Description
Mitiglinide is an anti-diabetic/anti-hyperglycemic compound that increases insulin secretion and decreases plasma glucose in pancreatic β cells. The short action of mitiglinide mimics the in vivo duration and timing of insulin release. Mitiglinide decreases levels of FGF-21, altering glucose metabolism. Mitiglinide directly inhibits ATP-sensitive K+ channels and may also activate ryanodine (RyR) receptors, altering intracellular Ca2+ release.
References
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Wang B, Yang G, Yang M, et al. Mitiglinide treatment may decreases plasma fibroblast growth factor-21 levels in individuals with new-onset T2DM. Cytokine. 2012 Feb;57(2):300-3. PMID: 22129626.
Phillippe HM, Wargo KA. Mitiglinide: a novel agent for the treatment of type 2 diabetes mellitus. Ann Pharmacother. 2010 Oct;44(10):1615-23. PMID: 20841518.
Shigeto M, Katsura M, Matsuda M, et al. Nateglinide and mitiglinide, but not sulfonylureas, induce insulin secretion through a mechanism mediated by calcium release from endoplasmic reticulum. J Pharmacol Exp Ther. 2007 Jul;322(1):1-7. PMID: 17409272.