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.
本文描述了
氢化
吡啶并[4,3-b]
吲哚、
吡啶[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
肾上腺素受体α2A。这些化合物也可以结合并拮抗
肾上腺素受体α2B;或这些化合物不是
肾上腺素受体α2B的
拮抗剂,并且这些化合物与第二个降低或预计降低个体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
胰岛素分泌和治疗对增加
胰岛素产生有反应或预计会有反应的疾病或病况。特别描述了使用这些化合物治疗2型糖尿病的用途。