Cardiovascular Protective Properties of GLP-1 Receptor Agonists: More than Just Diabetic and Weight Loss Drugs
Richard Le,
No information about this author
Mau T. Nguyen,
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Momina A. Allahwala
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et al.
Journal of Clinical Medicine,
Journal Year:
2024,
Volume and Issue:
13(16), P. 4674 - 4674
Published: Aug. 9, 2024
Owing
to
their
potent
glucose-lowering
efficacy
and
substantial
weight
loss
effects,
glucagon-like
peptide-1
receptor
agonists
(GLP-1
RAs)
are
now
considered
part
of
the
frontline
therapeutic
options
treat
both
type
2
diabetes
mellitus
nondiabetic
overweight/obesity.
Stemming
from
successful
demonstration
cardiometabolic
modulation
reduction
major
adverse
cardiovascular
events
in
clinical
outcome
trials,
GLP-1
RAs
have
since
been
validated
as
agents
with
compelling
protective
properties.
Studies
spanning
bench
preclinical
large-scale
randomised
controlled
trials
consistently
corroborated
benefits
this
pharmacological
class.
Most
notably,
there
is
converging
evidence
that
they
exert
favourable
effects
on
atherosclerotic
ischaemic
endpoints,
data
indicating
may
do
so
by
directly
modifying
burden
composition
plaques.
This
narrative
review
examines
underlying
pharmacology
behind
RAs,
particular
focus
disease.
It
also
delves
into
mechanisms
underpin
putative
plaque-modifying
actions,
addresses
existing
knowledge
gaps
challenges
looks
future
developments
field,
including
use
combination
incretin
for
management.
Language: Английский
GLP-1 receptor agonism in cardiovascular disease prevention
Hanan Alaaeldin Saleh
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Asia-Pacific Journal of Pharmacotherapy & Toxicology,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 1, 2025
Cardiovascular
diseases
(CVDs)
are
leading
cause
of
mortality
worldwide,
closely
linked
to
risk
factors
such
as
type
2
diabetes
mellitus
(T2DM)
and
obesity.
Recent
advances
in
therapeutic
strategies
have
identified
glucagon-like
peptide-1
receptor
agonists
(GLP-1RAs)
promising
agents
that
extend
beyond
glycemic
control
offer
significant
cardiovascular
benefits.
This
review
examines
the
evolving
role
GLP-1RAs
CVD
prevention,
focusing
on
their
mechanisms
action
clinical
implications.
act
by
mimicking
endogenous
GLP-1
enhance
insulin
secretion,
reduce
glucagon
levels,
regulate
blood
glucose.
Their
impact
extends
improving
vascular
health,
reducing
atherosclerotic
progression,
mitigating
inflammation,
countering
diabetic
hyperglycemia
dyslipidemia.
also
contribute
weight
reduction,
a
key
factor
alleviating
risk.
Results
from
trials
real-world
evidences
consistently
support
GLP-1RA
treatment
lowers
incidence
major
adverse
events
(MACEs),
including
myocardial
infarction
stroke,
diverse
patient
populations.
Despite
potential,
barriers
limited
awareness
among
healthcare
professionals
unequal
access
hinder
broader
adoption
into
clinics.
Ongoing
studies
continue
explore
integration
with
other
approaches,
sodium-glucose
cotransporter-2
(SGLT2)
inhibitors
lipid-lowering
agents,
optimize
outcomes.
underscores
importance
leveraging
multifaceted
tool
global
burden
while
addressing
challenges
ensure
equitable
long-term
Language: Английский
Statins as an Adjunctive Antithrombotic Agent in Thrombotic Antiphospholipid Syndrome: Mechanisms and Clinical Implications
Cells,
Journal Year:
2025,
Volume and Issue:
14(5), P. 353 - 353
Published: Feb. 28, 2025
The
thrombotic
physiopathology
of
antiphospholipid
syndrome
(APS)
is
complex,
heterogeneous,
and
dynamic.
While
venous
thromboembolism
(VTE)
the
most
common
initial
presentation,
arterial
events
(ATE)
become
more
frequent
in
advanced
stages
are
associated
with
high
morbidity
mortality.
Despite
use
oral
anticoagulants
(OACs),
APS
remains
a
risk
recurrent
thrombosis.
Given
their
potential
antithrombotic
effects
capable
reducing
both
VTE
ATE,
statins
have
been
proposed
as
an
adjunctive
therapy
to
OACs
for
patients
However,
this
recommendation
primarily
based
on
studies
not
specifically
conducted
populations,
only
preclinical
data
or
evidence
from
retrospective
observational
available
cohorts.
For
these
reasons,
narrative
review
aims
synthesise
evaluating
APS,
highlighting
progress
made
identifying
areas
future
research.
Language: Английский
Endoplasmic Reticulum Stress and Its Role in Metabolic Reprogramming of Cancer
Metabolites,
Journal Year:
2025,
Volume and Issue:
15(4), P. 221 - 221
Published: March 24, 2025
Background/Objectives:
Endoplasmic
reticulum
(ER)
stress
occurs
when
ER
homeostasis
is
disrupted,
leading
to
the
accumulation
of
misfolded
or
unfolded
proteins.
This
condition
activates
protein
response
(UPR),
which
aims
restore
balance
trigger
cell
death
if
cannot
be
achieved.
In
cancer,
plays
a
key
role
due
heightened
metabolic
demands
tumor
cells.
review
explores
how
metabolomics
can
provide
insights
into
stress-related
alterations
and
their
implications
for
cancer
therapy.
Methods:
A
comprehensive
literature
was
conducted
analyze
recent
findings
on
stress,
metabolomics,
metabolism.
Studies
examining
profiling
cells
under
conditions
were
selected,
with
focus
identifying
potential
biomarkers
therapeutic
targets.
Results:
Metabolomic
studies
highlight
significant
shifts
in
lipid
metabolism,
synthesis,
oxidative
management
stress.
These
are
crucial
adaptation
survival.
Additionally,
targeting
pathways
has
shown
preclinical
models,
suggesting
new
strategies.
Conclusions:
Understanding
impact
provides
valuable
opportunities
drug
development.
Metabolomics-based
approaches
may
help
identify
novel
targets,
enhancing
effectiveness
antitumor
therapies.
Language: Английский
Exploring Stressors: Impact on Cellular Organelles and Implications for Cellular Functions
Stresses,
Journal Year:
2025,
Volume and Issue:
5(2), P. 26 - 26
Published: April 4, 2025
Cellular
stressors
have
been
demonstrated
to
exert
a
substantial
influence
on
the
functionality
of
organelles,
thereby
impacting
cellular
homeostasis
and
contributing
development
disease
pathogenesis.
This
review
aims
examine
impact
diverse
stressors,
including
environmental,
chemical,
biological,
physical
factors,
critical
organelles
such
as
cell
membrane,
mitochondria,
endoplasmic
reticulum,
Golgi
apparatus,
lysosomes,
membrane-less
organelles.
The
intricate
molecular
mechanisms
underlying
stress
responses,
encompassing
oxidative
stress,
protein
misfolding,
metabolic
reprogramming,
capacity
elicit
adaptive
responses
or
culminate
in
pathological
conditions.
interplay
between
these
organelle
dysfunction
has
implicated
myriad
diseases,
neurodegenerative
disorders,
cancer,
immune-related
pathologies.
A
comprehensive
understanding
by
which
respond
can
offer
valuable
insights
into
therapeutic
strategies
aimed
at
mitigating
damage.
Language: Английский
Therapeutic potential of natural flavonoids in atherosclerosis through endothelium-protective mechanisms: An update
Chao Zhong,
No information about this author
Keke Deng,
No information about this author
Xiaoya Lang
No information about this author
et al.
Pharmacology & Therapeutics,
Journal Year:
2025,
Volume and Issue:
unknown, P. 108864 - 108864
Published: April 1, 2025
Language: Английский
Roles of Mitochondrial Quality Control in the Pathogenesis of Atherosclerosis
Zakareya M. Alsalman,
No information about this author
Qiongjun Zhu,
No information about this author
Jiayi Hu
No information about this author
et al.
Cardiovascular Innovations and Applications,
Journal Year:
2025,
Volume and Issue:
10(1)
Published: Jan. 1, 2025
Mitochondrial
quality
control
(MQC)
mechanisms
–
including
biogenesis,
dynamics,
mitophagy,
proteostasis,
the
unfolded
protein
response,
and
mitochondrial-derived
vesicles
play
critical
roles
in
development
of
atherosclerosis.
Dysregulation
these
processes
can
lead
to
mitochondrial
dysfunction,
subsequently
initiation
a
pathological
cascade
characterized
by
oxidative
stress,
chronic
inflammation,
accumulation
lipids
within
arterial
walls.
Specifically,
ROS
overproduction
redox
state
imbalance
are
key
molecular
aspects
that
exacerbate
damage,
create
self-perpetuating
cycle
cellular
injury
disease
progression.
Emerging
therapeutic
strategies
targeting
modulation
MQC
have
promise
attenuating
atherosclerotic
progression
restoring
balance
fusion
fission
enhancing
clearance
damaged
mitochondria,
improving
homeostasis.
Advancing
understanding
regulators
interaction
networks
pathways
might
facilitate
precision-targeted
therapies.
However,
substantial
challenges
persist
translating
insights
into
clinical
applications.
This
review
explores
relationship
between
atherosclerosis,
focusing
on
associated
potential
avenues
for
intervention.
Language: Английский
IL-17A exacerbates synovial inflammation in osteoarthritis via activation of endoplasmic reticulum stress
Wen Sun,
No information about this author
Xueyan Li,
No information about this author
Liyuan Zhang
No information about this author
et al.
International Immunopharmacology,
Journal Year:
2024,
Volume and Issue:
145, P. 113733 - 113733
Published: Dec. 10, 2024
Language: Английский
Relevant Serum Endoplasmic Reticulum Stress Biomarkers in Type 2 Diabetes and Its Complications: A Systematic Review and Meta-Analysis
Antioxidants,
Journal Year:
2024,
Volume and Issue:
13(12), P. 1564 - 1564
Published: Dec. 19, 2024
Endoplasmic
reticulum
stress
(ERS)
is
activated
in
all
cells
by
stressors
such
as
hyperglycemia.
However,
it
remains
unclear
which
specific
serum
biomarkers
of
ERS
are
consistently
altered
type
2
diabetes
(T2D).
We
aimed
to
identify
that
T2D
and
its
complications,
their
correlation
with
metabolic
anthropometric
variables.
performed
a
systematic
review
meta-analysis
following
Preferred
Reporting
Items
for
Systematic
Reviews
Meta-Analyses
(PRISMA)
Observational
Studies
(MOOSE).
The
risk
bias
was
assessed
using
the
Newcastle–Ottawa
scale.
Random-effects
models
weighted
inverse
variance
were
employed
estimate
standardized
mean
difference
correlations
effect
size
measures.
Indicators
heterogeneity
meta-regressions
evaluated.
Of
1206
identified
studies,
22
finally
included,
representing
11,953
subjects
(2224
9992
non-diabetic
controls).
Most
studies
high
quality.
Compared
controls,
had
higher
circulating
levels
heat
shock
protein
70
(HSP70;
SMD:
2.30,
95%
CI
1.13–3.46;
p
<
0.001)
secretagogin
(SMD:
0.60,
95%CI
0.19–1.01;
0.001).
They
also
peroxiredoxin-1,
-2,
-4,
-6.
Secretagogin
inversely
correlated
HOMA-IR,
yet
positively
HOMA-B,
HbA1c,
FPG.
PRX4
negatively
HbA1c
FPG,
while
HSP70
HbA1c.
In
conclusion,
six
elevated
human
correlate
glycemic
control,
insulin
resistance,
β-cell
function.
Emerging
evidence
links
but
further
research
should
evaluate
prognostic
implications.
Language: Английский