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Besigliptin (SHR117887) is an orally bioavailable, selective small molecule inhibitor of dipeptidyl peptidase-4 (DPP-4), developed by Jiangsu HengRui Medicine. It is designed for the treatment of type 2 diabetes mellitus. By inhibiting the DPP-4 enzyme, besigliptin slows the degradation of incretin hormones, including glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP). This preservation of incretins enhances glucose-dependent insulin secretion from pancreatic beta cells and suppresses glucagon secretion from alpha cells, leading to improved glycemic control. The drug has been evaluated in clinical trials both as a monotherapy and in combination with other anti-diabetic medications like metformin.
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