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治疗Ⅱ型糖尿病的GLP-1受体激动剂及其高分子递送系统的研究进展
(复旦大学高分子科学系)
Progress of GLP-1 receptor agonists and their delivery systems for the treatment of typeⅡdiabetes
(State Key Laboratory of Molecular Engineering of Polymers,Department of Macromolecular Science,Fudan University)
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投稿时间:2018-08-10    修订日期:2018-09-09
中文摘要: 糖尿病是一种以慢性高血糖为特征的代谢性疾病。糖尿病患者又以Ⅱ型患者为主,占比超过90%。胰高血糖素样肽-1(GLP-1)是由肠道L细胞分泌的一种肽类激素,能够以葡萄糖浓度依赖方式作用于胰岛β细胞,促进胰岛素基因的转录,增加胰岛素的生物合成和分泌。然而,GLP-1 极易被体内的二肽基肽酶Ⅳ(DPP-Ⅳ)降解,其血浆半衰期不足2分钟,导致其缺乏临床应用的价值。为了延期体内作用,不同的GLP-1受体激动剂被研究和开发。根据其体内半衰期的长短,这些GLP-1受体激动剂又可以被分为短效型和长效型。同时,研究者还以各类功能高分子材料为载体,发展了不同GLP-1受体激动剂的递送体系来延长药物体内作用时间,减少给药频率,提高患者的顺应性。本综述以已获批的GLP-1受体激动剂以及基于它们的热致水凝胶等药物递送系统在治疗Ⅱ型糖尿病中的应用而展开。
Abstract:Diabetes is a kind of metabolic disorders disease of aberrant glucose homeostasis that is characterized by elevated blood glucose levels. Type Ⅱ diabetes accounts for over 90% of cases globally. Glucagon-like peptide 1 (GLP-1), a peptide hormone produced in the L cells of the intestines, can act on pancreatic islet cells, promote the transcription of insulin gene, and augment the biosynthesis and secretion of insulin in a glucose-dependent manner. However, GLP-1 is easily degraded by dipeptidyl peptidase IV (DPP-IV) within 2-3 min in the circulation, which significantly limits its therapeutic application. Therefore, a variety of GLP-1 receptor agonists with prolonged in vivo half-lives have been developed. These GLP-1 receptor agonists can be classified as either short-acting compounds or as long-acting ones. Meanwhile, various delivery systems of GLP-1 receptor agonists using functionalized polymers as carriers have also been exploited to provide prolonged in vivo actions, reduce administration frequency and increase patient compliance. This review focuses on the progress of GLP-1 receptor agonists approved by U.S. Food and Drug Administration and their delivery systems, such as injectable thermogel systems containing GLP-1 receptor agonists, for the treatment of typeⅡdiabetes.
文章编号:20180810001     中图分类号:R587.1    文献标志码:
基金项目:国家科学自然基金(21474019,51773043)
作者单位地址
庄亚平 复旦大学高分子科学系 上海市杨浦区淞沪路2005号复旦大学江湾校区化学-高分子楼B3096
杨孝伟 复旦大学高分子科学系 
俞麟* 复旦大学高分子科学系 上海市杨浦区淞沪路2005号复旦大学江湾校区化学-高分子楼B3099
丁建东 复旦大学高分子科学系 
引用本文:
庄亚平,杨孝伟,俞麟,丁建东.治疗Ⅱ型糖尿病的GLP-1受体激动剂及其高分子递送系统的研究进展[J].功能高分子学报,DOI:10.14133/j.cnki.1008-9357.20180810001.
ZHUANG Ya-ping,YANG Xiao-wei,YU Lin,DING Jian-dong.Progress of GLP-1 receptor agonists and their delivery systems for the treatment of typeⅡdiabetes[J].Journal of Functional Polymers,DOI:10.14133/j.cnki.1008-9357.20180810001.