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胰高血糖素样肽-1类似物研发进展

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目的 总结胰高血糖素样肽-1(GLP-1)类似物的研发进展。方法 检索PubMed和Web of Science数据库自建库起至 2024年2 月 20 日的GLP-1 类似物相关文献,从研发概况、单分子多靶点GLP-1 受体激动剂(GLP-1RA)、除治疗糖尿病外的其他适应证及其药物研发新趋势方面,总结GLP-1 类似物的研发进展。结果与结论 GLP-1 类似物的研发经历了从短效到长效,从注射剂到口服剂,并扩展到多靶点治疗的过程。目前,多靶点GLP-1RA包括GLP-1R/葡萄糖依赖性促胰岛素释放多肽受体、GLP-1R/胰高血糖素受体(GCGR)、GLP-1R/GLP-2R、GLP-1R/胰淀素 3 受体(AMY3R)、GLP-1R/成纤维细胞生长因子 21 受体(FGF-21R)等双靶点激动剂,以及GLPR/GLP-1R/GCGR、GLP-1R/GCGR/FGF-21R等三靶点激动剂。GLP-1 类似物展现了在 2 型糖尿病、超重、肥胖症、心血管疾病、多囊卵巢综合征、非酒精性脂肪性肝炎、慢性肾脏病等疾病治疗的巨大潜力,疗效优于单靶点的双靶点和三靶点GLP-1RA是近年来研发的重点。GLP-1 类似物的重组腺相关病毒载体基因治疗为研发新趋势,其现阶段存在的安全性、依从性等问题和可供参考的解决方法也一并被提出。
Progress in Research and Development of Glucagon-Like Peptide-1 Analogues
Objective To summarize the progress of research and development(R&D)for glucagon-like peptide-1(GLP-1)analogues.Methods The literature related to GLP-1 analogues in the PubMed and Web of Science from the inception of these databases to February 20,2024 were searched to summarize the R&D progress of GLP-1 analogues from the R&D overview,mono-molecule multi-target GLP-1 receptor agonists(GLP-1RAs),other indications except diabetes mellitus and new trends in R&D.Results and Conclusion GLP-1 analogues has evolved from short-acting to long-acting formulations,from injection to oral medication,and developed to the drugs through multi-target treatment.At present,multi-target GLP-1RAs include dual-target agonists[GLP-1R/glucose-dependent insulinotropic polypeptide receptor,GLP-1R/glucagon receptor(GCGR),GLP-1R/GLP-2R,GLP-1R/amylin 3 receptor(AMY3R),GLP-1R/fibroblast growth factor 21 receptor(FGF-21R)]and triple-target agonists(GLPR/GLP-1R/GCGR,GLP-1R/GCGR/FGF-21R).GLP-1 analogues show great potential in the treatment of diabetes mellitus type 2,overweight,obesity,cardiovascular disease,polycystic ovary syndrome,non-alcoholic steatohepatitis and chronic kidney disease.The dual-target and triple-target GLP-1RAs,which are more effective than single-target GLP-1RAs,have been the focus of R&D in recent years.The recombinant adeno-associated virus vector gene therapy of GLP-1 analogues is a new trend of R&D,its current safety,patients' adherence and solutions are proposed in this study.

glucagon-like peptide-1 analogueglucose-dependent insulinotropic polypeptide receptorglucagon receptordiabetes mellitus type 2

冉雨叶、郑珩

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中国药科大学生命科学与技术学院,江苏 南京 211198

胰高血糖素样肽-1类似物 葡萄糖依赖性促胰岛素释放多肽受体 胰高血糖素受体 2型糖尿病

国家自然科学基金

82073767

2024

中国药业
重庆市食品药品监督管理局

中国药业

CSTPCD
影响因子:1.369
ISSN:1006-4931
年,卷(期):2024.33(8)
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