Hydrogenated pyrido[4,3-b]indoles, pyrido[3,4-b]indoles and azepino[4,5-b]indoles are described. The compounds may bind to and are antagonists of the adrenergic receptor α
2A
. The compounds may also bind to and are an antagonist of the adrenergic receptor α
2B
; or the compounds are not antagonists of the adrenergic receptor α
2B
and the compounds are administered in conjunction with a second agent that reduces, or is expected to reduce, blood pressure in an individual. The compounds may find use in therapy, e.g., to regulate blood glucose level, increase insulin secretion and treat diseases or conditions that are, or are expected to be, responsive to an increase in insulin production. Use of the compounds to treat type 2 diabetes is particularly described.
介绍了
氢化
吡咯[4,3-b]
吲哚、
吡咯[3,4-b]
吲哚和
氮杂七环[4,5-b]
吲哚。这些化合物可以结合并拮抗
肾上腺素α2A受体。这些化合物也可以结合并拮抗
肾上腺素α2B受体;或者这些化合物不是
肾上腺素α2B受体的
拮抗剂,并且这些化合物与第二种预计可以降低血压的药物一起使用。这些化合物可以用于治疗,例如调节血糖
水平,增加
胰岛素分泌并治疗对
胰岛素产生增加反应的疾病或状况。特别描述了使用这些化合物治疗2型糖尿病的方法。