Title:Sixteen-Years of Clinically Relevant Dipeptidyl Peptidase-IV (DPP-IV) Inhibitors for Treatment of Type-2 Diabetes: A Perspective
Volume: 21
Issue: 35
Author(s): R.N. Kushwaha, W. Haq and S.B. Katti
Affiliation:
关键词:
结合方式,临床实验,二肽基肽酶-IV (DPP-IV)代系,二肽基肽酶-IV抑制剂,胰岛血糖素样肽,葡萄糖稳态,非模拟肽,模拟肽,2型糖尿病。
摘要: Inhibition of DPP-IV enzyme has taken centre stage as a validated drug target for type 2 diabetes therapy and
as a result of research efforts done towards developing effective DPP-IV inhibitors, the first clinical candidate of this class
came in focus in 1998. Thus, from 1998 to 2013, these 16-years have witnessed heightened research activities in the discovery
and development of clinically relevant inhibitors of DPP-IV as antidiabetic agents. The effective DPP-IV inhibitors
have played a key role in this endeavour and as result there are eight approved gliptins in the clinical usage while others
are in different stages of clinical trials. A wide variety of DPP-IV inhibitors were synthesized and evaluated; and were
classified into several categories based on their core structural features. In this article, classification of all the clinically
relevant DPP-IV inhibitors based on selectivity, clinical efficacy and safety profiles is reviewed in terms of generations.
This review also encompasses clinical phase wise discussion, developmental progress, chemistry and binding modes of all
clinical DPP-IV inhibitors. In addition, major challenges facing the future design and development of safe clinical DPP-IV
inhibitor are also briefly mentioned.