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▎ Ɔvaviu fɔ di Kagrilintayd
cagrilintide na dual amylin εn kalsitonin rεsεptכr agonist (DACRA) we dεn εnjinia bays pan di strכkchכral fכm fכ amylin. i de wok bay we i de aktibכt כl tu di amylin rεsεpכta εn di kalsitonin rεsεpכta, we de sho di pכtεnshal fכ mכdulet mεtabolik paramita dεm, inklud di bכdi wet εn bכdi glukכs lεvεl.di divεlכpmεnt fכ Cagrilintide de grכnd insay di fysiolojikal prכpati dεm fכ nativ amylin. Amylin, we na wan ɔmon we di pankrias sɛl dɛn kin pul, kin rili ɛp fɔ mek pɔsin satisfay, ɛn afta dat i kin mek di it we i de it nɔ bɔku. pan tap dat, amylin de kכntribyut to di rεgulεshכn fכ di blכd glukכs mεtabolism tru mכltipכl mεkanism dεm, lεk fכ inhibit di postprandial rilis fכ glukagon εn rεtard di gastric εmpty.Nכto wit standin in fysiolojikal signifyans, nativ amylin de limited in klinik aplikεshכn biכs fכ in rili sכt haf-layf. fכ adrεs dis limitεshכn, dεn dכn divεlכp Cagrilintide as wan lכng-aktin analכg, we de fכm af-layf we de fכ 7 to 8 dez. Dis ekstend haf-layf notably enhans di konvinyens of administreshɔn ɛn pasɛnt kɔmplians, ɔfr wan mɔ prɛktikal tritmɛnt opshɔn.
▎ Di Strukchɔ we di Kagrilintayd gɛt
Sos: PubChem |
Sikεns: Pyr-KCNTATCATQRLAEFLRHSSNNFGPILPPTNVGSNTP CAS: 1415456-99-3, ɛn di ɔda wan dɛn Fɔmula: C 174H 269N 45O 52S2 MW 4409 g/mol |
▎ Risach bɔt Kagrilintayd
Wetin na di ɔrijin fɔ Cagrilintide?
Cagrilintide—na wan amilin analɔg: .
amylin na כmon we di pankrεas aylet β sεl dεm de kכl. כnda di fysiolojikal kכndishכn dεm, i de kכlabכt wit insulin εn i gεt plεnti sכm sכm sכm fכs fכnshכn dεm.
fכs, amylin de ple imכtant rol fכ mek i satiet εn fכ ridyus di it we i de it. in mεkanism fכ akshכn fכs involv fכ aktibכt di rεsεpכta dεm na di Eria Postrema na di bεs fכ di fכs vεntrikl. di nyural signal dεm de transmit to di fכbren tru di Nyuklios fכ di Solitary Tract. di sem tεm, dεn kin kכnvεm dεm bak to di Lateral Hypothalamic Area εn כda haypothalamic nyuklia grup dεm tru di Lateral Parabrachial Nucleus. amylin gεt di abiliti fכ stimulate di satiety sεntrכm fכ di כganism εn inhibit fכ it fכ it na animal dεm [1] ..
amylin ebul fכ rεgεl glukכs homכstasis, we dεn kin apin bay we i de inhibit di sekreshכn fכ כl tu di insulin εn glukagon [2] . dis wok de kכntribyut bכku fכ mek di blכd glukכs lεvεl stebul εn i de ol bכku imכpכtant fכ trit sik dεm lεk dayabεtis.
pan tap dat, amylin de sho in ifekt bay we i de influεns di rilis fכ nyurotransmitta dεm. fכ egzampl, i de inhibit di rilis fכ dopamin na di haypothalamus fכ rat, we i de gεt sכm sכm impak pan norepinephrine εn sεrotonin [3] . insay di kכntεks fכ glukכs homכstasis, amylin de mεnten di bכdi glukכs stεbiliti bay we i de sכpres di sekreshכn fכ insulin εn glukagon. in mεkanism dεm inklud fכ akt dayrekt pan pankrεas aylet α sεl dεm εn indaykt rεgεl glukagon sekreshכn tru nyural signal transdyushכn insay di haypothalamus. pan di sik pipul dεm we gεt dayabitis, di dεstrukshכn fכ di β sεl dεm nכ de nכmכ de mek dεn nכ gεt insulin bכt i de rεsult in dεkrεshכn pan di sekreshכn fכ כl tu di C-pεptida εn amylin. i klia se amylin de involv insay di rεguleshכn fכ glukכs homכstasis bay we i de inhεbit di gastric εmpty εn postprandial hεpatik glukכs prodakshכn, we kin rεdכks di postprandial bכdi glukכs fכlt [4] . apat frכm dat, amylin kin delay di gεstrik εmpti, i kin mek di gεstrointestinal pεristalsis tru di sεntri nεv sεstem, εn i kin lכng di tεm we di it de insay di gεstrointestinal trakt, we kin mek di glukכs na di bכdi nכ go כp kwik kwik wan.
Bɔt pan ɔl dat, amilin gɛt shɔt af-layf, we de mek i nɔ ebul fɔ yuz am na di klinik. Risach sho se di amylin analɔg we de naw, pramlintide, as adjuvant drɔg fɔ trit dayabitis, nid fɔ gi am tri tɛm insay di de. Dis nɔ kin jɔs mek di sik pipul dɛn nɔ izi bɔt i kin mek dɛn nɔ fala di lɔ [5] . fכ adrεs di ishu fכ di sכt haf-layf fכ nεchכral amylin, dεn dכn divεlכp Cagrilintide as wan lכng-aktin analכg. di divεlכpmεnt fכ Cagrilintide de grכnd insay wan dip כndastandin fכ di fysiolojikal fכnshכn dεm fכ nεchכral amylin. i aim fכ simul di mεkanism fכ akshכn fכ amylin we i de εnhans di stebiliti εn lכng-aktin prכpati dεm fכ di dכg fכ mit di rikwaymεnt dεm fכ klinik tritmεnt.
Di Potεnshal εn Famakכlכjik Prכpati dεm fכ Cagrilintide
Cagrilintide na wan nyu lכng-akt amylin analכg wit signifyant pכtεnshal, we de sho rεmarkabl ifekt dεm na di tritmεnt fכ fat εn dayabεtis. i gɛt lipid ɛn i gɛt stebul lכng-akt kכntribyushכn [5] . amylin na כmon we pankrεas β sεl dεm de kכ-rilis wit insulin, we de indyuz satiety bay we i de akt pan di homכstatik εn hεdonik rijyכn dεm na di bren. as analכg fכ amylin, Cagrilintide kin miks dis ifekt, indyuz satiety εn so i de εp fכ kכntrכl di wet. pan tap dat, Cagrilintide na dual amylin εn calcitonin rεsεpכta agonist, we kכmכt frכm di amylin bakbon, we de gi am wan yכnik mεkanism fכ akshכn insay mεtabolik rεguleshכn.
Di Progrɛs fɔ Klinik Stɔdi dɛn pan Kagrilintayd
Insay klinik trial, Cagrilintide dɔn gi prɔmis rizɔlt fɔ indyuz weit lɔs. Fɔ ɛgzampul, insay wan multicenter, randomized, double-blind, placebo-controlled, ɛn active-controlled phase 2 dose-finding trial, patisipan dɛn we dɛn trit wit Cagrilintide sho mɔ pronɔns weit lɔs kɔmpia to di wan dɛn we gɛt di plasɛbo. Di min pasɛnt we di wet ridyus frɔm di beslayn fɔ ɔl di dos dɛn fɔ Cagrilintide (0.3 - 4.5 mg) bin ay (6.0% - 10.8%) pas di wan fɔ di plasɛbo grup (3.0%). Di wet ridɔkshɔn na di grup we dɛn trit wit 4.5 mg Cagrilintide bin bak pas di wan na di grup we dɛn trit wit 3.0 mg liraglutide (10.8% vs. 9.0%). dis rizulεt dεm sho se Cagrilintide kin bi wan ifektiv opshכn fכ weit mεnejmεnt [6]..
di kagrilintayd εn di GLP-1 rεsεptכr agonist semaglutide posεs difrεnt yet intarεlatεd mεkanism dεm fכ akshכn. di semaglutid de sho in ifekt dεm bay we i de akt pan di GLP-1 risεptor dεm na di haypothalamus, we de mek di apetit dεm dכn dכn, di insulin sekreshכn de inkrεs, εn di gεstrik εmpti delay. di kכnvεshכn, Cagrilintide de sכpres di apεtit mכr bay we i de aktibכt di amylin rεsεpכta dεm. di kכmbayn administreshכn fכ dεn tu ejen dεm ya de elicits wan supεrimכz ifekt pan apεtit tru mכltipכl mεkanism dεm, we de sכmtεm εnhans di weit lכs efficacy [7] . giv di intricate nature of obesity, kombayn tεrapi we de tכk bכt mכltipכl pathophysiological εndpכynt dεm de riprizent wan rεsכnal εn efficacious stratεji.
Pantap dat, Cagrilintide dɔn sho bak se i gɛt prɔmis fɔ kɔntrol di glukɔs na di blɔd pan di wan dɛn we gɛt tayp 2 dayabitis. Klinik invɛstigeshɔn dɔn sho se Cagrilintide de sho fayn stebiliti ɛn ɛfifikɛshɔn fɔ di manejmɛnt fɔ ɔl tu di fat ɛn tayp 2 dayabitis. Fɔ ɛgzampul, insay wan klinik trayal we involv pasɛnt dɛn we gɛt tayp 2 dayabitis, di kɔmbaynshɔn fɔ Cagrilintide ɛn di GLP-1 riseptɔ agonist semaglutide sho wɔndaful blɔd glukɔs kɔntrol ɛn weit lɔs ifɛkt dɛn. Dis sho se Cagrilintide de mεnten ay lεvεl stεbiliti insay klinik prεktis εn i ebul fכ εksyεrt sכstayn tεrapi ifekt dεm. Insay wan ɔda klinik trayal, Cagrilintide, ilɛksɛf dɛn gi am in wan ɔ dɛn gi am wit semaglutide, i sho se i ebul fɔ bia wit am ɛn i sef [8] . dis de validet di stebiliti fכ Cagrilintide mכr, lεk aw i de insay klinik aplikεshכn, di stεbiliti fכ wan dכg de intricately asosiet wit in tכlerabiliti εn sef.
Fɔ dɔn, insay klinik trial, dɛn dɔn telɛret di tritmɛnt wit kagrilintayd fayn fayn wan. Insay di faz 2 doz-fayndin trayal, di rεt dεm fכ pεrmanεnt tritmεnt sכkכntinyu bin kכmparabl akɔdin to difrεn tritmεnt grup dεm, prεdכminantli atribyut to advεs ivent dεm. Bɔt pan ɔl dat, di bad bad tin dɛn we bin apin pas ɔl na di prɔblɛm dɛn we kin apin na di bɛlɛ ɛn di riakshɔn dɛn we kin apin na di say we dɛn bin de inj di injɛkshɔn, wit di mɔtalman we bin rili bad. In wan randomized, kontrכl fεz 1b trayal, di kכnכrεnt tritmεnt wit kagrilintide εn 2.4 mg fכ semaglutide dεn sho bak gud tכlerabiliti εn akseptabl sefty prכfayl [9]. Big-big ɛn lɔng tɛm trayal dɛn de warrant insay di fyuchu fɔ kɔmprɛhnsiv fɔ evaluate di effektiv ɛn sef fɔ dis kɔmbayn tɛrapi.

Structural Model fɔ Kagrinlintayd
Sos:PubMed [5] we dɛn pul am.
Di Impɔtant fɔ Yuz Cagrilintide
Di we aw Cagrilintide dɔn kam dɔn briŋ nyu op fɔ trit pipul dɛn we fat ɛn tayp 2 dayabitis. Pan ɔl we di prɔblɛm we de wit pipul dɛn we fat pasmak na di wɔl de bɔku mɔ ɛn mɔ, di opshɔn dɛn we dɛn dɔn gri fɔ naw fɔ tritmɛnt wit mɛrɛsin stil nɔ bɔku. As wan nyu lɔng-aktin amylin analɔg, Cagrilintide de gi nyu tritmɛnt opshɔn fɔ fat pasɛnt dɛn, mɔ di wan dɛn we nɔ gɛt bɛtɛ rispɔns to layf stayl intavɛnshɔn ɛn we nɔ fayn fɔ bariatric ɔpreshɔn. I de ajɔst di wet mɛnejɛmɛnt tru wan spɛshal we fɔ du sɔntin, we de gi nyu aidia ɛn we fɔ trit pɔsin we fat, ɛn i kin sho se i ebul fɔ wok fayn ɛn sef we yu kɔmpia am wit tradishɔnal mɛrɛsin dɛn we de mek pɔsin fat pasmak [7] . pan tap dat, di saksesful kes fכ di kכmbaynshכn fכ Cagrilintide εn semaglutide (CagriSema) de sho se kכmbayn tεrapi we de tכk bכt mכltipכl pathophysiological target dεm na ifektiv stratεji fכ εnhans di tritmεnt rεspכns insay fכ fat [8] . Dis mכlti-target tritmεnt mכdel nכ de nכmכ de gi nyu paradaym fכ di mεnejmεnt fכ fat bכt i de bכn bכku mεtabolik improvεmεnt to pasεn dεm wit tayp 2 dayabεtis.
fכ kכnklud, as nכvel lכng-akt amylin analכg, Cagrilintide gεt remarkabl pכtεnshal fכ weit lכs εn blכd glukכs kכntrכl. i de aktibכt di satiety signal path bay we i de miks di akshכn fכ amylin εn i de rεgεl mεtabolism as dual rεsεpכta agonist. Klinik trial dɔn sho se Cagrilintide, we dɛn yuz in wan ɔ we dɛn yuz am wit semaglutide, kin ridyus di bɔdi wet bad bad wan ɛn dɛn kin tek am fayn fayn wan. Apat frɔm dat, i dɔn sho bak se i ebul fɔ kɔntrol di blɔd glukɔs fayn fayn wan pan di wan dɛn we gɛt tayp 2 dayabitis, i dɔn gi nyu chus fɔ di tritmɛnt fɔ di wan dɛn we fat ɛn dayabitis ɛn i dɔn ful-ɔp di gap we de na di tritmɛnt we dɛn dɔn de, mɔ fɔ di wan dɛn we nɔ de du fayn to di we aw dɛn de liv dɛn layf ɛn we nɔ fayn fɔ ɔpreshɔn. in mכlti-target tritmεnt stratεji de gi nyu insayt fכ di mεnejmεnt fכ mεtabolik sik dεm.
Bɔt di pɔsin we rayt di buk
Di tin dɛn we wi dɔn tɔk bɔt ɔp, na ɔl di tin dɛn we Cocer Peptides dɔn du risach, ɛdit ɛn kɔmpilayt.
Sayɛns Jɔnal Author
Dɔktɔ D. C. W. Lau na prɔfɛsɔ na di Kaming Skul fɔ Mɛdisin, na di Yunivasiti na Kalgari, insay Kanada. In risach intres dɛm kɔba ɛndokrinɔlɔji ɛn mɛtabolism, jenɛral ɛn intanɛnt mɛrɛsin, kadiɔvaskyuɛl sistɛm ɛn kadiɔlɔji, pɔblik wɛlbɔdi, envayrɔmɛnt ɛn ɔkupeshɔnal wɛlbɔdi, ɛn bak ɔnkɔlɔji. I gɛt pozishɔn bak wit Albata Ɛlth Sɛvis (AHS) ɛn Ɔbisiti Kanada ɛn i de wok na di Julia Makfarlan Dayabitis Risach Sɛnta. Dɔktɔ Lau gɛt bɔku ɛkspiriɛns pan di tin dɛn we dɛn kin du fɔ du risach bɔt dayabitis ɛn fɔ fat, ɛn dɛn kin rayt in wok na buk dɛn we dɛn kin rayt bɔt tin dɛn lɛk di Canadian Journal of Diabetes. Dכkta DCW dεn list am na di rεfrεns fכ saytεshכn [6].
▎ Saytayshɔn dɛn we gɛt fɔ du wit dis
[1] Hansen KE, Murali S, Chaves IZ, Suen G, Ney D. M., ɛn ɔda pipul dɛn. Glycomacropeptide Impacts Amylin-Mediated Satiety, Postprandial Markers of Glucose Homeostasis, ɛn di Fekal Maykrobayɔm insay Ɔbis Pɔstmɛnɔpɔz Uman dɛn. J NUTR 2023, ɛn di ɔda wan dɛn; 153(7): 1915-29. DOI: 10.1016/j.tjnut.2023.03.014. Di wan dɛn we de wok fɔ di kɔmni.
[2] Ling W, Huang Y, Qiao Y, Zhang X, Zhao H. Human Amylin: Frɔm Patɔlɔji to Fisiɔlɔji ɛn Famakɔlɔji. KƆR PROTƐN PƐPT SC 2019; 20 (9): 944-57. DOI:10.2174/ 13892037206 66 19032811183 3. Di wan dɛn we de wok fɔ di gɔvmɛnt.
[3] Brunetti L, Recinella L, Orlando G, Michelotto B, Di Nisio C, Vacca M. Efεkt dεm we ghrelin εn amylin de gi pan dopamin, norepinephrine εn sεrotonin rilis na di haypothalamus. EUR J FAMAKƆL 2002; 454 (2-3): 189-92. DOI: 10.1016/S0014-2999(02)02552-9.
[4] Gedulin B. R., Jodka C. M., Hɛrman K., Yɔŋ A. A.. Rol we endojεnik amylin de ple fכ glukagon sekreshכn εn gastric εmpti in rat dεm we dεn sho wit di sεlektiv antagonist, AC187. Rɛgyulatɔri Pɛptayd 2006; 137 (3): 121-7. DOI:10.1016/j.rɛgpɛp.2006.06.004.
[5] Kruse T, Hansen J L, Dahl K, ɛn ɔda pipul dɛn. Divεlכpmεnt כf Cagrilintide, wan Lכng-Aktin Amylin Analog. J MED KƐM 2021; 64 (15): 11183-94. DOI: 10.1021/acs.jmedchem.1c00565. Di wan dɛn we de wok fɔ di kɔmni.
[6] Lau D. C. W., Erichsen L., Fransisko A. M., ɛn ɔda pipul dɛn. Wan tɛm ɛvri wik cagrilintide fɔ wet mɛnejɛmɛnt pan pipul dɛn we gɛt ɔvaweit ɛn fat: wan multicentre, randomised, double-blind, placebo-controlled ɛn active-controlled, dose-finding phase 2 trial. LƐNSƐT 2021; 398 (10317): 2160-72. DOI: 10.1016/S0140-6736 (21) 01751-7.
[7] D’Askanio A. M., Mullally J. A., Frishman W. H., ɛn ɔda pipul dɛn. Cagrilintide: Wan Lɔng-Aktin Amylin Analɔg fɔ di Tritmɛnt fɔ Fat. KADƆL RƐV 2024; 32 (1): 83-90. DOI:10.1097/CRD.0000000000000513. Di wan dɛn we de wok fɔ di kɔmni.
[8] Frias JP, Deenadayalan S, Erichsen L, ɛn ɔda pipul dɛn. Efikεsi εn sef fכ kכ-administret wan tεm insay wik kagrilintayd 2.4 mg wit wan tεm insay wik semaglutide 2.4 mg insay tayp 2 dayabεtis: wan mכltisεntr, randomizεd, dכbl-blaynd, aktv-kכntrold, fεz 2 trayal. LƐNSƐT 2023; 402 (10403): 720-30. DOI: 10.1016/S0140-6736 (23) 01163-7.
[9] Enebo LB, Berthelsen KK, Kankam M, ɛn ɔda pipul dɛn. Sefty, tolerabiliti, famakokinɛtiks, ɛn famakodaynamiks fɔ kɔnkɔmit administreshɔn fɔ bɔku doz dɛn fɔ kagrilintayd wit sɛmaglutayd 2.4 mg fɔ wet mɛnejɛmɛnt: wan randomiz, kɔntrol, faz 1b trayal. LƐNSƐT 2021; 397 (10286): 1736-48. DOI: 10.1016/S0140-6736 (21) 00845-X., ɛn di ɔda wan dɛn.
ƆL DI ATIKUL ƐN PRODƆKT INFƆMƐSHƆN WE DƐN GI NA DIS WƐBSAYT NA FƆ ƆL FƆ DI INFƆMƐSHƆN ƐN FƆ EDYUKESHƆN.
Di prɔdak dɛn we dɛn gi na dis wɛbsayt na fɔ in vitro risach nɔmɔ. in vitro risach (Latin: *in glas*, we min insay glas) dεn de du am ausayd mכtalman bכdi. Dɛn prɔdak ya nɔto mɛrɛsin, dɛn nɔ gɛt di aprɔval frɔm di US Food and Drug Administration (FDA), ɛn dɛn nɔ fɔ yuz dɛn fɔ protɛkt, trit, ɔ mɛn ɛni mɛrɛsin, sik, ɔ sik. Di lɔ nɔ gri fɔ mek dɛn put dɛn tin ya insay mɔtalman ɔ animal bɔdi ɛni we.