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中国临床药理学与治疗学 ›› 2013, Vol. 18 ›› Issue (2): 228-233.

• 综述与讲座 • 上一篇    下一篇

胰高血糖素样肽-1及类似物的降压作用研究进展

陈永飞1,2, 邵华1, 于锋2   

  1. 1东南大学附属中大医院临床药学室, 南京 210009,江苏;
    2中国药科大学临床药学教研室,南京 210009,江苏
  • 收稿日期:2012-09-03 修回日期:2012-09-03 发布日期:2013-02-28
  • 通讯作者: 邵华,通信作者,女,博士,副主任药师,研究方向:临床药学。 Tel: 025-83272127 E-mail: gycsh@163.com;于锋,通信作者,男,博士,教授,研究方向:心血管药理及临床药学。 Tel: 025-83271262 E-mail: yufengcpu@163.com
  • 作者简介:陈永飞,女,硕士研究生,研究方向:临床药学。 Tel: 025-83271262 E-mail: chenyongf2008@sina.com

Research progress of glucagon-like peptide-1 and analogues on blood pressure

CHEN Yong-fei1,2, SHAO Hua1, YU Feng2   

  1. 1Department of Clinical Pharmacology, Zhongda Hospital of Southeast University, Nanjing 210009, Jiangsu,China;
    2Department of Clinical Pharmacy, China Pharmaceutical University, Nanjing 210009, Jiangsu,China
  • Received:2012-09-03 Revised:2012-09-03 Published:2013-02-28

摘要: 胰高血糖素样肽-1是体内一种重要的肠促胰岛素,具有葡萄糖浓度依赖性降糖作用,其类似物已用于2型糖尿病治疗。近年来的临床前和临床研究均发现胰高血糖素样肽-1及类似物有一定程度的降压作用,其作用机制可能与促进水钠排泄、改善血管内皮功能等有关。本文综述胰高血糖素样肽-1及类似物的降压作用。

关键词: 糖尿病, 胰高血糖素样肽-1, 血压, 机制

Abstract: Glucagon-like peptide-1 (GLP-1) is an incretine, which lowers blood glucose dependently on ambient glucose concentration, and its analogues have been used for treatment of type 2 diabetes mellitus. Recent findings including preclinical and clinical studies have demonstrated that GLP-1 and its analogues may have blood-pressure-lowering effect by inhibiting the proximal tubular sodium reabsorption and thereby increasing urinary excretion of sodium, or via an endothelium-independent mechanism.This review summarizes the recent findings regarding the antihypertensive effects of GLP-1 and its analogues.

Key words: Diabetes, Glucagon-like peptide-1, Blood pressure, Mechanism

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