Intestinal stearoyl-coenzyme A desaturase-inhibition improves obesity-associated metabolic disorders DOI Creative Commons
Yangliu Xia, Yang Zhang, Zhipeng Zhang

et al.

Acta Pharmaceutica Sinica B, Journal Year: 2024, Volume and Issue: 15(2), P. 892 - 908

Published: Dec. 2, 2024

Stearoyl-coenzyme A desaturase 1 (SCD1) catalyzes the rate-limiting step of de novo lipogenesis and modulates lipid homeostasis. Although numerous SCD1 inhibitors were tested for treating metabolic disorders both in preclinical clinic studies, tissue-specific roles modulating obesity-associated determining pharmacological effect chemical inhibition remain unclear. Here a novel role intestinal was uncovered. Intestinal found to be induced during obesity progression humans mice. Intestine-specific, but not liver-specific, deficiency reduced hepatic steatosis. A939572, an SCD1-specific inhibitor, ameliorated steatosis dependent on intestinal, hepatic, SCD1. Mechanistically, impeded obesity-induced oxidative stress through its function inducing metallothionein epithelial cells. These results suggest that could viable target underlies treatment disorders.

Language: Английский

Emerging Pharmacotherapies for Obesity: A Systematic Review DOI Creative Commons
Michail Kokkorakis, Marlene Chakhtoura, Caline Rhayem

et al.

Pharmacological Reviews, Journal Year: 2024, Volume and Issue: 77(1), P. 100002 - 100002

Published: Sept. 20, 2024

The history of anti-obesity pharmacotherapies is marked by disappointments, often entangled with societal pressure promoting weight loss and the conviction that excess body signifies a lack willpower. However, categories emerging generate hope to reduce obesity rates. This systematic review phase 2 3 trials in adults overweight/obesity investigates effect novel pharmacotherapies, compared placebo/control or Food Drug Administration-approved medication, through searching Medline, Embase, ClinicalTrials.gov (2012-2024). We identified 53 trials, 36 drugs combinations thereof four withdrawn terminated trials. Oral semaglutide 50 mg only medication has completed trial. There are 14 ongoing on glucagon-like peptide-1 (GLP-1) receptor agonists (RAs) (ecnoglutide, orforglipron, TG103), GLP-1 RA/amylin agonist (CagriSema), GLP-1/glucagon RAs (mazdutide, survodutide), GLP-1/glucose-dependent insulinotropic polypeptide glucagon RA (retatrutide), dapagliflozin, combination sibutramine/topiramate. Completed incretin-based therapies showed mean percent 7.4-24.2%. Almost half undergoing were incretin analogs. drug pipeline expanding rapidly, most promising results reported Data mortality obesity-related complications, such as cardio-renal-metabolic events, needed. Moreover, long-term follow-up data safety efficacy maintenance along studies focused under-represented populations, cost-effectiveness assessments, availability, needed bridge care gap for patients obesity. Significance Statement Obesity epidemic 21st century. Except newer injectable medications, suboptimal have been available clinician's armamentarium. alternatives agents populate therapeutic pipeline. identifies state mechanism action having clinical information provided herein furthers understanding management, implying direct implications stimulating research initiatives.

Language: Английский

Citations

9

Overweight and obesity significantly increase colorectal cancer risk: a meta-analysis of 66 studies revealing a 25–57% elevation in risk DOI Creative Commons
Zoltán Ungvári, Mónika Fekete, Péter Varga

et al.

GeroScience, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 8, 2024

Abstract The incidence of colorectal cancer (CRC) has been steadily rising, and obesity identified as a significant risk factor. Numerous studies suggest strong correlation between excess body weight increased CRC, but comprehensive quantification through pooled analysis remains limited. This study aims to systematically review meta-analyze the existing literature evaluate association CRC risk, considering variations across sex designs. A systematic search was conducted in PubMed, Cochrane Central Register Controlled Trials (CENTRAL), Web Science identify randomized controlled trials human clinical from 1992 2024. Statistical performed using https://metaanalysisonline.com web application random effects model estimate hazard rates (HR). Forest plots, funnel Z-score plots were utilized visualize results. We 52 14 case–control studies, encompassing total 83,251,050 236,877 subjects, respectively. indicated that significantly prevalence (HR = 1.36, 95% CI 1.24–1.48, p < 0.01). effect consistent sexes, with HRs 1.57 (95% 1.38–1.78, 0.01) for males 1.25 1.14–1.38, females. Case–control specifically showed an effect, marginal significance only 1.27, 0.98–1.65, 0.07). plot need additional group. heterogeneity observed all four settings. meta-analysis provides robust evidence is factor cancer, overall rate indicating 36% risk. pronounced both showing slightly higher compared Although weaker association, trend supports link CRC. These results underscore importance public health interventions aimed at reducing potentially lower cancer.

Language: Английский

Citations

9

Gut hormones and bone homeostasis: potential therapeutic implications DOI
Béatrice Bouvard, Guillaume Mabilleau

Nature Reviews Endocrinology, Journal Year: 2024, Volume and Issue: unknown

Published: June 10, 2024

Language: Английский

Citations

8

Metabolic alliance: pharmacotherapy and exercise management of obesity DOI
Javier Butragueño, Jonatan R. Ruiz

Nature Reviews Endocrinology, Journal Year: 2024, Volume and Issue: 20(9), P. 505 - 506

Published: June 5, 2024

Language: Английский

Citations

6

Skeletal muscle loss and sarcopenia in obesity pharmacotherapy DOI
David C. D. Hope, Tricia Tan

Nature Reviews Endocrinology, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 18, 2024

Language: Английский

Citations

6

Recent advances in incretin-based therapy for MASLD: from single to dual or triple incretin receptor agonists DOI
Giovanni Targher, Alessandro Mantovani, Christopher D. Byrne

et al.

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.

Language: Английский

Citations

4

Triazination/IEDDA Cascade Modular Strategy Installing Pyridines/Pyrimidines onto Tyrosine Enables Peptide Screening and Optimization DOI
Quan Zuo,

Xinyi Song,

Jie Yan

et al.

Journal of the American Chemical Society, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 30, 2025

Modular chemical postmodification of peptides is a promising strategy that supports the optimization and innovation hit peptide therapeutics by enabling rapid derivatization. However, current methods are primarily limited to traditional bio-orthogonal strategies ligation techniques, which require preintroduction non-natural amino acids impose fixed limit diversity. Here, we developed Tyrosine-1,2,3-Triazine Ligation (YTL) strategy, constructs novel linkages (pyridine pyrimidine) through "one-pot, two-step" process combining SNAr IEDDA reactions, promoting modular post modification Tyr-containing peptides. After optimizing YTL establishing standard procedures, successfully applied it solid-phase various biorelated peptides, such as synthesis dual-mode imaging probes long-acting GLP-1 analogs. As proof concept, library 384 amphipathic was constructed using based on 96-well microfiltration plates. modifications were then performed screened template tripeptide RYR, leading generation 20 derivatives. The antibacterial activity these derivatives systematically characterized, identifying Z8 potential candidate.

Language: Английский

Citations

0

Evolving role of double and triple therapy with GLP-1 receptor agonists in obesity and cardiovascular disease DOI
Phelopater Sedrak, Raj Verma,

Meena Verma

et al.

Canadian Journal of Cardiology, Journal Year: 2025, Volume and Issue: unknown

Published: April 1, 2025

Language: Английский

Citations

0

Role of Glucagon-Like Peptide-1 and Glucose-Dependent Insulinotropic Polypeptide/Glucagon-Like Peptide-1 Receptor Agonists in Management of Cardiovascular-Kidney-Metabolic (CKM) Conditions DOI
Radica Z. Alicic, Joshua J. Neumiller

Cardiology Clinics, Journal Year: 2025, Volume and Issue: unknown

Published: May 1, 2025

Language: Английский

Citations

0

SGLT2 inhibitors and dietary calorie restriction for type 2 diabetes remission DOI Open Access
David C. D. Hope, Jonathan Valabhji

BMJ, Journal Year: 2025, Volume and Issue: unknown, P. r40 - r40

Published: Jan. 22, 2025

Language: Английский

Citations

0