The Triad of Risk: Linking MASLD, Cardiovascular Disease and Type 2 Diabetes; From Pathophysiology to Treatment
Journal of Clinical Medicine,
Journal Year:
2025,
Volume and Issue:
14(2), P. 428 - 428
Published: Jan. 10, 2025
Metabolic
dysfunction-associated
steatotic
liver
disease
(MASLD)
is
an
emerging
global
health
concern,
and
it
not
only
the
keystone
precursor
of
eventual
liver-related
morbidity,
but
also
places
patients
at
considerably
higher
cardiovascular
risk,
which
still
a
leading
cause
death
in
these
patients.
The
most
important
common
underlying
pathophysiological
mechanisms
diseases
are
primarily
related
to
insulin
resistance,
chronic
inflammation
oxidative
stress.
presence
MASLD
with
(CVD)
type
2
diabetes
mellitus
(T2DM)
elevates
risk
for
poor
outcomes,
thus
this
review
highlights
method
therapeutic
approaches.
Given
intertwined
nature
MASLD,
T2DM,
CVD,
there
urgent
need
strategies
that
address
all
three
conditions.
Although
lifestyle
changes
as
treatment,
medication
plays
crucial
role
managing
hyperglycemia,
enhancing
function
lowering
risk.
onset
progression
should
be
addressed
through
multifaceted
approach,
targeting
inflammatory,
immune,
metabolic,
stress,
hormonal
gutaxis
pathways,
alongside
treatment
T2DM.
In
review,
we
discuss
effects
antidiabetic
drugs
impact
on
both
outcomes
affected
by
T2DM
CDV.
Language: Английский
Regulation of GLP-1 and Glucagon Receptor Function by β-Arrestins in Metabolically Important Cell Types
Liu Liu,
No information about this author
Muhammad Rashid,
No information about this author
Jürgen Wess
No information about this author
et al.
Biochemistry,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 21, 2025
Glucagon-like
peptide-1
(GLP-1)
and
glucagon
(GCG)
are
polypeptides
derived
from
a
common
precursor
(preproglucagon)
that
modulates
the
activity
of
numerous
cell
types
involved
in
regulating
glucose
energy
homeostasis.
GLP-1
GCG
exert
their
biological
functions
via
binding
to
specific
G
protein-coupled
receptors
(GLP-1Rs
GCGRs).
Ligand-activated
GLP-1Rs
GCGRs
preferentially
activate
heterotrimeric
protein
Gs,
resulting
increased
cytosolic
cAMP
levels.
However,
activation
two
also
leads
recruitment
β-arrestin-1
-2
(βarr1
βarr2,
respectively)
intracellular
surface
receptor
proteins.
The
β-arrestins
activated
contributes
termination
receptor-stimulated
coupling.
In
addition,
receptor-β-arrestin
complexes
can
act
as
signaling
nodes
own
right
by
modulating
many
pathways.
this
Review,
we
will
discuss
roles
βarr1
βarr2
key
metabolic
mediated
GCGRs.
During
past
decade,
GLP-1R
agonists
have
emerged
highly
efficacious
antidiabetic
antiobesity
drugs.
Moreover,
dual
stimulate
both
predicted
offer
additional
therapeutic
benefits
compared
agonist
monotherapy.
We
summarize
try
synthesize
series
studies
suggesting
development
protein-biased
and/or
GCGR
agonists,
which
do
not
lead
β-arrestins,
may
even
more
agents.
Language: Английский