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Linagliptin

利格列汀
Mechanism of action:
Linagliptin 是一種二肽基肽酶-4 抑制劑(dipeptidyl peptidase-4 inhibitor)。二肽基肽酶-4(DPP-4)是一種負責分解腸泌素的酵素,腸泌素比如胰高血糖素樣肽-1(glucagon-like peptide-1)和葡萄糖依賴性促胰島素多肽(glucose-dependent insulinotropic polypeptide)等。當 linagliptin 抑制二肽基肽酶-4 後,使腸泌素不易被分解,在血中濃度與作用時間延長,進而增加腸泌素介導的胰島素分泌訊號,並降低升糖素分泌訊號(glucagon)。
Reference(s):
1. Forst T et al. (2012). Linagliptin, a dipeptidyl peptidase-4 inhibitor with a unique pharmacological profile, and efficacy in a broad range of patients with type 2 diabetes. Expert Opin Pharmacother.
2. Blech S et al. (2010). The metabolism and disposition of the oral dipeptidyl peptidase-4 inhibitor, linagliptin, in humans. Drug Metab Dispos.
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