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SGLT2 inhibitor/ja: Difference between revisions

SGLT2 inhibitor/ja
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[[File:Empagliflozin.svg|thumb|エンパグリフロジン]]
[[File:Empagliflozin.svg|thumb|エンパグリフロジン]]


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例えば、カナグリフロジンの化学構造において、フッ素原子が芳香環に結合している場合、その化合物はより安定し、代謝が低下する。
For example, in the chemical structure of canagliflozin a fluorine atom is connected to an aromatic ring then the compound is more stable and the metabolism of the compound is reduced.
エンパグリフロジンにはテトラヒドロフラン環があるが、カナグリフロジンやダパグリフロジンにはない。
Empagliflozin contains a tetrahydrofuran ring but not canagliflozin nor dapagliflozin.
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[[File:Canagliflozin.svg|thumb|カナグリフロジン]]
[[File:Canagliflozin.svg|thumb|Canagliflozin]]
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グリフロジンの開発において、遠位環は芳香環の代わりにチオフェン環を含んでいた。しかし、市販されているグリフロジンの最終的な化学構造には、このチオフェン環は含まれていない。
In the development of gliflozins the distal ring contains a thiophene ring instead of an aromatic ring. However the final chemical structures of the marketing gliflozins does not contain this thiophene ring.
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==歴史==
==History==
{{Anchor|History}}
{{Main|Discovery and development of gliflozins}}
{{Main/ja|Discovery and development of gliflozins/ja}}
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== 研究 ==
== Research ==
{{Anchor|Research}}
SGLT2 inhibitors increase circulating [[ketone]] body concentrations. The [[Cardioprotection|cardioprotective]] effects of SGLT2 inhibitors have been attributed to the elevated ketone levels.
SGLT2阻害薬は循環[[ketone/ja|ケトン体]]濃度を上昇させる。SGLT2阻害薬の[[Cardioprotection/ja|心臓保護]]作用はケトン体濃度の上昇に起因している。
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グリフロジンは、試験管、前臨床試験および臨床試験において、心臓、肝臓、腎臓の保護作用、抗高脂血症作用、抗[[Atherosclerosis/ja|動脈硬化]]作用、抗[[obesity/ja|肥満]]作用、抗[[Neoplasm/ja|腫瘍]]作用などを示すとされている。
Gliflozins have been posited to exhibit protective effects on the heart, liver, kidneys, anti‐hyperlipidemic, anti‐[[Atherosclerosis|atherosclerotic]], anti‐[[obesity]], anti‐[[Neoplasm|neoplastic effects]] in ''in vitro'', pre‐clinical, and clinical studies. Pleiotropic effects of this class have been attributed to a variety of its pharmacodynamic actions such as natriuresis, hemoconcentration, deactivation of renin-angiotensin-aldosterone system, ketone body formation, alterations in energy [[homeostasis]], [[glycosuria]], [[lipolysis]], [[Anti-inflammatory|anti‐inflammatory]], and [[Antioxidant|antioxidative]] actions.
このクラスの多能性作用は、ナトリウム利尿、血液濃縮、レニン-アンジオテンシン-アルドステロン系の不活性化、ケトン体形成、エネルギー[[homeostasis/ja|恒常性]]の変化、[[glycosuria/ja|糖尿]]、[[lipolysis/ja|脂肪分解]]、[[Anti-inflammatory/ja|抗炎症]]、[[Antioxidant/ja|抗酸化]]などの様々な薬力学的作用に起因している。
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SGLT2阻害薬は、[[:en:NAFLD|NAFLD]]と2型糖尿病の患者を対象とした臨床試験において、また2型糖尿病でない患者を対象とした臨床試験において、肝機能に対する有益な効果を示している。
SGLT2 inhibitors have shown beneficial effects on liver function in clinical trials on individuals with [[NAFLD]] and type 2 diabetes, and also on those without type 2 diabetes.
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==外部リンク==
==External links==
* {{cite web | title=FDA revises label of diabetes drug canagliflozin | website=U.S. Food and Drug Administration | date=15 January 2016 | url=https://www.fda.gov/drugs/drug-safety-and-availability/fda-drug-safety-communication-fda-revises-label-diabetes-drug-canagliflozin-invokana-invokamet }}
* {{cite web | title=FDA revises label of diabetes drug canagliflozin | website=U.S. Food and Drug Administration | date=15 January 2016 | url=https://www.fda.gov/drugs/drug-safety-and-availability/fda-drug-safety-communication-fda-revises-label-diabetes-drug-canagliflozin-invokana-invokamet }}
* {{cite web | title=FDA Drug Safety Communication: FDA confirms increased risk of leg and foot amputations with the diabetes medicine canagliflozin (Invokana, Invokamet, Invokamet XR) | website=U.S. Food and Drug Administration | date=18 May 2016 | url=https://www.fda.gov/drugs/drug-safety-and-availability/fda-drug-safety-communication-fda-confirms-increased-risk-leg-and-foot-amputations-diabetes-medicine }}
* {{cite web | title=FDA Drug Safety Communication: FDA confirms increased risk of leg and foot amputations with the diabetes medicine canagliflozin (Invokana, Invokamet, Invokamet XR) | website=U.S. Food and Drug Administration | date=18 May 2016 | url=https://www.fda.gov/drugs/drug-safety-and-availability/fda-drug-safety-communication-fda-confirms-increased-risk-leg-and-foot-amputations-diabetes-medicine }}
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* {{cite web | title=Warning use metformin in certain patients with reduced kidney function | website=U.S. Food and Drug Administration | date=14 November 2017 | url=https://www.fda.gov/drugs/drug-safety-and-availability/fda-drug-safety-communication-fda-revises-warnings-regarding-use-diabetes-medicine-metformin-certain }}
* {{cite web | title=Warning use metformin in certain patients with reduced kidney function | website=U.S. Food and Drug Administration | date=14 November 2017 | url=https://www.fda.gov/drugs/drug-safety-and-availability/fda-drug-safety-communication-fda-revises-warnings-regarding-use-diabetes-medicine-metformin-certain }}
* {{cite web | title=Warning: infection of genital area with SGLT2 inhibitors for diabetes | website=U.S. Food and Drug Administration | date=7 September 2018 | url=https://www.fda.gov/drugs/drug-safety-and-availability/fda-warns-about-rare-occurrences-serious-infection-genital-area-sglt2-inhibitors-diabetes }}
* {{cite web | title=Warning: infection of genital area with SGLT2 inhibitors for diabetes | website=U.S. Food and Drug Administration | date=7 September 2018 | url=https://www.fda.gov/drugs/drug-safety-and-availability/fda-warns-about-rare-occurrences-serious-infection-genital-area-sglt2-inhibitors-diabetes }}
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{{Oral hypoglycemics/ja}}
{{Oral hypoglycemics}}
{{Sodium-glucose transporter modulators/ja}}
{{Sodium-glucose transporter modulators}}
{{Portal bar | Medicine}}
{{Portal bar | Medicine}}
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{{二次利用|date=15 January 2024}}
[[Category:SGLT2 inhibitors| ]]
[[Category:SGLT2 inhibitors| ]]
[[Category:Anti-diabetic drugs]]
[[Category:Anti-diabetic drugs]]
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