Disclosed is a class of compounds which inhibit the enzymatic conversion of fructose-lysine into fructose-lysine-3-phosphate in an ATP dependent reaction in a newly discovered metabolic pathway. According to the normal functioning on this pathway, fructose-lysine-3-phosphate (FL3P) is broken down to form free lysine, inorganic phosphate and 3-deoxyglucosone (3DG), the latter being a reactive protein modifying agent. 3DG can be detoxified by reduction to 3-deoxyfructose (3DF), or it can react with endogenous proteins to form advanced glycation end-product modified proteins (AGE-proteins), which are believed to be a contributing cause of diabetic complications. Also disclosed are therapeutic methods of using such inhibitors to reduce formation of AGE-proteins and thereby lessen, reduce and delay diabetic complications and the effects of glycogen storage diseases, including Fanconi's syndrome. Methods for assessing a diabetic's risk of developing complications and for determining the efficacy of the disclosed inhibitor therapy by measuring the ratio of 3DG to 3DF in a biological sample following an oral dose of a fructose-lysine-containing food product are also disclosed.
本文披露了一类化合物,可以抑制酶催化将
果糖赖
氨酸转化为
果糖赖
氨酸-3-
磷酸酯的反应,这是一种新发现的代谢途径中依赖
ATP的反应。根据该途径的正常功能,
果糖赖
氨酸-3-
磷酸酯(FL3P)被分解为游离赖
氨酸、无机
磷酸盐和3-脱氧
葡萄糖酮(3DG),后者是一种具有反应性的蛋白质修饰剂。3DG可以通过还原为3-脱氧
果糖(3DF)来解毒,也可以与内源蛋白质反应形成高级糖基化终产物修饰的蛋白质(AGE-蛋白),据信这是糖尿病并发症的一个促发因素。此外,还披露了使用这种
抑制剂的治疗方法,以减少AGE-蛋白的形成,从而减轻、减少和延迟糖尿病并发症和
糖原贮积病(包括范科尼综合征)的影响。还披露了通过在口服含
果糖赖
氨酸的食品后测量
生物样品中3DG与3DF比值来评估糖尿病患者发生并发症的风险和确定披露的
抑制剂疗法的疗效的方法。