂在T2DM中的应用及研究进展,以期为T2DM治疗提供参考。 展开更多
关键词 二肽基肽酶4抑制剂 2型糖尿病 进展
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二肽基肽酶Ⅳ抑制剂的研究进展 被引量:11
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作者 李祎亮 王菊仙 +3 位作者 吴香玫 邹美香 李卓荣 王玉成 《中国新药杂志》 CAS CSCD 北大核心 2008年第20期1739-1745,共7页
胰高血糖素样肽-1(GLP-1)是一种肠促胰岛素,它通过刺激和保护胰岛β细胞,促进胰岛素的合成和分泌,降低餐后血糖。二肽基肽酶Ⅳ(DPP-IV)抑制剂能增强GLP-1的活性,降低2型糖尿病患者的高血糖症状,是一类新型的抗糖尿病治疗药物。临床研究... 胰高血糖素样肽-1(GLP-1)是一种肠促胰岛素,它通过刺激和保护胰岛β细胞,促进胰岛素的合成和分泌,降低餐后血糖。二肽基肽酶Ⅳ(DPP-IV)抑制剂能增强GLP-1的活性,降低2型糖尿病患者的高血糖症状,是一类新型的抗糖尿病治疗药物。临床研究表明DPP-IV单用或与二甲双胍、吡格列酮合用都有明显的降血糖作用,具有治疗效果显著、服用安全,耐受性好,不良反应少等特点,近年来已经成为糖尿病药物研究开发的热点。文中就其作用机制、国内外开发现状、构效关系及研究进展等进行综述。 展开更多
关键词 二肽基肽酶抑制剂 2型糖尿病 胰高血糖样肽-1
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Design, Synthesis and SAR Studies of Novel and Potent Dipeptidyl Peptidase 4 Inhibitors
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作者 Na Luo Xiaoyu Fang +5 位作者 Mingbo Su Xinwen Zhang Dan Li Honglin Li Shiliang Li Zhenjiang Zhao 《Chinese Journal of Chemistry》 SCIE CAS CSCD 2021年第1期115-120,共6页
Dipeptidyl peptidase 4(DPP-4)is a clinically validated target for the treatment of type 2 diabetes mellitus(T2DM).To discover novel and potent DPP-4 inhibitors,three series of compounds were designed and synthesized i... Dipeptidyl peptidase 4(DPP-4)is a clinically validated target for the treatment of type 2 diabetes mellitus(T2DM).To discover novel and potent DPP-4 inhibitors,three series of compounds were designed and synthesized in this study based on our previously identified novel scaffold of 2-phenyl-3,4-dihydro-2H-benzo[f]chromen-3-amine.Among the designed compounds,41d-1 was the most po tent one with an IC_(50) value of 16.00 nM. 展开更多
关键词 TypeⅡdiabetes dipeptidyl peptidase inhibitors Molecular docking Structure-activity relationship
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GLP-1受体激动剂及DPP-Ⅳ抑制剂的研究进展 被引量:28
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作者 周映红 黄文龙 +1 位作者 张惠斌 迟玉石 《中国药科大学学报》 CAS CSCD 北大核心 2008年第5期385-391,共7页
对糖尿病治疗药胰高血糖素样肽-1(GLP-1)受体激动剂和二肽基肽酶Ⅳ(DPP-Ⅳ)抑制剂的研究进展进行了综述。介绍了GLP-1的血糖调控机制,还对GLP-1受体激动剂(如Exendin-4,Exentide LAR,Liraglutide,CJC-1131,非肽类GLP-1受体激动剂)和DPP... 对糖尿病治疗药胰高血糖素样肽-1(GLP-1)受体激动剂和二肽基肽酶Ⅳ(DPP-Ⅳ)抑制剂的研究进展进行了综述。介绍了GLP-1的血糖调控机制,还对GLP-1受体激动剂(如Exendin-4,Exentide LAR,Liraglutide,CJC-1131,非肽类GLP-1受体激动剂)和DPP-Ⅳ抑制剂(如Sitagliptin,Vildagliptin,Saxagliptin,Alogliptin)进行了详细的介绍,为2型糖尿病治疗药物的研发提供参考。 展开更多
关键词 胰高血糖素样肽-1 胰高血糖素样肽-1 受体 二肽基肽酶(DPP—) 2型糖尿病
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以动态血糖监测系统监测二肽基肽酶Ⅳ抑制剂对脆性糖尿病患者血糖波动影响 被引量:10
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作者 李征寒 徐滨华 +1 位作者 王晶 王葳 《中国医药导报》 CAS 2017年第30期70-73,84,共5页
目的观察二肽基肽酶Ⅳ(DPP-4)抑制剂联合胰岛素四次强化对脆性糖尿病患者血糖波动的影响。方法选取2013年5月~2016年10月哈尔滨市第一医院门诊及住院的脆性糖尿病患者72例,所有患者给予胰岛素四次强化(门冬胰岛素/赖脯胰岛素+甘精胰岛素... 目的观察二肽基肽酶Ⅳ(DPP-4)抑制剂联合胰岛素四次强化对脆性糖尿病患者血糖波动的影响。方法选取2013年5月~2016年10月哈尔滨市第一医院门诊及住院的脆性糖尿病患者72例,所有患者给予胰岛素四次强化(门冬胰岛素/赖脯胰岛素+甘精胰岛素/地特胰岛素)治疗并采用CGMS连续监测血糖3 d,3 d后依据随机数字表法分为DPP-4组和对照组,每组36例。对照组继续应用上述降糖方案,DPP-4组则在此基础上加用沙格列汀5 mg/d,分组前、分组后1~3 d及分组后13~15 d亦以CGMS连续监测血糖。比较两组血糖波动[平均血糖波动幅度(MAGE)、血糖水平标准差(SDBG)、最大血糖波动幅度(LAGE)、平均血糖水平(MBG)、血糖>10.0 mmol/L的时间百分率(PT10.0)、血糖<3.9 mmol/L时间百分率(PT3.9)]、胰岛素用量以及基础C肽(FC-P)水平。结果组内比较:DPP-4组分组后1~3 d的MAGE、MBG、LAGE、PT10.0、PT3.9均较分组前降低(P<0.05),分组后13~15 d各项血糖波动指标均较分组前明显降低(P<0.01);对照组分组后1~3 d各项血糖波动指标较分组前差异无统计学意义(P>0.05),分组后13~15 d的MBG、LAGE、PT10.0较分组前降低(P<0.05)。组间比较:分组后1~3 d,DPP-4组MAGE、LAGE、PT10.0较对照组降低(P<0.05);分组后13~15 d,DPP-4组各项血糖波动指标均较对照组显著降低(P<0.05或P<0.01)。DPP-4组分组后15 d胰岛素用量均较分组前明显减少(P<0.01);两组分组后15 d胰岛素用量比较差异有高度统计学意义(P<0.01);两组分组前后FC-P组间及组内比较差异无统计学意义(P>0.05)。结论沙格列汀联合胰岛素四次强化可改善脆性糖尿病患者的血糖波动。 展开更多
关键词 二肽基肽酶抑制剂 动态血糖监测系统 血糖波动 脆性糖尿病
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具有α-葡萄糖苷酶和二肽基肽酶Ⅳ抑制作用降糖益生菌的筛选 被引量:5
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作者 闫芬芬 史佳鹭 +4 位作者 李娜 岳莹雪 李慧臻 宋月 霍贵成 《食品科学》 EI CAS CSCD 北大核心 2019年第20期152-158,共7页
以实验室保藏的13株乳酸杆菌为研究对象,研究其细胞代谢物(cell-free,excretory,supernatants,CFS)和细胞内容物(cell-free,extracts,CFE)对α-葡萄糖苷酶和二肽基肽酶Ⅳ(dipeptidyl peptidase Ⅳ,DPP-Ⅳ)的抑制活性;然后对酶抑制率较... 以实验室保藏的13株乳酸杆菌为研究对象,研究其细胞代谢物(cell-free,excretory,supernatants,CFS)和细胞内容物(cell-free,extracts,CFE)对α-葡萄糖苷酶和二肽基肽酶Ⅳ(dipeptidyl peptidase Ⅳ,DPP-Ⅳ)的抑制活性;然后对酶抑制率较高的菌株进行益生特性评价,以期筛选出具有潜在降糖作用的益生菌。结果表明,13株乳酸杆菌的CFS对α-葡萄糖苷酶具有一定的抑制作用,抑制率为0%~12.13%;CFE对α-葡萄糖苷酶无抑制作用。13株乳酸杆菌CFS和CFE对DPP-Ⅳ均表现出一定的抑制作用,抑制率分别为0%~7.13%和0%~55.42%。选取酶抑制率较高的嗜酸乳杆菌KLDS1.1003、KLDS1.0901和KLDS1.0902进行益生特性的研究。其中嗜酸乳杆菌KLDS1.0901表现出较高的酸耐受性,嗜酸乳杆菌KLDS1.1003表现出较高的胆盐耐受性和疏水性。主成分分析表明嗜酸乳杆菌KLDS1.1003的综合性能最佳:其对α-葡萄糖苷酶的抑制活性可达10.29%;对DPP-Ⅳ的抑制率为CFS,7.13%,CFE,50.14%;于pH,2.0的条件下孵育1,h后,存活率达到51.55%;在0.3%的胆盐条件下孵育,滞后时间为2.26,h;在二甲苯、乙酸乙酯和氯仿溶剂中的疏水率分别为134.33%、20.51%和344.08%,总体上嗜酸乳杆菌KLDS1.1003具有较高的酶抑制活性和良好的益生特性。 展开更多
关键词 乳酸杆菌 Α-葡萄糖苷酶 二肽基肽酶 抑制作用 糖尿病
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新疆3种植物提取物对二肽基肽酶Ⅳ活性的影响 被引量:4
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作者 杨珍珍 王雪花 +6 位作者 王烨 毛新民 韩雪 易金阳 王丽凤 马晓丽 李琳琳 《新疆医科大学学报》 CAS 2012年第6期721-724,共4页
目的探讨葫芦巴、鹰嘴豆、石榴皮水提物对二肽基肽酶Ⅳ(DPP-4)体外活性的影响。方法采用DPP-4体外抑制模型,对新疆具有降糖作用的葫芦巴、鹰嘴豆、石榴皮3种植物水提取物进行筛选,选择抑二肽素A(IIe-pro-IIe)作为阳性对照药物,比较3种... 目的探讨葫芦巴、鹰嘴豆、石榴皮水提物对二肽基肽酶Ⅳ(DPP-4)体外活性的影响。方法采用DPP-4体外抑制模型,对新疆具有降糖作用的葫芦巴、鹰嘴豆、石榴皮3种植物水提取物进行筛选,选择抑二肽素A(IIe-pro-IIe)作为阳性对照药物,比较3种水提物的IC50差异。结果 IIe-pro-IIe的IC50为(0.01±0.01)mg/mL,葫芦巴水提物IC50为(0.03±0.01)mg/mL,石榴皮水提物IC50为(0.19±0.13)mg/mL,鹰嘴豆水提物IC50为(0.09±0.07)mg/mL。结论葫芦巴、石榴皮、鹰嘴豆的水提取物对DPP-4有一定程度的抑制作用。 展开更多
关键词 新疆降糖植物 提取物 二肽基肽酶抑制剂
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新型口服降糖药——二肽基肽酶-Ⅳ抑制剂 被引量:11
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作者 蔡乐 刘萍 《国际药学研究杂志》 CAS 2010年第5期361-365,共5页
胰高血糖素样肽(GLP-1)在调节血糖方面起着重要的作用,但其在体内可迅速被二肽基肽酶-Ⅳ(DPP-Ⅳ)降解失活。DPP-Ⅳ抑制剂可有效抑制GLP-1的降解,通过促进胰岛素分泌、抑制胰高血糖素释放、抑制食欲、减慢胃排空等作用调节血糖,具有不易... 胰高血糖素样肽(GLP-1)在调节血糖方面起着重要的作用,但其在体内可迅速被二肽基肽酶-Ⅳ(DPP-Ⅳ)降解失活。DPP-Ⅳ抑制剂可有效抑制GLP-1的降解,通过促进胰岛素分泌、抑制胰高血糖素释放、抑制食欲、减慢胃排空等作用调节血糖,具有不易引起严重低血糖事件、不引起体重增加等特点。本文对GLP-1和DPP-Ⅳ抑制剂的作用特点及已上市使用的西格列汀、维格列汀和沙格列汀的临床疗效、药代动力学以及不良反应等方面进行了综述。 展开更多
关键词 糖尿病 二肽基肽酶-抑制剂 降糖药 胰高血糖素样肽
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二肽基肽酶Ⅳ抑制剂研究进展 被引量:3
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作者 李娜 苗卉 +2 位作者 贾一鹤 吴成军 孙铁民 《中南药学》 CAS 2017年第5期545-553,共9页
2型糖尿病是常见的慢性疾病之一。二肽基肽酶Ⅳ(DPP-4)是治疗2型糖尿病的新靶点,DPP-4抑制剂是一类新型治疗糖尿病类药物,该类抑制剂能够增强胰高血糖素样多肽-1(GLP-1)及葡萄糖依赖促胰岛素多肽(GIP)的活性,延长其在体内的存活时间,减... 2型糖尿病是常见的慢性疾病之一。二肽基肽酶Ⅳ(DPP-4)是治疗2型糖尿病的新靶点,DPP-4抑制剂是一类新型治疗糖尿病类药物,该类抑制剂能够增强胰高血糖素样多肽-1(GLP-1)及葡萄糖依赖促胰岛素多肽(GIP)的活性,延长其在体内的存活时间,减缓2型糖尿病患者的高血糖症状。近年来DPP-4抑制剂成为研究的热点,本文就其作用机制、构效关系、药效、国内外开发现状及研究进展等进行综述。 展开更多
关键词 2型糖尿病 二肽基肽酶 抑制剂
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