Pyrimidine derivatives as multifaceted antidiabetic agents: A comprehensive review of structure-activity relationships, mechanisms, and clinical potential

Jun 17, 2025European journal of medicinal chemistry

Pyrimidine Compounds as Versatile Diabetes Treatments: Overview of Their Structure, How They Work, and Clinical Promise

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Abstract

Pyrimidine derivatives may offer diverse pharmacological profiles by targeting key pathways in diabetes treatment.

  • Pyrimidine derivatives inhibit DPP-4 and modulate α-glucosidase/α-amylase activity.
  • Mechanistic insights from molecular docking and quantitative structure-activity relationship studies reveal interactions with various antidiabetic targets.
  • Higher efficacy, selectivity, and multitarget potential are associated with pyrimidine-based hybrids like morpholino-triazine and dihydropyrimidine-phthalimide.
  • Clinical relevance is noted for specific compounds, including anagliptin and tolimidone.
  • Emerging strategies such as AI-driven drug design may enhance the development of next-generation therapies.

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