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Nateglinide

那格列奈
Mechanism of action:
Nateglinide 是一種苯甲酸類(benzoic acid)衍生物。Nateglinide 能結合並抑制胰島 β 細胞膜上的磺醯脲受體 1(SUR1),此受體為 ATP-敏感鉀離子通道蛋白(ATP-sensitive potassium channel)的調節亞基。被 nateglinide 抑制後,鉀離子外流減少,細胞膜發生去極化(depolarization)。去極化會造成鈣離子通道(calcium channel)開啟,鈣離子內流增加,促使胰島素釋放。
Reference(s):
1. Hu S et al. (2000). Pancreatic beta-cell K(ATP) channel activity and membrane-binding studies with nateglinide: A comparison with sulfonylureas and repaglinide. J Pharmacol Exp Ther.
2. Sunaga Y et al. (2001). The effects of mitiglinide (KAD-1229), a new anti-diabetic drug, on ATP-sensitive K+ channels and insulin secretion: comparison with the sulfonylureas and nateglinide. Eur J Pharmacol.
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