Glucokinase as an emerging anti-diabetes target and recent progress in the development of its agonists

被引:49
|
作者
Ren, Yixin [1 ]
Li, Li [1 ]
Wan, Li [1 ]
Huang, Yan [1 ]
Cao, Shuang [1 ]
机构
[1] Wuhan Inst Technol, Sch Chem Engn & Pharm, Key Lab Green Chem Engn Proc, Minist Educ, Wuhan 430205, Peoples R China
关键词
Type; 2; diabetes; glucokinase; glucokinase agonist; research progress; drug target; REGULATORY PROTEIN; POSTPRANDIAL GLUCOSE; CRYSTAL-STRUCTURE; TRANSGENIC MICE; ACTIVATOR; GENE; LIVER; MELLITUS; HYPOGLYCEMIA; PF-04937319;
D O I
10.1080/14756366.2021.2025362
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Type 2 diabetes mellitus is a metabolic disorder with complicated pathogenesis, and mono-target therapy often fails to effectively manage the levels of blood glucose. In recent years, the anti-diabetes target glucokinase (GK) has attracted the attention of researchers. It acts as a glucose sensor, triggering counter regulatory responses following a change in glucose levels to aid restoration of normoglycemia. Activation of GK induces glucose metabolism and reduces glucose levels for the treatment of type 2 diabetes. GK agonists (GKA) are a new class of antidiabetic drugs. Among these agents, dorzagliatin is currently being investigated in phase III clinical trials, while PB-201 and AZD-1656 have reached phase II clinical trials. This article describes the mechanism of action of GK in diabetes and of action of GKA at the protein level, and provides a review of the research, trends, and prospects regarding the use of GKA in this setting.
引用
收藏
页码:606 / 615
页数:10
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