DK2875043T3 - Glucagonanaloger - Google Patents
Glucagonanaloger Download PDFInfo
- Publication number
- DK2875043T3 DK2875043T3 DK13756832.5T DK13756832T DK2875043T3 DK 2875043 T3 DK2875043 T3 DK 2875043T3 DK 13756832 T DK13756832 T DK 13756832T DK 2875043 T3 DK2875043 T3 DK 2875043T3
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- DK
- Denmark
- Prior art keywords
- aib
- glu
- ser
- seq
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- 125000000467 secondary amino group Chemical group [H]N([*:1])[*:2] 0.000 description 1
- 230000028327 secretion Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 230000000697 serotonin reuptake Effects 0.000 description 1
- 239000003772 serotonin uptake inhibitor Substances 0.000 description 1
- 230000002295 serotoninergic effect Effects 0.000 description 1
- 229960002855 simvastatin Drugs 0.000 description 1
- RYMZZMVNJRMUDD-HGQWONQESA-N simvastatin Chemical compound C([C@H]1[C@@H](C)C=CC2=C[C@H](C)C[C@@H]([C@H]12)OC(=O)C(C)(C)CC)C[C@@H]1C[C@@H](O)CC(=O)O1 RYMZZMVNJRMUDD-HGQWONQESA-N 0.000 description 1
- 238000003998 size exclusion chromatography high performance liquid chromatography Methods 0.000 description 1
- 150000003384 small molecules Chemical class 0.000 description 1
- 239000000050 smooth muscle relaxant Substances 0.000 description 1
- 229910052708 sodium Inorganic materials 0.000 description 1
- 239000011734 sodium Substances 0.000 description 1
- 239000001632 sodium acetate Substances 0.000 description 1
- 235000017281 sodium acetate Nutrition 0.000 description 1
- 229910000029 sodium carbonate Inorganic materials 0.000 description 1
- 239000001509 sodium citrate Substances 0.000 description 1
- NLJMYIDDQXHKNR-UHFFFAOYSA-K sodium citrate Chemical compound O.O.[Na+].[Na+].[Na+].[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O NLJMYIDDQXHKNR-UHFFFAOYSA-K 0.000 description 1
- 235000019259 sodium dehydroacetate Nutrition 0.000 description 1
- 229940079839 sodium dehydroacetate Drugs 0.000 description 1
- AJPJDKMHJJGVTQ-UHFFFAOYSA-M sodium dihydrogen phosphate Chemical compound [Na+].OP(O)([O-])=O AJPJDKMHJJGVTQ-UHFFFAOYSA-M 0.000 description 1
- 239000001488 sodium phosphate Substances 0.000 description 1
- DSOWAKKSGYUMTF-GZOLSCHFSA-M sodium;(1e)-1-(6-methyl-2,4-dioxopyran-3-ylidene)ethanolate Chemical compound [Na+].C\C([O-])=C1/C(=O)OC(C)=CC1=O DSOWAKKSGYUMTF-GZOLSCHFSA-M 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 239000000600 sorbitol Substances 0.000 description 1
- 241000894007 species Species 0.000 description 1
- 238000001694 spray drying Methods 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
- 239000008107 starch Substances 0.000 description 1
- 235000019698 starch Nutrition 0.000 description 1
- 229940032147 starch Drugs 0.000 description 1
- 125000003107 substituted aryl group Chemical group 0.000 description 1
- KDYFGRWQOYBRFD-UHFFFAOYSA-L succinate(2-) Chemical compound [O-]C(=O)CCC([O-])=O KDYFGRWQOYBRFD-UHFFFAOYSA-L 0.000 description 1
- 239000011593 sulfur Substances 0.000 description 1
- 229910052717 sulfur Inorganic materials 0.000 description 1
- 238000013268 sustained release Methods 0.000 description 1
- 239000012730 sustained-release form Substances 0.000 description 1
- 230000002194 synthesizing effect Effects 0.000 description 1
- 238000010189 synthetic method Methods 0.000 description 1
- 229940095064 tartrate Drugs 0.000 description 1
- 229960001693 terazosin Drugs 0.000 description 1
- VCKUSRYTPJJLNI-UHFFFAOYSA-N terazosin Chemical compound N=1C(N)=C2C=C(OC)C(OC)=CC2=NC=1N(CC1)CCN1C(=O)C1CCCO1 VCKUSRYTPJJLNI-UHFFFAOYSA-N 0.000 description 1
- 150000001467 thiazolidinediones Chemical class 0.000 description 1
- 229960004605 timolol Drugs 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 229960005371 tolbutamide Drugs 0.000 description 1
- 230000000699 topical effect Effects 0.000 description 1
- 238000007056 transamidation reaction Methods 0.000 description 1
- 238000001890 transfection Methods 0.000 description 1
- 238000003151 transfection method Methods 0.000 description 1
- 230000009466 transformation Effects 0.000 description 1
- 238000013519 translation Methods 0.000 description 1
- QORWJWZARLRLPR-UHFFFAOYSA-H tricalcium bis(phosphate) Chemical compound [Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O QORWJWZARLRLPR-UHFFFAOYSA-H 0.000 description 1
- RYFMWSXOAZQYPI-UHFFFAOYSA-K trisodium phosphate Chemical compound [Na+].[Na+].[Na+].[O-]P([O-])([O-])=O RYFMWSXOAZQYPI-UHFFFAOYSA-K 0.000 description 1
- 229910000406 trisodium phosphate Inorganic materials 0.000 description 1
- 235000019801 trisodium phosphate Nutrition 0.000 description 1
- GXPHKUHSUJUWKP-UHFFFAOYSA-N troglitazone Chemical compound C1CC=2C(C)=C(O)C(C)=C(C)C=2OC1(C)COC(C=C1)=CC=C1CC1SC(=O)NC1=O GXPHKUHSUJUWKP-UHFFFAOYSA-N 0.000 description 1
- 229960001641 troglitazone Drugs 0.000 description 1
- GXPHKUHSUJUWKP-NTKDMRAZSA-N troglitazone Natural products C([C@@]1(OC=2C(C)=C(C(=C(C)C=2CC1)O)C)C)OC(C=C1)=CC=C1C[C@H]1SC(=O)NC1=O GXPHKUHSUJUWKP-NTKDMRAZSA-N 0.000 description 1
- 238000000870 ultraviolet spectroscopy Methods 0.000 description 1
- 229960001130 urapidil Drugs 0.000 description 1
- 239000000777 urocortin Substances 0.000 description 1
- 229960001722 verapamil Drugs 0.000 description 1
- 230000003612 virological effect Effects 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
- 238000011179 visual inspection Methods 0.000 description 1
- 230000004584 weight gain Effects 0.000 description 1
- 235000019786 weight gain Nutrition 0.000 description 1
- 230000004580 weight loss Effects 0.000 description 1
- 230000037220 weight regain Effects 0.000 description 1
- 239000000080 wetting agent Substances 0.000 description 1
- 239000000811 xylitol Substances 0.000 description 1
- 235000010447 xylitol Nutrition 0.000 description 1
- HEBKCHPVOIAQTA-SCDXWVJYSA-N xylitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)CO HEBKCHPVOIAQTA-SCDXWVJYSA-N 0.000 description 1
- 229960002675 xylitol Drugs 0.000 description 1
Classifications
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K14/00—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
- C07K14/435—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
- C07K14/575—Hormones
- C07K14/605—Glucagons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
- A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
- A61K38/17—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
- A61K38/22—Hormones
- A61K38/26—Glucagons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P1/00—Drugs for disorders of the alimentary tract or the digestive system
- A61P1/16—Drugs for disorders of the alimentary tract or the digestive system for liver or gallbladder disorders, e.g. hepatoprotective agents, cholagogues, litholytics
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P3/00—Drugs for disorders of the metabolism
- A61P3/04—Anorexiants; Antiobesity agents
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P3/00—Drugs for disorders of the metabolism
- A61P3/06—Antihyperlipidemics
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P3/00—Drugs for disorders of the metabolism
- A61P3/08—Drugs for disorders of the metabolism for glucose homeostasis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P3/00—Drugs for disorders of the metabolism
- A61P3/08—Drugs for disorders of the metabolism for glucose homeostasis
- A61P3/10—Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/10—Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/12—Antihypertensives
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Organic Chemistry (AREA)
- General Health & Medical Sciences (AREA)
- Medicinal Chemistry (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
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- Pharmacology & Pharmacy (AREA)
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- General Chemical & Material Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- Gastroenterology & Hepatology (AREA)
- Proteomics, Peptides & Aminoacids (AREA)
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Claims (15)
1. Forbindelse med formel I:
(I) eller et farmaceutisk acceptabelt salt eller solvat deraf; hvor R1 er hydrogen, C-m alkyl, acetyl, formyl, benzoyl eller trifluoracetyl; R2 er OH eller NH2; og Z er en aminosyresekvens afledt af sekvensen med formel la: His-Ser-Gln-Gly-Thr-Phe-Thr-Ser-Asp-Tyr-Ser-Lys-Tyr-Leu- Asp-Ser-Arg-Arg-Ala-Glri-Asp-Phe-Val-Gln-Trp-Leu-Glu-Asn-Thr (la) og yderligere omfattende mindst fire aminosyresubstitutioner eller -deletioner, der kun er på sekvenspositioner udvalgt blandt 2, 3, 4, 9, 10, 15, 16, 17, 20, 21,24, 28 og 29, som følger: X2 er udvalgt blandt Aib og Ala; X3 er udvalgt blandt His, Pro, Dab(Ac), Dap(Ac) og Gln(Me); X4 er DAIa; X9 er Glu; X10 er udvalgt blandt Val, Leu, N-Me-Tyr og N-Me-DTyr; X15 er Glu; X16 er udvalgt blandt Aib, Lys, Glu, Leu, Val, DVal, Phe, His, Arg, Pro, DPro, N-Me-Ser og N-Me-DSer; X17 er udvalgt blandt Ala og Ser; X20 er udvalgt blandt Glu og Lys; X21 er udvalgt blandt Glu, Lys og Ser; X24 er udvalgt blandt Lys, Ser, Glu og Ala; X28 er udvalgt blandt Ser og Lys og Glu eller er fraværende; X29 er udvalgt blandt Ser og Ala eller er fraværende; forudsat, at Z ikke er udvalgt blandt: HSQGTFTSDYSKYLDSARAEDFVKWLEST; og HSQGTFTSDYSKYLESRRAKEFVEWLEST; hvor forbindelsen har glucagonagonistaktivitet og forbedret opløselighed og/eller stabilitet sammenlignet med nativt humant glucagon.
2. Forbindelse ifølge krav 1 med formel I:
(I) eller et farmaceutisk acceptabelt salt eller solvat deraf; hvor R1 er hydrogen, C1-4 alkyl, acetyl, formyl, benzoyl eller trifluoracetyl; R2 er OH eller NH2; og Z er en aminosyresekvens afledt af sekvensen med formel la: His-Scr-Gln-Gly-Thr-Phe-Thr-Ser-Asp-Tyr-Scr-Lys-Tyr-Leu- Asp-Ser-Arg-Arg-Ala-Gln-Asp-Phe-Val-Gln-Trp-Leu-Glu-Asn-Thr (la) og yderligere omfattende mindst fire aminosyresubstitutioner eller -deletioner, der kun er på sekvenspositioner (angivet som X) udvalgt blandt 2, 3, 9, 10, 15,16,17, 20, 21,24, 28 og 29, som følger: X2 er udvalgt blandt Aib og Ala; X3 er udvalgt blandt His og Pro; X9 er Glu; X10 er udvalgt blandt N-Me-Tyr og N-Me-DTyr; X15 er Glu; X16 er udvalgt blandt Aib, Lys, Glu, Leu, Val, DVal, Phe, His, Arg, Pro, DPro, N-Me-Ser og N-Me-DSer; X17 er udvalgt blandt Ala og Ser; X20 er udvalgt blandt Glu og Lys; X21 er udvalgt blandt Glu, Lys og Ser; X24 er udvalgt blandt Lys, Ser, Glu og Ala; X28 er udvalgt blandt Ser og Lys eller er fraværende; X29 er udvalgt blandt Ser og Ala eller er fraværende; forudsat, at Z ikke er udvalgt blandt: HSQGTFTSDYSKYLDSARAEDFVKWLEST; og HSQGTFTSDYSKYLESRRAKEFVEWLEST; hvor forbindelsen har glucagonagonistaktivitet og forbedret opløselighed og/eller stabilitet sammenlignet med nativt humant glucagon.
3. Forbindelse eller farmaceutisk acceptabelt salt eller solvat deraf ifølge krav 1, hvor mindst fire aminosyresubstitutioner eller -deletioner på aminosyrese- kvenspositioner (angivet som X) udvalgt blandt 2, 3, 4, 9, 10, 15, 16, 17, 20, 21,24, 28 og 29 af forbindelsen med formel I er som følger: X2 er udvalgt blandt Aib og Ala; X3 er udvalgt blandt His og Pro; X4 er DAIa; X9 er Glu; X10 er udvalgt blandt N-Me-Tyr og N-Me-DTyr; X15 er Glu; X16 er udvalgt blandt Aib, Lys, Glu, Leu, Val, Phe, His og Arg; X17 er udvalgt blandt Ala og Ser; X20 er udvalgt blandt Glu og Lys; X21 er udvalgt blandt Glu, Lys og Ser; X24 er udvalgt blandt Lys, Ser, Glu og Ala; X28 er udvalgt blandt Ser, Glu og Lyseller er fraværende; X29 er udvalgt blandt Ser og Ala eller er fraværende.
4. Forbindelse eller farmaceutisk acceptabelt salt eller solvat deraf ifølge krav 1, hvor de mindst fire aminosyresubstitutioner eller -deletioner er på aminosy-resekvenspositioner (angivet ved et X) udvalgt blandt 2, 3, 4, 10, 15, 16, 17, 20, 21,24, 28 og 29 af forbindelsen med formel I og er som følger: X2 er Ala; X3 er Dab(Ac), Dap(Ac) og Gln(Me); X4 er DAIa; X10 er udvalgt blandt Leu og Val; X15 er Glu; X16 er udvalgt blandt Aib, Lys, Glu, Leu og Val; X17 er Ala; X20 er udvalgt blandt Glu og Lys; X21 er udvalgt blandt Glu og Ser; X24 er udvalgt blandt Lys, Ser og Glu; X28 er udvalgt blandt Ser, Glu og Lys; X29 er Ala eller er fraværende.
5. Forbindelse eller farmaceutisk acceptabelt salt eller solvat deraf ifølge krav 1, hvor de mindst fire aminosyresubstitutioner eller -deletioner er på aminosy- resekvenspositioner (angivet ved et X) udvalgt blandt 2, 3, 4, 16, 17, 20, 21, 24, 28 og 29 af forbindelsen med formel I og er som følger: X2 er Ala; X3 er Dab(Ac), Dap(Ac), Gln(Me) eller His; X4 er DAIa; X16 er udvalgt blandt Aib, Lys, Glu; X17 er Ala; X20 er udvalgt blandt Glu og Lys; X21 er udvalgt blandt Glu og Ser; X24 er udvalgt blandt Lys, Ser og Glu; X28 er udvalgt blandt Ser, Glu og Lys; X29 er Ala eller er fraværende.
6. Forbindelse ifølge et hvilket som helst af kravene 1 til 5, hvor X17 er Ala.
7. Forbindelse eller farmaceutisk acceptabelt salt eller solvat deraf ifølge et hvilket som helst af kravene 1 til 5, hvor Z er udvalgt fra gruppen bestående af: HSQGTFTSDYSKYLDSARAESFVKWLEST (SEQ ID NO: 2) HSQGTFTSDYSKYLDSARAEDFVKWLEET (SEQ ID NO: 3) HSQGTFTSDYSKYLDKARAEDFVKWLEST (SEQ ID NO: 4) HSQGTFTSDYSKYLDSARAEDFVAWLEST (SEQ ID NO: 5) HSQGTFTSDYSKYLDEARAKDFVEWLEKT (SEQ ID NO: 6) HSQGTFTSDYSKYLDSARAEDFVEWLEST (SEQ ID NO: 7) HSQGTFTSDYSKYLESARAEDFVKWLEST (SEQ ID NO: 9) HSQGTFTSDYSKYLDSARAEEFVKWLEST (SEQ ID NO: 10) HSQGTFTSDYSKYLDSARAEDFVSWLEST (SEQ ID NO: 11) HSQGTFTSDLSKYLDSARAEDFVKWLEST (SEQ ID NO: 12) HSQGTFTSDYSKYLD-Aib-ARAEDFVKWLEST (SEQ ID NO: 13) HSQGTFTSDYSKYLDSARAEDFVKWLES (SEQ ID NO: 14) HSQGTFTSDYSKYLDEARAEDFVKWLEST (SEQ ID NO: 15) HSQGTFTSDYSKYLD-Aib-ARAESFVKWLEST (SEQ ID NO: 16) HSQGTFTSDYSKYLESARAESFVKWLEST (SEQ ID NO: 17) HSQGTFTSDYSKYLDLARAEDFVKWLEST (SEQ ID NO: 18) HSQGTFTSDYSKYLDKRRAEDFVSWLEST (SEQ ID NO: 19) HSQGTFTSDYSKYLDVARAESFVKWLEST (SEQ ID NO: 20) HAQGTFTSDYSKYLD-Aib-ARAESFVKWLEST (SEQ ID NO: 21) HSQGTFTSDYSKYLD-Aib-ARAEEFVKWLEST (SEQ ID NO: 22) HSQ-DAIa-TFTSDYSKYLD-Aib-ARAESFVKWLEST (SEQ ID NO: 23) HSQGTFTSDVSKYLD-Aib-ARAESFVKWLEST (SEQ ID NO: 24) HS-[Dab(Ac)]-GTFTSDYSKYLD-Aib-ARAESFVKWLEST (SEQ ID NO: 25) HSQGTFTSDYSKYLD-Aib-RRAESFVKWLEST (SEQ ID NO: 26) HS-[Gln(Me)]-GTFTSDYSKYLD-Aib-ARAESFVKWLEST (SEQ ID NO: 27) HSQGTFTSDYSKYLDEARAKSFVEWLEKT (SEQ ID NO: 28) HSQGTFTSDYSKYLDEARAKSFVEWLEST (SEQ ID NO: 29) HSQGTFTSDYSKYLD-Aib-ARAKSFVEWLEKT (SEQ ID NO: 30) HSQGTFTSDYSKYLD-Aib-ARAESFVKWLESA (SEQ ID NO: 31) HSQGTFTSDYSKYLD-Aib-ARAESFVKWLEST (SEQ ID NO: 32) HS-[Dab(Ac)]-GTFTSDYSKYLD-Aib-ARAESFVKWLEST (SEQ ID NO: 33) HSQGTFTSDYSKYLD-Aib-ARAEEFVSWLEKT (SEQ ID NO: 34) HSQGTFTSDYSKYLD-Aib-ARAEKFVEWLEST (SEQ ID NO: 35) HSQGTFTSDYSKYLD-Aib-ARAEEFVAWLEST (SEQ ID NO: 36) HSQGTFTSDYSKYLD-Aib-ARAEEFVKWLEET (SEQ ID NO: 37) HSQGTFTSDYSKYLE-Aib-ARAEEFVKWLEST (SEQ ID NO: 38) HSHGTFTSDYSKYLD-Aib-ARAEEFVKWLEST (SEQ ID NO: 39) HS-[Dab(Ac)]-GTFTSDYSKYLD-Aib-ARAEEFVKWLEST (SEQ ID NO: 40) °9 HS-[Dap(Ac)]-GTFTSDYSKYLD-Aib-ARAEEFVKWLEST (SEQ ID NO: 41).
8. Forbindelse ifølge et hvilket som helst af kravene 1 til 5, udvalgt fra gruppen bestående af: Hy-HSQGTFTSDYSKYLDSARAESFVKWLEST-OH Hy-HSQGTFTSDYSKYLDSARAEDFVKWLEET-OH Hy-HSQGTFTSDYSKYLDKARAEDFVKWLEST-OH Hy-HSQGTFTSDYSKYLDSARAEDFVAWLEST-OH Hy-HSQGTFTSDYSKYLDEARAKDFVEWLEKT-OH Hy-HSQGTFTSDYSKYLDSARAEDFVEWLEST-OH Hy-HSQGTFTSDYSKYLESARAEDFVKWLEST-OH Hy-HSQGTFTSDYSKYLDSARAEEFVKWLEST-OH Hy-HSQGTFTSDYSKYLDSARAEDFVSWLEST-OH Hy-HSQGTFTSDLSKYLDSARAEDFVKWLEST-OH Hy-HSQGTFTSDYSKYLD-Aib-ARAEDFVKWLEST-OH Hy-HSQGTFTSDYSKYLDSARAEDFVKWLES-OH Hy-HSQGTFTSDYSKYLDEARAEDFVKWLEST-OH Hy-HSQGTFTSDYSKYLD-Aib-ARAESFVKWLEST-OH Hy-HSQGTFTSDYSKYLESARAESFVKWLEST-OH Hy-HSQGTFTSDYSKYLDLARAEDFVKWLEST-OH Hy-HSQGTFTSDYSKYLDKRRAEDFVSWLEST-OH Hy-HSQGTFTSDYSKYLDVARAESFVKWLEST-OH Hy-HAQGTFTSDYSKYLD-Aib-ARAESFVKWLEST-OH Hy-HSQGTFTSDYSKYLD-Aib-ARAEEFVKWLEST-OH Hy-HSQ-DAIa-TFTSDYSKYLD-Aib-ARAESFVKWLEST-OH Hy-HSQGTFTSDVSKYLD-Aib-ARAESFVKWLEST-OH Hy-HS-[Dab(Ac)]-GTFTSDYSKYLD-Aib-ARAESFVKWLEST-NH2 Hy-HSQGTFTSDYSKYLD-Aib-RRAESFVKWLEST-OH Hy-HS-[Gln(Me)]-GTFTSDYSKYLD-Aib-ARAESFVKWLEST-OH Hy-HSQGTFTSDYSKYLDEARAKSFVEWLEKT-OH Hy-HSQGTFTSDYSKYLDEARAKSFVEWLEST-OH Hy-HSQGTFTSDYSKYLD-Aib-ARAKSFVEWLEKT-OH Hy-HSQGTFTSDYSKYLD-Aib-ARAESFVKWLESA-OH Hy-HSQGTFTSDYSKYLD-Aib-ARAESFVKWLEST-NH2 Hy-HS-[Dab(Ac)]-GTFTSDYSKYLD-Aib-ARAESFVKWLEST-OH Hy-HSQGTFTSDYSKYLD-Aib-ARAEEFVSWLEKT-OH Hy-HSQGTFTSDYSKYLD-Aib-ARAEKFVEWLEST-OH Hy-HSQGTFTSDYSKYLD-Aib-ARAEEFVAWLEST-OH Hy-HSQGTFTSDYSKYLD-Aib-ARAEEFVKWLEET-OH Hy-HSQGTFTSDYSKYLE-Aib-ARAEEFVKWLEST-OH Hy-HSHGTFTSDYSKYLD-Aib-ARAEEFVKWLEST-NH2 Hy-HS-[Dab(Ac)]-GTFTSDYSKYLD-Aib-ARAEEFVKWLEST-OH Hy-HS-[Dab(Ac)]-GTFTSDYSKYLD-Aib-ARAEEFVKWLEST-NH2 Hy-HS-[Dap(Ac)]-GTFTSDYSKYLD-Aib-ARAEEFVKWLEST-NH2 eller et farmaceutisk acceptabelt salt eller solvat deraf.
9. Nukleinsyrekonstrukt, der koder for et peptid Z ifølge et hvilket som helst af kravene 1 til 7, hvor peptidet udelukkende består af naturligt forekommende aminosyrer.
10. Ekspressionsvektor omfattende et nukleinsyrekonstrukt ifølge krav 9.
11. Værtscelle omfattende et nukleinsyrekonstrukt ifølge krav 9 eller en ekspressionsvektor ifølge krav 10.
12. Farmaceutisk sammensætning omfattende en forbindelse eller et farmaceutisk acceptabelt salt eller solvat deraf ifølge et hvilket som helst af kravene 1 -8 og en farmaceutisk acceptabel bærer.
13. Forbindelse eller farmaceutisk acceptabelt salt eller solvat deraf ifølge et hvilket som helst af kravene 1-8 til anvendelse i en fremgangsmåde til medicinsk behandling.
14. Forbindelse eller farmaceutisk acceptabelt salt eller solvat deraf ifølge et hvilket som helst af kravene 1-8 til anvendelse i en fremgangsmåde til behandling af hypoglykæmi, akut hypoglykæmi, kronisk hypoglykæmi, type 2-diabetes, nedsat glukosetolerance, type 1-diabetes, adipositas, koronar hjertesygdom, aterosklerose, hypertension, dyslipidæmi, hepatisk steatose, β-blokker-forgiftning, insulinom og Von Gierkes sygdom.
15. Forbindelse eller farmaceutisk acceptabelt salt eller solvat deraf til anvendelse ifølge krav 14, hvor hypoglykæmien er udvalgt fra gruppen bestående af: diabetisk hypoglykæmi, akut insulininduceret hypoglykæmi, non-diabetisk hypoglykæmi, reaktiv hypoglykæmi, fastende hypoglykæmi, lægemiddelinduceret hypoglykæmi, alkoholinduceret hypoglykæmi, gastrisk by-pass-induceret hypoglykæmi og hypoglykæmi, der forekommer under graviditet.
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