Opportunities and challenges of incretin-based hypoglycemic agents treating type 2 diabetes mellitus from the perspective of physiological disposition

The treatment of patients with diabetes mellitus, which is characterized by defective insulin secretion and/or the inability of tissues to respond to insulin, has been studied for decades. Many studies have focused on the use of incretin-based hypoglycemic agents in treating type 2 diabetes mellitus...

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Main Authors: Yaochen Xie (Author), Qian Zhou (Author), Qiaojun He (Author), Xiaoyi Wang (Author), Jincheng Wang (Author)
Format: Book
Published: Elsevier, 2023-06-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Yaochen Xie  |e author 
700 1 0 |a Qian Zhou  |e author 
700 1 0 |a Qiaojun He  |e author 
700 1 0 |a Xiaoyi Wang  |e author 
700 1 0 |a Jincheng Wang  |e author 
245 0 0 |a Opportunities and challenges of incretin-based hypoglycemic agents treating type 2 diabetes mellitus from the perspective of physiological disposition 
260 |b Elsevier,   |c 2023-06-01T00:00:00Z. 
500 |a 2211-3835 
500 |a 10.1016/j.apsb.2022.11.008 
520 |a The treatment of patients with diabetes mellitus, which is characterized by defective insulin secretion and/or the inability of tissues to respond to insulin, has been studied for decades. Many studies have focused on the use of incretin-based hypoglycemic agents in treating type 2 diabetes mellitus (T2DM). These drugs are classified as GLP-1 receptor agonists, which mimic the function of GLP-1, and DPP-4 inhibitors, which avoid GLP-1 degradation. Many incretin-based hypoglycemic agents have been approved and are widely used, and their physiological disposition and structural characteristics are crucial in the discovery of more effective drugs and provide guidance for clinical treatment of T2DM. Here, we summarize the functional mechanisms and other information of the drugs that are currently approved or under research for T2DM treatment. In addition, their physiological disposition, including metabolism, excretion, and potential drug-drug interactions, is thoroughly reviewed. We also discuss similarities and differences in metabolism and excretion between GLP-1 receptor agonists and DPP-4 inhibitors. This review may facilitate clinical decision making based on patients' physical conditions and the avoidance of drug-drug interactions. Moreover, the identification and development of novel drugs with appropriate physiological dispositions might be inspired. 
546 |a EN 
690 |a T2DM 
690 |a Incretins-based hypoglycemic agents 
690 |a GLP-1 receptor agonists 
690 |a DPP-4 inhibitors 
690 |a Physiological disposition 
690 |a Metabolism 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n Acta Pharmaceutica Sinica B, Vol 13, Iss 6, Pp 2383-2402 (2023) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S2211383522004580 
787 0 |n https://doaj.org/toc/2211-3835 
856 4 1 |u https://doaj.org/article/77a96fe843d0447ca8d60e61c747e33c  |z Connect to this object online.