Voglibose (AO-128) is an efficient alpha-glucosidase inhibitor and mobilizes the endogenous GLP-1 reserve.

Abstract:

:The alpha-glucosidase inhibitor voglibose (AO-128) was designed to prevent rapid postprandial blood glucose rises in non-insulin-dependent diabetics. We analyzed its effect on the entero-insular axis in 72 healthy volunteers in a double-blind study design before, after the 1st dose, and on the 7th day of a 7-day treatment protocol (3 daily loads). Six parallel groups of 12 volunteers received voglibose (0.5, 1.0, 2.0, or 5.0 mg) or placebo (two groups). Blood was drawn at regular intervals up to 180 min after a standardized breakfast to analyze the levels of glucose, insulin, C peptide, gastric inhibitory polypeptide, and glucagon-like peptide 1 (GLP-1). As expected, after ingestion of voglibose, slight to moderate gastro-intestinal discomfort but no severe side-effects were reported. In a dose-dependent manner, voglibose significantly reduced postprandial increases of blood glucose, insulin, and C peptide. At the lower loads (0.5 and 1 mg voglibose three times daily), these effects were more pronounced after 7 days. The postprandial increase of gastric inhibitory polypeptide was already reduced after the first load of 2 and 5 mg voglibose. In comparison to the placebo group, this inhibition became also significant for the lower loads after 7 days. Interestingly, GLP-1, originating from the lower intestines, was increasingly released under voglibose treatment. The first administration of 1 mg voglibose enhanced GLP-1 secretion > 80% above controls. Treatment with 1 mg voglibose three times daily over 7 days revealed a maximal mobilizing effect on endogenous GLP-1 (> 90% above controls) which was not further increased by 2- or 5-mg loads. We conclude that voglibose treatment effectively inhibits intestinal disaccharidases and thereby mobilizes the endogenous pool of insulinotropic GLP-1.

journal_name

Digestion

journal_title

Digestion

authors

Göke B,Fuder H,Wieckhorst G,Theiss U,Stridde E,Littke T,Kleist P,Arnold R,Lücker PW

doi

10.1159/000201282

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

493-501

issue

6

eissn

0012-2823

issn

1421-9867

journal_volume

56

pub_type

临床试验,杂志文章,随机对照试验
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  • Prostaglandin E2 modulates serotonin- and gastrin/CCK-immunoreactive cells in the duodenal mucosa of the rat.

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    doi:10.1159/000201451

    authors: Kapraali M,Söderman C,Marín L,Johansson O,Theodorsson E,Uribe A

    更新日期:1997-01-01 00:00:00

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    doi:10.1159/000199114

    authors: Giannoulis E,Arvanitakis C,Nikopoulos A,Doutsos I,Tourkantonis A

    更新日期:1984-01-01 00:00:00

  • Esophageal Cancer: New Insights into a Heterogenous Disease.

    abstract:BACKGROUND:Esophageal cancer represents a heterogeneous malignancy mostly diagnosed in advanced stages. Worldwide, squamous cell carcinomas (SCCs) continue to be the most prevalent subtype; however, in the Western countries, the incidence of adenocarcinomas is increasing and will exceed that of SCC in the near future. ...

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    更新日期:2017-01-01 00:00:00

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    abstract:BACKGROUND AND AIM:Many investigations have demonstrated that changes in body weight are frequent in patients with coeliac disease (CD) after a gluten-free diet (GFD); conversely data on the metabolic syndrome (MS) and hepatic steatosis (HS) are still rare. The aim is to evaluate the prevalence of MS and HS in patients...

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    pub_type: 杂志文章

    doi:10.1159/000495749

    authors: Ciccone A,Gabrieli D,Cardinale R,Di Ruscio M,Vernia F,Stefanelli G,Necozione S,Melideo D,Viscido A,Frieri G,Latella G

    更新日期:2019-01-01 00:00:00

  • Postheparin plasma diamine oxidase in subjects with small bowel disease. Diagnostic efficiency of a simplified test.

    abstract::Diamine oxidase (DAO) is an enzyme located almost exclusively in the villus tip enterocytes of mammals. Its plasma activity, normally very low, is enhanced by intravenous heparin that releases the enzyme from the enterocytes into the blood. Postheparin plasma DAO (PHD) values have been shown to be significantly reduce...

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    pub_type: 杂志文章

    doi:10.1159/000199731

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    更新日期:1988-01-01 00:00:00

  • Vitamin D Status and Adiposity in Pediatric Malabsorption Syndromes.

    abstract:BACKGROUND:The combined effects of nutrient malabsorption and adiposity on vitamin D status are unclear in pediatric malabsorption syndromes. AIM:To determine the relationship between adiposity and serum 25-hydroxyvitamin D (25(OH)D) in malabsorption disorders. METHODS:Prepubertal children of ages 3-12 with either la...

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    pub_type: 杂志文章

    doi:10.1159/000381895

    authors: Nwosu BU,Maranda L

    更新日期:2015-01-01 00:00:00

  • Effectiveness of Chemoradiotherapy for Metachronous Esophageal Squamous Cell Carcinoma.

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    doi:10.1159/000510368

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  • Nutritional modulation of the inflammatory bowel response.

    abstract::Crohn's disease and ulcerative colitis represent distinct phenotypic forms of inflammatory bowel disease and continue to be a common cause of morbidity. The corticosteroids and the immunomodulatory drugs, which are the basis of treatment for the inflammatory bowel diseases, do not assure always satisfactory outcomes. ...

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    pub_type: 杂志文章,评审

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    authors: Ioannidis O,Varnalidis I,Paraskevas G,Botsios D

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  • Life events and daily stress in duodenal ulcer disease. A prospective study of patients with active disease and in remission.

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    pub_type: 杂志文章

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    更新日期:1992-01-01 00:00:00

  • Comparison of the small bowel motor response to solid and liquid meals in man.

    abstract::Interdigestive motor activity has been studied extensively both in the human and canine small intestine. The more irregular postprandial pattern, however, has rarely been studied. In particular, physiological studies in humans are lacking. Thus it is unknown whether the physical state of a meal affects the duration of...

    journal_title:Digestion

    pub_type: 临床试验,杂志文章

    doi:10.1159/000201474

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    更新日期:1997-01-01 00:00:00

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    pub_type: 杂志文章

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    authors: V Schönfeld J

    更新日期:2008-01-01 00:00:00

  • Patency Capsule Tolerability in School-Aged Children.

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    abstract::A young Indian man presented in England with a 6-month history of diarrhoea which started just before leaving India. He was found to have tropical enteropathy and H. nana infestation, but while the infestation and symptoms disappeared with antihelminthic treatment, the tropical enteropathy persisted. Hymenolepiasis is...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000198551

    authors: Cooper BT,Hodgson HJ,Chadwick VS

    更新日期:1981-01-01 00:00:00

  • Survival Impact of Extracolorectal Malignancies in Colorectal Cancer Patients.

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    journal_title:Digestion

    pub_type: 杂志文章

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    authors: Kawai K,Ishihara S,Nozawa H,Hata K,Kiyomatsu T,Tanaka T,Nishikawa T,Otani K,Yasuda K,Murono K,Sasaki K,Watanabe T

    更新日期:2016-01-01 00:00:00

  • Level of intended sedation.

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    authors: Paspatis GA,Tribonias G,Paraskeva K

    更新日期:2010-01-01 00:00:00

  • First-line therapies in inflammatory bowel disease.

    abstract:BACKGROUND AND AIMS:Medical therapy of inflammatory bowel disease (IBD) is becoming more complex, given the increasing choice of drugs to treat Crohn's disease (CD) and ulcerative colitis (UC). We aimed to summarize the current guidelines for first-line treatments in IBD. METHODS:An extensive literature search with fo...

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    pub_type: 杂志文章,评审

    doi:10.1159/000341951

    authors: Girardin M,Manz M,Manser C,Biedermann L,Wanner R,Frei P,Safroneeva E,Mottet C,Rogler G,Schoepfer AM

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  • Capnographic monitoring during endoscopic submucosal dissection with patients under deep sedation: a prospective, crossover trial of air and carbon dioxide insufflations.

    abstract:BACKGROUND AND AIMS:The safety of carbon dioxide (CO(2)) insufflation has not been fully established for esophageal and gastric endoscopic submucosal dissection (ESD) under deep sedation, because CO(2) retention is not only caused by CO(2) insufflation but also by the sedation level and the patient's respiratory status...

    journal_title:Digestion

    pub_type: 杂志文章,随机对照试验

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    更新日期:2011-01-01 00:00:00

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    pub_type: 杂志文章,评审

    doi:10.1159/000111023

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    更新日期:2007-01-01 00:00:00

  • Adsorptive Depletion of Myeloid Lineage Leucocytes as Remission Induction Therapy in Patients with Ulcerative Colitis after Failure of First-Line Medications: Results from a Three-Year Real World, Clinical Practice.

    abstract:BACKGROUND/AIMS:In patients with active ulcerative colitis (UC), pharmacologics, although initially effective in most patients, are associated with refractoriness, loss of response or unfavourable side effects as additional morbidity factors. Depletion of myeloid lineage leucocytes like the CD14(+)CD16(+) monocyte phen...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000479502

    authors: Iida T,Ikeya K,Kato M,Abe J,Yamamoto M,Watanabe F,Sugimoto K,Hanai H

    更新日期:2017-01-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:2001-01-01 00:00:00

  • Antiangiogenic effect of octreotide inhibits the growth of human rectal neuroendocrine carcinoma.

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    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000063822

    authors: Koizumi M,Onda M,Tanaka N,Seya T,Yamada T,Takahashi Y

    更新日期:2002-01-01 00:00:00

  • Biliary copper excretion in man and the rat.

    abstract::The form in which copper is bound in bile was studied in bile from patients with Wilson's disease, control subjects and rats. Bile was labelled with 64Cu. Sephadex column chromatography using gels G-200--G-10 showed a major 64Cu and protein peak of about 5,000 daltons and a minor peak of about 8,000 daltons. A high-mo...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000198027

    authors: Frommer DJ

    更新日期:1977-01-01 00:00:00

  • Effect of low dosage of interferon on natural killer activity in patients with HBsAg-positive chronic active hepatitis.

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    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000199107

    authors: Matsumura N,Yoshikawa T,Kondo M,Imanishi J,Kishida T

    更新日期:1984-01-01 00:00:00

  • Somatostatin receptor imaging: predictive and prognostic considerations.

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    journal_title:Digestion

    pub_type: 杂志文章

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    authors: Anthony LB,Martin W,Delbeke D,Sandler M

    更新日期:1996-01-01 00:00:00

  • Efficacy of Upper Gastrointestinal Endoscopic Examination to Identify Patients with Obstructive Sleep Apnea Syndrome: A Retrospective Cross-Sectional Study.

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    pub_type: 杂志文章

    doi:10.1159/000491385

    authors: Ohata K,Sakai E,Nakao T,Kimoto Y,Ishii R,Konishi T,Ueno S,Takita M,Negishi R,Morinushi T,Muramoto T,Matsuhashi N,Nakaya T,Koba I,Nakaji S

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  • Minimally Invasive Function-Preserving Gastrectomy with Sentinel Node Biopsy for Early Gastric Cancer.

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    pub_type: 杂志文章,meta分析,多中心研究,评审

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  • Effect of filtrate containing Clostridium difficile toxin on rectal mucosa maintained in organ culture.

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    pub_type: 杂志文章

    doi:10.1159/000199212

    authors: Allan A,Jewell DP

    更新日期:1985-01-01 00:00:00