Molecular Metabolism,
Journal Year:
2024,
Volume and Issue:
91, P. 102067 - 102067
Published: Nov. 14, 2024
Infiltration
of
adipocytes
into
the
pancreatic
parenchyma
has
been
linked
to
impaired
insulin
secretion
in
individuals
with
increased
genetic
risk
T2D
and
prediabetic
conditions.
However,
study
this
ectopic
fat
depot
limited
by
lack
suitable
vitro
models.
Here,
we
developed
a
novel
3D
model
functionally
mature
human
adipose
tissue
organoids
aggregating
tissue-derived
stromal
vascular
fraction
(SVF)
cells
differentiating
them
over
19
days.
These
carry
biological
properties
situ
fat,
presenting
levels
adipogenic
markers
comparable
native
improved
lipolytic
anti-lipolytic
response
compared
conventional
2D
cultures.
The
harbour
small
population
immune
cells,
mimicking
vivo
environment.
Furthermore,
they
express
GIPR,
allowing
investigation
incretin
effects
fat.
In
accordance,
GIP
dual
GLP1R/GIPR
agonist
tirzepatide
stimulate
lipolysis
but
had
distinct
on
expression
proinflammatory
cytokines.
This
organoid
is
valuable
tool
metabolic
impact
signalling
tissue,
revealing
potential
therapeutic
targets
incretins
beyond
islets.
donor-specific
memory
these
enables
examination
fat-islet
crosstalk
donor-related
context.
Molecular Metabolism,
Journal Year:
2025,
Volume and Issue:
95, P. 102118 - 102118
Published: Feb. 28, 2025
Glucose-dependent
insulinotropic
polypeptide
(GIP)
was
the
first
incretin
identified
and
plays
an
essential
role
in
maintenance
of
glucose
tolerance
healthy
humans.
Until
recently
GIP
had
not
been
developed
as
a
therapeutic
thus
has
overshadowed
by
other
incretin,
glucagon-like
peptide
1
(GLP-1),
which
is
basis
for
several
successful
drugs
to
treat
diabetes
obesity.
However,
there
rekindling
interest
biology
recent
years,
great
part
due
pharmacology
demonstrating
that
both
GIPR
agonism
antagonism
may
be
beneficial
treating
obesity
diabetes.
This
apparent
paradox
reinvigorated
field,
led
new
lines
investigation,
deeper
understanding
GIP.
In
this
review,
we
provide
detailed
overview
on
multifaceted
nature
discuss
implications
signal
modification
various
diseases.
Following
its
classification
hormone,
emerged
pleiotropic
hormone
with
variety
metabolic
effects
outside
endocrine
pancreas.
The
numerous
render
interesting
candidate
development
pharmacotherapies
obesity,
diabetes,
drug-induced
nausea
bone
neurodegenerative
disorders.
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 17, 2025
Abstract
The
use
of
incretin
analogues
has
emerged
in
recent
years
as
an
effective
approach
to
achieve
both
enhanced
insulin
secretion
and
weight
loss
type
2
diabetes
(T2D)
patients.
Agonists
which
bind
stimulate
multiple
receptors
have
shown
particular
promise.
However,
off
target
effects,
including
nausea
diarrhoea,
remain
a
complication
using
these
agents,
modified
versions
with
optimized
pharmacological
profiles
and/or
biased
signaling
at
the
cognate
are
increasingly
sought.
Here,
we
describe
synthesis
properties
molecule
binds
glucagon-like
peptide-1
(GLP-1)
glucose-dependent
insulinotropic
polypeptide
(GIP)
(GLP-1R
GIPR)
enhance
secretion.
HISHS-2001
shows
increased
affinity
GLP-1R,
well
tendency
towards
reduced
internalization
recycling
this
receptor
versus
FDA-approved
dual
GLP-1R/GIPR
agonist
tirzepatide.
also
displayed
significantly
greater
bias
cAMP
generation
β-arrestin
recruitment
compared
In
contrast,
G
αs
was
lower
tirzepatide
but
higher
GIPR.
Administered
obese
hyperglycaemic
db/db
mice,
circulating
whilst
lowering
body
HbA1c
similar
efficacy
substantially
doses.
Thus,
represents
novel
improved
profile.
Gut,
Journal Year:
2024,
Volume and Issue:
unknown, P. gutjnl - 334023
Published: Nov. 26, 2024
Clinically
effective
pharmacological
treatment(s)
for
metabolic
dysfunction-associated
steatotic
liver
disease
(MASLD)
and
its
progressive
form
steatohepatitis
(MASH)
represent
a
largely
unmet
need
in
medicine.
Since
glucagon-like
peptide-1
receptor
agonists
(GLP-1RAs)
have
been
licensed
the
treatment
of
type
2
diabetes
mellitus
obesity,
they
were
one
first
drug
classes
to
be
examined
individuals
with
MASLD/MASH.
Successful
phase
randomised
clinical
trials
these
agents
resulted
progression
3
(principally
testing
long-term
efficacy
subcutaneous
semaglutide).
Over
last
few
years,
addition
GLP-1RAs,
newer
glucose-dependent
insulinotropic
peptide
and/or
glucagon
agonist
functions
tested,
increasing
evidence
from
histological
improvements
MASLD/MASH,
as
well
benefits
on
MASLD-related
extrahepatic
complications.
Based
this
background
evidence,
single,
dual
or
triple
incretin
are
becoming
an
attractive
promising
option
MASLD
MASH,
particularly
coexisting
obesity
mellitus.
In
narrative
review,
we
examine
rapidly
expanding
body
supporting
role
incretin-based
pharmacotherapies
delaying
reversing
MASH
progression.
We
also
discuss
biology
incretins
putative
hepatoprotective
mechanisms
managing
MASH.
Diabetes Obesity and Metabolism,
Journal Year:
2025,
Volume and Issue:
27(3), P. 1507 - 1514
Published: Jan. 6, 2025
Abstract
Aims
To
explore
the
relationship
between
weight
loss
and
insulin
sensitivity
in
response
to
tirzepatide
or
semaglutide.
Materials
Methods
We
conducted
a
post
hoc
exploratory
analysis
of
28‐week,
double‐blind,
randomized
trial
people
with
type
2
diabetes
treated
metformin,
15
mg,
semaglutide
1
mg
placebo.
evaluated
change
body
determined
from
hyperinsulinemic
euglycemic
clamp
(
M
value),
mixed‐meal
tolerance
testing
(Matsuda
index).
Results
Tirzepatide
was
associated
greater
improvement
than
assessed
using
clamps
p
<
0.001).
With
tirzepatide,
improvements
were
percent
R
=
−0.656,
0.0001).
semaglutide,
less
strongly
correlated
−0.268,
0.0820;
0.0242
vs.
tirzepatide).
In
regression
analyses,
slope
value
statistically
different
0.0461).
These
relationships
also
Matsuda
index
as
metric
sensitivity,
fat
mass
determinant
sensitivity.
Conclusions
Improvement
proportional
loss,
strength
association
tirzepatide.
analysis,
per
unit
The
following
treatment
not
simply
attributable
loss.
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 10, 2025
ABSTRACT
Obesity
affects
more
than
15%
of
the
world
population
and
is
associated
with
development
glucose
intolerance
type
2
diabetes.
In
recent
years,
incretin
analogs
are
prescribed
at
a
high
rate
for
treatment
obesity
diabetes
due
to
their
potent
effects
on
lowering
bodyweight
improving
homeostasis.
However,
studies
suggest
that
many
patients
do
not
stay
analog
therapy
thereby
rapidly
regain
bodyweight.
The
non-compliance
only
drug
shortage
but
also
insufficient
knowledge
long-term
therapy.
To
address
this
gap
provide
strategy
obesity,
we
examined
withdrawal
adipose
tissue
functions
in
diet-induced
obese
mice.
Our
transcriptome
data
restored
most
obesity-mediated
deregulated
gene
expression
tissue.
genes
encoding
lipogenic
enzymes,
downregulated
by
were
treatment.
Upon
withdrawal,
mice
displayed
rapid
regain,
impaired
function,
intolerance.
contrast,
dietary
intervention
following
tissue,
maintained
homeostasis,
increased
lean
mass
minimized
body
weight
regain.
findings
revealed
highlight
importance
therapy,
which
may
contribute
guidelines
obesity.
Frontiers in Endocrinology,
Journal Year:
2025,
Volume and Issue:
16
Published: March 17, 2025
Glucose-dependent
insulinotropic
polypeptide
(GIP)
is
one
of
two
incretin
hormones
playing
key
roles
in
the
control
food
intake,
nutrient
assimilation,
insulin
secretion
and
whole-body
metabolism.
Recent
pharmacological
advances
clinical
trials
show
that
unimolecular
co-agonists
target
receptors
for
incretins
-
GIP
glucagon-like
peptide
1
(GLP-1)
offer
more
effective
treatment
strategies
obesity
type
2
diabetes
mellitus
(T2D)
compared
with
GLP-1
receptor
(GLP1R)
agonists
alone,
suggesting
previously
underappreciated
regulating
intake
body
weight.
The
mechanisms
by
which
regulates
energy
balance
remain
controversial
as
both
agonism
antagonism
(GIPR)
produce
weight
loss
improve
metabolic
outcomes
preclinical
models.
studies
have
shown
GIPR
signalling
central
nervous
system
(CNS),
especially
regions
brain
regulate
balance,
essential
its
action
on
appetite
regulation.
This
finding
has
sparked
interest
understanding
engages
circuits
to
reduce
In
this
review,
we
present
knowledge
around
actions
regulation
potential
GIPR/GLP1R
may
balance.