Teneligliptin : expectations for its pleiotropic action
Ryuichi Morishita1, Hironori Nakagami
1Osaka University, School of Medicine, Department of Clinical Gene Therapy , 2-2 Yamada-oka, Suita 565-0871, Osaka , Japan +81 6 6879 3406 ; +81 6 6879 3409 ; morishit@cgt.med.osaka-u.ac.jp.
Introduction:
The main aim in the management of diabetes mellitus is to prevent the development of its complications. Large fluctuations in glucose levels may increase the risk of complications, so improved control of glucose fluctuations, in addition to management of chronic hyperglycemia, could represent an important goal in diabetes pharmacotherapy.
Areas Covered:
Pre-clinical and clinical studies suggest that poor control of blood glucose fluctuations contributes to progression of diabetic vascular complications. Dipeptidyl peptidase (DPP)-4 inhibitors are one of several drug classes used to manage diabetes, and the potential vasoprotective effects of DPP-4 inhibition have attracted attention in recent years. The DPP-4 inhibitor teneligliptin was approved in Japan in 2012 and in Korea in 2014. Teneligliptin differs in its structural and pharmacokinetic characteristics compared with other drugs in the same class. It appears to have potent, sustained effects on glycemic control, thereby reducing the complications of hypoglycemia and postprandial hyperglycemia. Because of its effects on vascular function, teneligliptin may be beneficial in patients at high risk of cardiovascular disease.
Expert Opinion:
The possible pleiotropic effects of teneligliptin, such as those on endothelial function and metabolic syndrome, are of great interest. This review examines these effects and their potential clinical relevance.
Insights
Improved glucose control in diabetes mellitus is crucial for preventing complications. Teneligliptin, a dipeptidyl peptidase (DPP)-4 inhibitor, shows potential in managing glycemic fluctuations and vascular health.
Area of Science:
- Endocrinology
- Pharmacology
- Vascular Biology
Background:
- Diabetes mellitus management aims to prevent complications.
- Glucose fluctuations increase the risk of diabetic vascular complications.
- Effective pharmacotherapy requires control of hyperglycemia and glucose variability.
Purpose of the Study:
- To review the pleiotropic effects of teneligliptin.
- To examine the potential clinical relevance of teneligliptin's effects on endothelial function and metabolic syndrome.
Main Methods:
- Review of pre-clinical and clinical studies on DPP-4 inhibitors, specifically teneligliptin.
- Analysis of teneligliptin's structural and pharmacokinetic characteristics.
- Evaluation of teneligliptin's impact on glycemic control and vascular function.
Main Results:
- Teneligliptin demonstrates potent and sustained glycemic control.
- It reduces risks associated with hypoglycemia and postprandial hyperglycemia.
- Potential vasoprotective effects and benefits for cardiovascular disease risk are suggested.
Conclusions:
- Teneligliptin's pleiotropic effects, including on endothelial function and metabolic syndrome, warrant further investigation.
- These effects may offer significant clinical benefits for diabetic patients.
- Teneligliptin represents a promising therapeutic option in diabetes pharmacotherapy.
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