Compounds having the structure
1
are peroxisome proliferator-activated receptor-gamma (PPAR-gamma) selective agonists and as such are useful in the modulation of blood glucose and the increase of insulin sensitivity in mammals. This activity of the piperazine derivatives of the invention make them particularly useful in the treatment of those conditions selected from the group consisting of diabetes, atherosclerosis, hyperglycemia, hyperlipidemia, obesity, syndrome X, insulin resistance, hypertension, heart failure and cardiovascular disease in mammals.
                            具有结构1的化合物是
过氧化物酶体增殖物激活受体-γ(
PPAR-γ)选择性激动剂,因此在哺乳动物中调节血糖和增加
胰岛素敏感性方面非常有用。发明的
哌嗪衍
生物具有这种活性,使它们特别适用于治疗糖尿病、动脉硬化、高血糖、高脂血症、肥胖症、综合征X、
胰岛素抵抗、高血压、心力衰竭和心血管疾病等疾病。