Journal of Personalized Medicine,
Journal Year:
2023,
Volume and Issue:
13(10), P. 1460 - 1460
Published: Oct. 4, 2023
Background:
A
malfunction
in
the
melanocortin-4
receptor
(MC4R)
is
associated
with
obesity
rare
genetic
syndromes;
setmelanotide
a
new
drug
that
activates
this
and
being
used
to
treat
severe
obesity.
This
meta-analysis
evaluated
efficacy
safety
of
for
weight
loss
linked
human
MC4R
deficiency.
Methods:
We
searched
PubMed,
Embase,
Cochrane
randomized
nonrandomized
clinical
trials
using
setmelanotide.
considered
p-value
≤
0.05
statistically
significant.
Results:
included
376
patients,
whom
328
(87.2%)
received
mean
follow-up
52
weeks.
The
age
was
32.8
(14.67)
years.
Weight
significant
(MD
−3.52;
95%
CI
−3.98,
−3.05;
p
=
0.01;
I2
92%),
an
average
proportion
−6.91%
during
treatment.
Changes
BMI
showed
MD
−10.55
kg/m2
patients
>
18
years
−0.61
<
(BMI
score).
However,
higher
risk
skin
hyperpigmentation
(OR
0.69;
0.55,
0.80;
0.08).
Conclusions:
Our
results
support
use
treating
Biomedicines,
Journal Year:
2024,
Volume and Issue:
12(8), P. 1871 - 1871
Published: Aug. 16, 2024
The
gut
microbiota
represents
a
complex
ecosystem
of
trillions
microorganisms
residing
in
the
human
gastrointestinal
tract,
which
is
known
to
interact
with
host
physiology
and
regulate
multiple
functions.
Alterations
microbial
composition,
diversity,
function
are
referred
as
dysbiosis.
Dysbiosis
has
been
associated
variety
chronic
diseases,
including
International Journal of Molecular Sciences,
Journal Year:
2025,
Volume and Issue:
26(4), P. 1651 - 1651
Published: Feb. 14, 2025
Obesity
is
closely
related
to
metabolic
diseases,
which
brings
a
heavy
burden
the
health
care
system.
It
urgent
formulate
and
implement
effective
treatment
strategies.
Glucagon-like
peptide-1
(GLP-1)
protein
with
seven
transmembrane
domains
connected
by
type
B
G
proteins,
widely
distributed
expressed
in
many
organs
tissues.
GLP-1
analogues
can
reduce
weight,
lower
blood
pressure,
improve
lipids.
Obesity,
diabetes,
cardiovascular
other
diseases
have
caused
scientists'
research
development
boom.
Among
them,
GLP-1R
agonist
drugs
developed
rapidly
weight-loss
drugs.
In
this
paper,
based
on
target
of
GLP-1,
mechanism
action
obesity
was
deeply
studied,
approved
designed
for
were
elaborated
detail.
Innovatively
put
forward
summarized
double
triple
targeted
better
effects
less
toxic
side
effects,
make
full
use
multi-target
methods
treat
future.
Finally,
it
pointed
out
that
intestinal
flora
microorganisms
benefits
obesity,
fecal
bacteria
transplantation
may
be
potential
harm
body.
This
article
provides
some
promising
strong
practical
value.
Journal of Experimental Biology,
Journal Year:
2025,
Volume and Issue:
228(Suppl_1)
Published: Feb. 15, 2025
ABSTRACT
Among
vertebrates,
birds
undertake
the
longest,
fastest
and
highest
migrations
of
any
taxonomic
group,
largely
due
to
their
unique
cardiorespiratory
system,
which
permits
for
very
large
rates
gas
exchange.
Managing
resultant
elevated
production
reactive
oxygen
species,
thus
oxidative
stress,
has
meant
that
can
avoid
pathologies
relating
major
medical
challenges
now
probably
account
majority
global
healthcare
spending.
Hypoxia
underlies
most
critical
illnesses
faced
by
humans,
but
avian
system
supply
far
more
per
unit
time
than
mammal.
Birds
have
high
circulating
glucose
levels,
adaptations
cope
with
stress
brought
about
hyperglycaemia.
also
inflammatory
responses
obesity
in
humans
when
they
seasonally
gain
huge
fat
stores.
Lastly,
live
four
times
longer
similarly
sized
mammals,
seasonal
endogenous
muscle
hypertrophy,
some
even
increase
telomere
length
age.
A
new
frontier
‘physiologging’
is
emerging,
making
use
technologies
use,
provide
novel
parameters
better
understanding
biomechanics,
energetics
ecology
a
range
species.
These
physiologging
tools
are
likely
insight
into
physiology,
biomechanics
including
ability
spread
disease,
as
well
each
detailed
this
Commentary.
By
virtue
physiological
capacity,
study
physiology
area
future
discovery
research
using
applied
interdisciplinary
areas
physiology.
Endocrine Reviews,
Journal Year:
2022,
Volume and Issue:
44(3), P. 492 - 517
Published: Dec. 22, 2022
Abstract
G
protein–coupled
receptors
(GPCRs)
are
the
largest
family
of
cell
surface
receptors.
Class
B1
GPCRs
constitute
a
subfamily
15
that
characteristically
contain
large
extracellular
domains
(ECDs)
and
respond
to
long
polypeptide
hormones.
critical
regulators
homeostasis,
and,
as
such,
many
important
drug
targets.
While
most
transmembrane
proteins,
including
GPCRs,
recalcitrant
crystallization,
recent
advances
in
cryo-electron
microscopy
(cryo-EM)
have
facilitated
rapid
expansion
structural
understanding
membrane
proteins.
As
testament
this
success,
structures
for
all
class
bound
proteins
been
determined
by
cryo-EM
past
5
years.
Further
uncovered
dynamics
these
receptors,
ligands,
signaling
partners.
Here,
we
examine
underpinnings
with
an
emphasis
on
structure–function
relationships.
International Journal of Molecular Sciences,
Journal Year:
2022,
Volume and Issue:
23(6), P. 3339 - 3339
Published: March 19, 2022
Obesity
is
a
complex,
multifactorial
disease
that
major
public
health
issue
worldwide.
Currently
approved
anti-obesity
medications
and
lifestyle
interventions
lack
the
efficacy
durability
needed
to
combat
obesity,
especially
in
individuals
with
more
severe
forms
or
coexisting
metabolic
disorders,
such
as
poorly
controlled
type
2
diabetes.
Bariatric
surgery
considered
an
effective
therapeutic
modality
sustained
weight
loss
benefits.
Numerous
genetic
environmental
factors
have
been
associated
pathogenesis
of
while
cumulative
evidence
has
highlighted
gut–brain
axis
complex
bidirectional
communication
plays
crucial
role
energy
homeostasis.
This
led
increased
research
on
roles
neuroendocrine
signaling
pathways
various
gastrointestinal
peptides
key
mediators
beneficial
effects
following
weight-loss
surgery.
The
accumulate
suggests
development
gut-peptide-based
agents
can
mimic
bariatric
thus
highly
promising
treatment
strategy
could
be
explored
future
research.
article
aims
elucidate
potential
underlying
mechanisms
comprehensively
review
observed
changes
gut
hormones
Moreover,
emerging
post-bariatric
microbiota
modulation
briefly
discussed.
Cancers,
Journal Year:
2022,
Volume and Issue:
14(19), P. 4651 - 4651
Published: Sept. 24, 2022
Hepatocellular
carcinoma
(HCC)
is
characterized
by
poor
survival
rate
and
quality
of
life,
while
available
treatments
remain
generally
limited.
Glucagon-like
peptide-1
receptor
agonists
(GLP-1
RAs)
originally
emerged
as
drugs
for
the
management
diabetes,
but
have
also
been
shown
to
alleviate
cardiorenal
risk.
Furthermore,
they
demonstrated
a
wide
range
extraglycemic
effects
that
led
their
evaluation
potential
therapies
variety
diseases
beyond
such
obesity,
neurogenerative
disorders
nonalcoholic
fatty
liver
disease.
Given
presence
GLP-1
in
hepatocytes,
animal
data
suggest
RAs
could
regulate
molecular
pathways
are
deeply
involved
genesis
progression
HCC,
including
inflammatory
responses,
tumor
cell
proliferation
oxidative
stress,
through
direct
indirect
on
cells.
However,
future
studies
must
assess
several
aspects
benefit-to-risk
ratio
use
patients
with
co-administration
approved
systemic
therapies,
incidence
gastrointestinal
side
high-risk
population,
weight
loss
individuals
nutritional
status
high
rates
cancer
cachexia.
In
this
narrative
review,
we
discuss
role
analogs
treatment
focusing
mechanisms
justify
possible
benefit,
referring
clinical
implications
areas
research.
Medicina,
Journal Year:
2023,
Volume and Issue:
59(6), P. 1119 - 1119
Published: June 9, 2023
Alarming
statistics
show
that
the
number
of
people
affected
by
excessive
weight
has
surpassed
2
billion,
representing
approximately
30%
world's
population.
The
aim
this
review
is
to
provide
a
comprehensive
overview
one
most
serious
public
health
problems,
considering
obesity
requires
an
integrative
approach
takes
into
account
its
complex
etiology,
including
genetic,
environmental,
and
lifestyle
factors.
Only
understanding
connections
between
many
contributors
synergy
treatment
interventions
can
ensure
satisfactory
outcomes
in
reducing
obesity.
Mechanisms
such
as
oxidative
stress,
chronic
inflammation,
dysbiosis
play
crucial
role
pathogenesis
associated
complications.
Compounding
factors
deleterious
effects
novel
challenge
posed
obesogenic
digital
(food)
environment,
stigma
with
should
not
be
overlooked.
Preclinical
research
animal
models
been
instrumental
elucidating
these
mechanisms,
translation
clinical
practice
provided
promising
therapeutic
options,
epigenetic
approaches,
pharmacotherapy,
bariatric
surgery.
However,
more
studies
are
necessary
discover
new
compounds
target
key
metabolic
pathways,
innovative
ways
deliver
drugs,
optimal
combinations
allopathic
treatments,
and,
last
but
least,
emerging
biological
markers
for
effective
monitoring.
With
each
passing
day,
crisis
tightens
grip,
threatening
only
individual
lives
also
burdening
healthcare
systems
societies
at
large.
It
high
time
we
took
action
confront
urgent
imperative
address
escalating
global
head-on.