A comprehensive review on the research progress of PTP1B inhibitors as antidiabetics

Neetu Agrawal1, Parth Dhakrey1, Shilpi Pathak1

  • 1Institute of Pharmaceutical Research, GLA University, Mathura, Uttar Pradesh, India.

PubMed

Insights

New protein tyrosine phosphatase 1B (PTP1B) inhibitors show promise for treating type 2 diabetes. These compounds enhance insulin sensitivity and energy expenditure, offering a novel therapeutic approach for this metabolic disease.

Area of Science:

  • Metabolic disorders
  • Pharmacology
  • Drug discovery

Background:

  • Diabetes mellitus (DM), particularly Type 2 DM, is a major global health issue affecting over 500 million people.
  • Insulin resistance is the primary driver of Type 2 DM, a condition with severe health consequences if left untreated.
  • Current oral hypoglycemic agents target various pathways, but novel therapeutic strategies are needed.

Purpose of the Study:

  • To review recent advances in synthetic protein tyrosine phosphatase 1B (PTP1B) inhibitors.
  • To explore the potential of PTP1B inhibitors as clinical antidiabetic drugs.
  • To highlight PTP1B inhibitors as a novel approach for managing type 2 diabetes and obesity.

Main Methods:

  • Literature review of synthetic PTP1B inhibitors published between 2015 and 2022.
  • Analysis of PTP1B's role as a negative regulator of insulin and leptin signaling.
  • Evaluation of PTP1B inhibitors' impact on insulin sensitivity, glucose uptake, and energy expenditure.

Main Results:

  • PTP1B inhibitors represent a promising therapeutic strategy for type 2 diabetes.
  • Inhibition of PTP1B enhances insulin sensitivity and glucose absorption.
  • PTP1B inhibitors also positively influence leptin signaling and may target obesity.

Conclusions:

  • Synthetic PTP1B inhibitors developed between 2015-2022 show significant potential for clinical application in treating type 2 diabetes.
  • Targeting PTP1B offers a novel mechanism to improve insulin sensitivity and energy metabolism.
  • Further development of these inhibitors could lead to effective treatments for both diabetes and obesity.

Related Concept Videos

Dipeptidyl Peptidase 4 Inhibitors01:23

Dipeptidyl Peptidase 4 Inhibitors

Dipeptidyl peptidase 4 (DPP-4) is a serine protease widely distributed in the body. It's involved in the inactivation of GLP-1 and GIP hormones, which are crucial for insulin regulation. DPP-4 inhibitors, such as sitagliptin (Januvia), saxagliptin (Onglyza), linagliptin (Tradjenta), alogliptin (Nesina), and vildagliptin (Galvus), help increase the proportion of active GLP-1, enhancing insulin secretion. These inhibitors work by competitively binding to DPP-4. This binding causes a...
217
Glucagon-like Receptor Agonists01:24

Glucagon-like Receptor Agonists

Incretins include glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP), which stimulate insulin secretion post-meals. In type 2 diabetes, GIP's efficacy is reduced, making GLP-1 a viable drug target. GIP originates from preproGIP.
GLP-1, when administered in high doses intravenously, triggers insulin secretion, inhibits glucagon release, slows gastric emptying, reduces food intake, and restores normal insulin secretion. However, its rapid inactivation by...
372
Oral Hypoglycemic Agents: Biguanides and Glitazones01:26

Oral Hypoglycemic Agents: Biguanides and Glitazones

Biguanides, particularly metformin (Glucophage), are insulin sensitizers that enhance glucose uptake, thereby reducing insulin resistance. Unlike sulfonylureas, metformin doesn't prompt insulin secretion, which helps to curb hypoglycemia risk. Metformin is beneficial in treating conditions like polycystic ovary syndrome due to its insulin-resistance reduction capability. The drug's primary action involves curtailing hepatic gluconeogenesis, a significant contributor to high blood...
241
Oral Hypoglycemic Agents: Glinides01:06

Oral Hypoglycemic Agents: Glinides

Repaglinide (Prandin) and Nateglinide (Starlix), known as glinides, are oral insulin secretagogues that stimulate insulin release from pancreatic β cells by closing the ATP-sensitive potassium channels (KATP channel). Repaglinide controls insulin release from pancreatic β cells by managing potassium efflux. It shares two binding sites with sulfonylureas and also has a unique site, indicating overlapping mechanisms of action. With a rapid onset and a 4-7 hour duration, it effectively...
192
Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers01:26

Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers

Receptor tyrosine kinase inhibitors (TKIs) and calcium channel blockers (CCBs) are two critical categories of drugs employed in the treatment of pulmonary artery hypertension (PAH). PAH is a disease that causes high blood pressure in the pulmonary arteries, resulting in chest pain, fatigue, and shortness of breath.
TKIs, such as imatinib (Gleevec), are particularly effective in tackling the growth and mitogenic factors that become upregulated in PAH patients. These factors contribute to the...
215
Transducer Mechanism: Enzyme-Linked Receptors01:27

Transducer Mechanism: Enzyme-Linked Receptors

Enzyme-linked receptors are cell-surface receptors acting as an enzyme or associating with an enzyme intracellularly. They make excellent drug targets. Drugs can bind to the extracellular ligand-binding domain or directly affect their enzymatic domain and alter their activity.
Major types that are helpful drug targets include:
2.6K