Targeting central pathway of Glucose‐Dependent Insulinotropic Polypeptide, Glucagon and Glucagon‐like Peptide‐1 for metabolic regulation in obesity and type 2 diabetes
Zhimin Xu,
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Song Wen,
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Meiyuan Dong
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et al.
Diabetes Obesity and Metabolism,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Dec. 26, 2024
Abstract
Obesity
and
type
2
diabetes
are
significant
public
health
challenges
that
greatly
impact
global
well‐being.
The
development
of
effective
therapeutic
strategies
has
become
more
concentrated
on
the
central
nervous
system
metabolic
regulation.
primary
pharmaceutical
interventions
for
treatment
obesity
uncontrolled
hyperglycemia
now
generally
considered
to
be
incretin‐based
anti‐diabetic
treatments,
particularly
glucagon‐like
peptide‐1
glucose‐dependent
insulinotropic
polypeptide
receptor
agonists.
This
is
a
result
their
substantial
influence
consequent
effects
energy
balance
glucose
It
increasingly
crucial
understand
neural
pathways
these
pharmaceuticals.
purpose
this
review
compile
present
most
recent
regarding
peptide‐1,
glucagon
receptors,
with
particular
emphasis
Language: Английский
Why does GLP‐1 agonist combined with GIP and/or GCG agonist have greater weight loss effect than GLP‐1 agonist alone in obese adults without type 2 diabetes?
Diabetes Obesity and Metabolism,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Nov. 26, 2024
Abstract
Obesity
is
a
chronic
condition
demanding
effective
treatment
strategies,
among
which
pharmacotherapy
plays
critical
role.
As
glucagon‐like
peptide‐1
(GLP‐1)
agonist
approved
by
the
Food
and
Drug
Administration
(FDA)
for
long‐term
weight
management
in
adults
with
obesity,
liraglutide
semaglutide
have
great
loss
effect
through
reducing
food
intake
delaying
gastric
emptying.
The
emergence
of
unimolecular
polypharmacology,
utilizes
single
molecules
to
simultaneously
target
multiple
receptors
or
pathways,
marked
revolutionary
improvement
GLP‐1‐based
obesity
pharmacotherapy.
dual
tirzepatide
activates
both
GLP‐1
glucose‐dependent
insulinotropic
polypeptide
(GIP)
has
shown
enhanced
potency
compared
conventional
mono
agonist.
Furthermore,
emerging
data
suggests
that
GLP‐1/glucagon
(GCG)
agonist,
as
well
GLP‐1/GIP/GCG
triple
may
offer
superior
efficacy
over
This
review
summarizes
comprehensive
mechanisms
underlying
pronounced
advantages
GLP‐1/GIP
GLP‐1/GCG
reduction
obese
without
type
2
diabetes.
A
deeper
understanding
these
multitargeting
agonists
will
provide
insights
their
clinical
application
guide
development
new
drugs
treatment.
Language: Английский