糖尿病是以胰岛素相对或绝对不足为特征的代谢性疾病,严重危害人类健康,传统抗糖尿病药物各有缺点,从而催生了抗糖尿病肽类药物的面世。常见于文献报道的抗糖尿病肽有胰高血糖素样肽-1(Glucagon-likepeptide-1,GLP-1)受体激动剂、基于胰淀素开发的抗糖尿病肽、动植物来源的抗糖尿病肽和抗糖尿病寡肽,其中前者又包括GLP-1衍生物和GLP-1类似物。该文对它们各自的优缺点,研发思路和药理效应作了综述。
Diabetes Mellitus (DM) is a metabolic syndrome characterized by absolutely or comparatively insufficient insulin. DM is substantially hazardous to human health. The defects of traditional antihyperglycemic drugs have accelerated the development of peptide-based antidiabetic agents. Such agents frequently reported in published works are Glucagon-like peptide-1 ( GLP-1 ) receptor agonists that include GLP-1 derivatives and GLP-1 analogs, amylin-based antidiabetic peptides (ABAPs) , animals or plants-derived antidiabetic peptides (APDAPs) and antidiabetic oligopeptides (ADOPs). This review summarizes the existing knowledge concerning advantages, drawbacks, developing thoughts and pharmaceutical effects of the four kinds of pcptides, respectively.