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Vildagliptin

維格列汀
Mechanism of action:
Vildagliptin 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 vildagliptin 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. Balas B et al. (2007). The dipeptidyl peptidase IV inhibitor vildagliptin suppresses endogenous glucose production and enhances islet function after single-dose administration in type 2 diabetic patients. J Clin Endocrinol Metab.
2. Croxtall JD et al. (2008). Vildagliptin: a review of its use in the management of type 2 diabetes mellitus. Drugs.
3. Ahren B et al. (2007). DPP-4 inhibitors. Best Pract Res Clin Endocrinol Metab.
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