- 英文名称
- Plecanatide
- 分子式
- C65H104N18O26S4
- 分子量
- 1681.89
- 中文别名
- 皮卡那肽; 普卡那酞; 普卡那肽游离态; Prikanatide; SP 304; Trulance; ASN-ASP-GLU-CYS-GLU-LEU-CYS-VAL-ASN-VAL-ALA-CYS-THR-GLY-CYS-LEU(DISULFIDE BOND CYS1&CYS3,CYS2&CYS4); L-Leucine, L-asparaginyl-L-α-aspartyl-L-α-glutamyl-L-cysteinyl-L-α-glutamyl-L-leucyl-L-cysteinyl-L-valyl-L-asparaginyl-L-valyl-L-alanyl-L-cysteinyl-L-threonylglycyl-L-cysteinyl-, cyclic (4→12),(7→15)-bis(disulfide); L-Asparaginyl-L-α-aspartyl-N-{(1R,4S,7S,10S,13S,16R,19S,22S,25R,32S,38R)-10-(2-amino-2-oxoethyl)-22-(2-carboxyethyl)-38-{[(1S)-1-carboxy-3-methylbutyl]carbamoyl}-32-[(1R)-1-hydroxyethyl]-19-isobut yl-7,13-diisopropyl-4-methyl-3,6,9,12,15,18,21,24,30,33,36-undecaoxo-27,28,40,41-tetrathia-2,5,8,11,14,17,20,23,31,34,37-undecaazabicyclo[14.13.13]dotetracont-25-yl}-L-α-glutamine
- 用途
- 普卡那肽是鸟苷酸环化酶C受体激动药,通过活化GC-C酶使cGMP浓度上升,刺激氯化物和碳酸氢盐分泌,增加肠液并加速蠕动,用于治疗成人CIC。6岁以下儿童、疑似机械性胃肠梗阻患者禁用,6-18岁患者安全性有效性未验证,可随或不随食物服用。