molecular formula C19H27NO3 B044641 那格列奈 CAS No. 105816-06-6

那格列奈

货号: B044641
CAS 编号: 105816-06-6
分子量: 317.4 g/mol
InChI 键: OELFLUMRDSZNSF-OFLPRAFFSA-N
注意: 仅供研究使用。不适用于人类或兽医用途。
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描述

那格列奈是一种口服降糖药,用于治疗2型糖尿病。它属于降血糖药物中的甲磺酰脲类。 那格列奈由日本公司味之素开发,由诺华以商品名Starlix上市 .

作用机制

那格列奈通过刺激胰腺释放胰岛素来降低血糖水平。它通过关闭β细胞膜上的ATP依赖性钾通道来实现这一点。这会使β细胞去极化,导致电压依赖性钙通道打开。 由此产生的钙离子内流会诱导含有胰岛素的囊泡与细胞膜融合,导致胰岛素分泌 .

科学研究应用

那格列奈有几个科学研究应用:

生化分析

Biochemical Properties

Nateglinide plays a crucial role in biochemical reactions by interacting with specific enzymes and proteins. It primarily targets the ATP-sensitive potassium channels (K_ATP channels) on the pancreatic beta cells. By binding to these channels, Nateglinide inhibits their activity, leading to cell membrane depolarization. This depolarization opens voltage-gated calcium channels, resulting in an influx of calcium ions. The increased intracellular calcium concentration triggers the exocytosis of insulin-containing vesicles, thereby increasing insulin secretion .

Cellular Effects

Nateglinide influences various cellular processes, particularly in pancreatic beta cells. It enhances insulin secretion, which is crucial for glucose homeostasis. Additionally, Nateglinide affects cell signaling pathways by modulating the activity of K_ATP channels and calcium channels. This modulation impacts gene expression related to insulin synthesis and secretion. In other cell types, Nateglinide’s effects are less pronounced but may include alterations in cellular metabolism and signaling pathways .

Molecular Mechanism

At the molecular level, Nateglinide exerts its effects by binding to the sulfonylurea receptor 1 (SUR1) subunit of the K_ATP channels on pancreatic beta cells. This binding inhibits the channel’s activity, leading to membrane depolarization and subsequent opening of voltage-gated calcium channels. The resulting calcium influx promotes insulin vesicle fusion with the cell membrane and insulin release. Nateglinide’s rapid binding and dissociation from the SUR1 subunit contribute to its short duration of action .

Temporal Effects in Laboratory Settings

In laboratory settings, the effects of Nateglinide have been observed to change over time. The compound is relatively stable under standard conditions but can degrade under extreme pH or temperature conditions. Long-term studies have shown that Nateglinide maintains its efficacy in stimulating insulin secretion over extended periods, although its rapid onset and short duration of action mean that its effects are most pronounced shortly after administration .

Dosage Effects in Animal Models

In animal models, the effects of Nateglinide vary with dosage. At therapeutic doses, Nateglinide effectively lowers postprandial blood glucose levels without causing significant hypoglycemia. At higher doses, adverse effects such as hypoglycemia and potential toxicity have been observed. These effects highlight the importance of careful dosage management to maximize therapeutic benefits while minimizing risks .

Metabolic Pathways

Nateglinide is metabolized primarily in the liver through the cytochrome P450 enzyme system, particularly CYP2C9 and CYP3A4. The major metabolites are less active than the parent compound and are excreted in urine and feces. Nateglinide’s metabolism involves hydroxylation and subsequent conjugation reactions, which facilitate its elimination from the body .

Transport and Distribution

Within cells, Nateglinide is transported and distributed through passive diffusion and active transport mechanisms. It binds to plasma proteins, which influences its distribution and bioavailability. Nateglinide’s rapid absorption and distribution are critical for its quick onset of action, allowing it to effectively manage postprandial glucose levels .

Subcellular Localization

Nateglinide’s subcellular localization is primarily within the cytoplasm of pancreatic beta cells, where it interacts with K_ATP channels on the cell membrane. This localization is essential for its role in modulating insulin secretion. Nateglinide does not require specific targeting signals or post-translational modifications for its activity, as its effects are mediated through direct binding to its target channels .

化学反应分析

那格列奈会发生多种化学反应,包括:

    氧化: 那格列奈可以氧化形成羟基和葡萄糖醛酸代谢物。

    还原: 那格列奈的还原反应不太常见,但在特定条件下会发生。

    取代: 那格列奈可以发生取代反应,特别是在强亲核试剂存在的情况下。

    水解: 那格列奈在酸性或碱性条件下可以水解成其组成的氨基酸。

相似化合物的比较

那格列奈通常与其他降糖药进行比较,例如瑞格列奈和二甲双胍:

    瑞格列奈: 那格列奈和瑞格列奈都属于甲磺酰脲类,刺激胰岛素分泌。

    二甲双胍: 与那格列奈不同,二甲双胍可改善胰岛素敏感性并降低肝脏葡萄糖生成。

    司美格鲁肽: 司美格鲁肽是一种胰高血糖素样肽-1 (GLP-1) 受体激动剂,通过刺激胰岛素分泌和减少胰高血糖素分泌来降低血糖水平。

类似化合物

  • 瑞格列奈
  • 二甲双胍
  • 司美格鲁肽

那格列奈的快速起效和短效作用使其在降糖药中独树一帜,为管理餐后高血糖提供了一种针对性的方法 .

属性

IUPAC Name

(2R)-3-phenyl-2-[(4-propan-2-ylcyclohexanecarbonyl)amino]propanoic acid
Source PubChem
URL https://pubchem.ncbi.nlm.nih.gov
Description Data deposited in or computed by PubChem

InChI

InChI=1S/C19H27NO3/c1-13(2)15-8-10-16(11-9-15)18(21)20-17(19(22)23)12-14-6-4-3-5-7-14/h3-7,13,15-17H,8-12H2,1-2H3,(H,20,21)(H,22,23)/t15?,16?,17-/m1/s1
Source PubChem
URL https://pubchem.ncbi.nlm.nih.gov
Description Data deposited in or computed by PubChem

InChI Key

OELFLUMRDSZNSF-OFLPRAFFSA-N
Source PubChem
URL https://pubchem.ncbi.nlm.nih.gov
Description Data deposited in or computed by PubChem

Canonical SMILES

CC(C)C1CCC(CC1)C(=O)NC(CC2=CC=CC=C2)C(=O)O
Source PubChem
URL https://pubchem.ncbi.nlm.nih.gov
Description Data deposited in or computed by PubChem

Isomeric SMILES

CC(C)C1CCC(CC1)C(=O)N[C@H](CC2=CC=CC=C2)C(=O)O
Source PubChem
URL https://pubchem.ncbi.nlm.nih.gov
Description Data deposited in or computed by PubChem

Molecular Formula

C19H27NO3
Source PubChem
URL https://pubchem.ncbi.nlm.nih.gov
Description Data deposited in or computed by PubChem

DSSTOX Substance ID

DTXSID9040687
Record name Nateglinide
Source EPA DSSTox
URL https://comptox.epa.gov/dashboard/DTXSID9040687
Description DSSTox provides a high quality public chemistry resource for supporting improved predictive toxicology.

Molecular Weight

317.4 g/mol
Source PubChem
URL https://pubchem.ncbi.nlm.nih.gov
Description Data deposited in or computed by PubChem

Solubility

Practically insoluble
Record name Nateglinide
Source DrugBank
URL https://www.drugbank.ca/drugs/DB00731
Description The DrugBank database is a unique bioinformatics and cheminformatics resource that combines detailed drug (i.e. chemical, pharmacological and pharmaceutical) data with comprehensive drug target (i.e. sequence, structure, and pathway) information.
Explanation Creative Common's Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/legalcode)

Mechanism of Action

Nateglinide activity is dependent on the presence functioning β cells and glucose. In contrast to sulfonylurea insulin secretatogogues, nateglinide has no effect on insulin release in the absence of glucose. Rather, it potentiates the effect of extracellular glucose on ATP-sensitive potassium channel and has little effect on insulin levels between meals and overnight. As such, nateglinide is more effective at reducing postprandial blood glucose levels than fasting blood glucose levels and requires a longer duration of therapy (approximately one month) before decreases in fasting blood glucose are observed. The insulinotropic effects of nateglinide are highest at intermediate glucose levels (3 to 10 mmol/L) and it does not increase insulin release already stimulated by high glucose concentrations (greater than 15 mmol/L). Nateglinide appears to be selective for pancreatic β cells and does not appear to affect skeletal or cardiac muscle or thyroid tissue.
Record name Nateglinide
Source DrugBank
URL https://www.drugbank.ca/drugs/DB00731
Description The DrugBank database is a unique bioinformatics and cheminformatics resource that combines detailed drug (i.e. chemical, pharmacological and pharmaceutical) data with comprehensive drug target (i.e. sequence, structure, and pathway) information.
Explanation Creative Common's Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/legalcode)

CAS No.

105816-04-4, 105816-06-6
Record name Nateglinide [USAN:USP:INN:BAN]
Source ChemIDplus
URL https://pubchem.ncbi.nlm.nih.gov/substance/?source=chemidplus&sourceid=0105816044
Description ChemIDplus is a free, web search system that provides access to the structure and nomenclature authority files used for the identification of chemical substances cited in National Library of Medicine (NLM) databases, including the TOXNET system.
Record name N-((cis-4-(1-Methylethyl)cyclohexyl)carbonyl)-D-phenylalanine
Source ChemIDplus
URL https://pubchem.ncbi.nlm.nih.gov/substance/?source=chemidplus&sourceid=0105816066
Description ChemIDplus is a free, web search system that provides access to the structure and nomenclature authority files used for the identification of chemical substances cited in National Library of Medicine (NLM) databases, including the TOXNET system.
Record name Nateglinide
Source DrugBank
URL https://www.drugbank.ca/drugs/DB00731
Description The DrugBank database is a unique bioinformatics and cheminformatics resource that combines detailed drug (i.e. chemical, pharmacological and pharmaceutical) data with comprehensive drug target (i.e. sequence, structure, and pathway) information.
Explanation Creative Common's Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/legalcode)
Record name Nateglinide
Source EPA DSSTox
URL https://comptox.epa.gov/dashboard/DTXSID9040687
Description DSSTox provides a high quality public chemistry resource for supporting improved predictive toxicology.
Record name NATEGLINIDE
Source FDA Global Substance Registration System (GSRS)
URL https://gsrs.ncats.nih.gov/ginas/app/beta/substances/41X3PWK4O2
Description The FDA Global Substance Registration System (GSRS) enables the efficient and accurate exchange of information on what substances are in regulated products. Instead of relying on names, which vary across regulatory domains, countries, and regions, the GSRS knowledge base makes it possible for substances to be defined by standardized, scientific descriptions.
Explanation Unless otherwise noted, the contents of the FDA website (www.fda.gov), both text and graphics, are not copyrighted. They are in the public domain and may be republished, reprinted and otherwise used freely by anyone without the need to obtain permission from FDA. Credit to the U.S. Food and Drug Administration as the source is appreciated but not required.
Record name N-((CIS-4-(1-METHYLETHYL)CYCLOHEXYL)CARBONYL)-D-PHENYLALANINE
Source FDA Global Substance Registration System (GSRS)
URL https://gsrs.ncats.nih.gov/ginas/app/beta/substances/XTM4DQP5S5
Description The FDA Global Substance Registration System (GSRS) enables the efficient and accurate exchange of information on what substances are in regulated products. Instead of relying on names, which vary across regulatory domains, countries, and regions, the GSRS knowledge base makes it possible for substances to be defined by standardized, scientific descriptions.
Explanation Unless otherwise noted, the contents of the FDA website (www.fda.gov), both text and graphics, are not copyrighted. They are in the public domain and may be republished, reprinted and otherwise used freely by anyone without the need to obtain permission from FDA. Credit to the U.S. Food and Drug Administration as the source is appreciated but not required.

Retrosynthesis Analysis

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Min. plausibility 0.01
Model Template_relevance
Template Set Pistachio/Bkms_metabolic/Pistachio_ringbreaker/Reaxys/Reaxys_biocatalysis
Top-N result to add to graph 6

Feasible Synthetic Routes

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