Frontiers in Endocrinology,
Год журнала:
2023,
Номер
14
Опубликована: Фев. 22, 2023
The
occurrence
of
obesity
is
an
increasing
issue
worldwide,
especially
in
industrialized
countries.
Weight
loss
important
both
to
treat
and
prevent
the
development
complications.
Currently,
several
drugs
are
used
obesity,
but
their
efficacy
modest.
Thus,
new
anti-obesity
treatments
needed.
Recently,
there
has
been
increased
interest
incretins
that
combine
body-weight-lowering
glucose-lowering
effects.
Therefore,
a
drug
simultaneously
coactivates
glucose-dependent
insulinotropic
polypeptide
(GIP)
receptor
(GIPR)
glucagon-like
peptide-1
(GLP-1R)
developed.
Tirzepatide,
first
this
class,
improves
glycemic
control
by
insulin
sensitivity
lipid
metabolism
as
well
reducing
body
weight.
Combining
activation
two
receptors,
greater
improvement
β-cell
function
offers
more
effective
treatment
diabetes
with
fewer
adverse
effects
than
selective
GLP-1R
agonists.
In
present
review,
we
discuss
progress
use
GIPR
coagonists
review
literature
from
vitro
studies,
animal
human
trials,
highlighting
synergistic
mechanisms
tirzepatide.
Signal Transduction and Targeted Therapy,
Год журнала:
2024,
Номер
9(1)
Опубликована: Сен. 18, 2024
The
glucagon-like
peptide-1
(GLP-1)
receptor,
known
as
GLP-1R,
is
a
vital
component
of
the
G
protein-coupled
receptor
(GPCR)
family
and
found
primarily
on
surfaces
various
cell
types
within
human
body.
This
specifically
interacts
with
GLP-1,
key
hormone
that
plays
an
integral
role
in
regulating
blood
glucose
levels,
lipid
metabolism,
several
other
crucial
biological
functions.
In
recent
years,
GLP-1
medications
have
become
focal
point
medical
community
due
to
their
innovative
treatment
mechanisms,
significant
therapeutic
efficacy,
broad
development
prospects.
article
thoroughly
traces
developmental
milestones
drugs,
from
initial
discovery
clinical
application,
detailing
evolution
diverse
along
distinct
pharmacological
properties.
Additionally,
this
paper
explores
potential
applications
agonists
(GLP-1RAs)
fields
such
neuroprotection,
anti-infection
measures,
reduction
inflammation,
enhancement
cardiovascular
function.
It
provides
in-depth
assessment
effectiveness
GLP-1RAs
across
multiple
body
systems-including
nervous,
cardiovascular,
musculoskeletal,
digestive
systems.
includes
integrating
latest
trial
data
delving
into
signaling
pathways
mechanisms.
primary
goal
emphasize
extensive
benefits
using
treating
spectrum
diseases,
obesity,
non-alcoholic
fatty
liver
disease
(NAFLD),
neurodegenerative
musculoskeletal
forms
cancer.
ongoing
new
indications
for
drugs
offers
promising
prospects
further
expanding
interventions,
showcasing
field.
Frontiers in Endocrinology,
Год журнала:
2023,
Номер
14
Опубликована: Фев. 1, 2023
Obesity
is
a
complex
disease
characterized
by
excessive
fat
accumulation
which
caused
genetic,
environmental
and
other
factors.
In
recent
years,
there
has
been
an
increase
in
the
morbidity,
disability
rate,and
mortality
due
to
obesity,
making
it
great
threat
people’s
health
lives,
increasing
public
care
expenses.
Evidence
from
previous
studies
show
that
weight
loss
can
significantly
reduce
risk
of
obesity-related
complications
chronic
diseases.
Diet
control,
moderate
exercise,
behavior
modification
programs,
bariatric
surgery
prescription
drug
treatment
are
major
interventions
used
help
people
lose
weight.
Among
them,
anti-obesity
drugs
have
high
compliance
rates
cause
noticeable
short-term
effects
reducing
obese
levels.
However,
given
safety
or
effectiveness
concerns
drugs,
many
currently
limited
clinical
use.
Glucagon-like
peptide-1
receptor
(GLP-1R)
agonists
group
targets
incretin
hormone
action,
its
receptors
widely
distributed
nerves,
islets,
heart,
lung,
skin,
organs.
Several
animal
experiments
trials
demonstrated
GLP-1R
more
effective
treating
preventing
obesity.
Therefore,
promising
agents
for
individuals.
This
review
describes
evidence
research
on
We
anticipate
this
will
generate
data
biomedical
researchers
workers
develop
obesity
treatments
based
agonists.
Pharmacological Research,
Год журнала:
2022,
Номер
186, С. 106550 - 106550
Опубликована: Ноя. 11, 2022
Chronic,
excessive
neuroinflammation
is
a
key
feature
of
neurodegenerative
diseases
such
as
Alzheimer's
disease
(AD)
and
Parkinson's
(PD).
However,
neuroinflammatory
pathways
have
yet
to
be
effectively
targeted
in
clinical
treatments
for
diseases.
Interestingly,
increased
inflammation
risk
been
associated
with
type
2
diabetes
mellitus
(T2DM)
insulin
resistance
(IR),
suggesting
that
mitigate
T2DM
pathology
may
successful
treating
well.
Glucagon-like
peptide-1
(GLP-1)
an
incretin
hormone
promotes
healthy
signaling,
regulates
blood
sugar
levels,
suppresses
appetite.
Consequently,
numerous
GLP-1
receptor
(GLP-1R)
stimulating
drugs
developed
approved
by
the
US
Food
Drug
Administration
(FDA)
related
global
regulatory
authorities
treatment
T2DM.
Furthermore,
GLP-1R
anti-inflammatory,
neurotrophic,
neuroprotective
properties
disorder
preclinical
models,
hence
hold
promise
repurposing
In
this
review,
we
discuss
pathways,
intersections
between
neuroinflammation,
brain
IR,
diseases,
focus
on
AD
PD.
We
additionally
overview
current
FDA-approved
agents
development,
including
unimolecular
single,
dual,
triple
agonists,
highlight
those
trials
treatment.
propose
already-approved
agonists
safe,
efficacious,
cost-effective
strategy
ameliorating
PD
quelling
neuroinflammation.
Diabetologia,
Год журнала:
2023,
Номер
66(10), С. 1796 - 1808
Опубликована: Май 20, 2023
Abstract
Glucagon-like
peptide-1
(GLP-1)
receptor
agonists
are
established
pharmaceutical
therapies
for
the
treatment
of
type
2
diabetes
and
obesity.
They
mimic
action
GLP-1
to
reduce
glucose
levels
through
stimulation
insulin
secretion
inhibition
glucagon
secretion.
also
body
weight
by
inducing
satiety
central
actions.
The
used
clinically
based
on
exendin-4
native
available
as
formulations
daily
or
weekly
s.c.
oral
administration.
agonism
is
achieved
inhibitors
dipeptidyl
peptidase-4
(DPP-4),
which
prevent
inactivation
glucose-dependent
insulinotropic
polypeptide
(GIP),
thereby
prolonging
their
raised
after
meal
ingestion.
Other
developments
in
include
formation
small
orally
compounds
with
potential
pharmaceutically
stimulate
from
gut.
In
addition,
GLP-1/glucagon
GLP-1/GIP
dual
GLP-1/GIP/glucagon
triple
have
shown
blood
effects
islets
peripheral
tissues,
improving
beta
cell
function
stimulating
energy
expenditure.
This
review
summarises
gut
hormone-based
presents
future
outlook
use
Graphical
Cell Metabolism,
Год журнала:
2024,
Номер
36(6), С. 1184 - 1203
Опубликована: Апрель 1, 2024
Futile
cycles
are
biological
phenomena
where
two
opposing
biochemical
reactions
run
simultaneously,
resulting
in
a
net
energy
loss
without
appreciable
productivity.
Such
state
was
presumed
to
be
aberration
and
thus
deemed
an
energy-wasting
"futile"
cycle.
However,
multiple
pieces
of
evidence
suggest
that
utilities
emerge
from
futile
cycles.
A
few
established
functions
control
metabolic
sensitivity,
modulate
homeostasis,
drive
adaptive
thermogenesis.
Yet,
the
physiological
regulation,
implication,
pathological
relevance
most
remain
poorly
studied.
In
this
review,
we
highlight
abundance
versatility
propose
classification
scheme.
We
further
discuss
energetic
implications
various
their
impact
on
basal
rate,
bona
fide
tentative
pathophysiological
implications,
putative
drug
interactions.
Molecular Metabolism,
Год журнала:
2025,
Номер
95, С. 102118 - 102118
Опубликована: Фев. 28, 2025
Glucose-dependent
insulinotropic
polypeptide
(GIP)
was
the
first
incretin
identified
and
plays
an
essential
role
in
maintenance
of
glucose
tolerance
healthy
humans.
Until
recently
GIP
had
not
been
developed
as
a
therapeutic
thus
has
overshadowed
by
other
incretin,
glucagon-like
peptide
1
(GLP-1),
which
is
basis
for
several
successful
drugs
to
treat
diabetes
obesity.
However,
there
rekindling
interest
biology
recent
years,
great
part
due
pharmacology
demonstrating
that
both
GIPR
agonism
antagonism
may
be
beneficial
treating
obesity
diabetes.
This
apparent
paradox
reinvigorated
field,
led
new
lines
investigation,
deeper
understanding
GIP.
In
this
review,
we
provide
detailed
overview
on
multifaceted
nature
discuss
implications
signal
modification
various
diseases.
Following
its
classification
hormone,
emerged
pleiotropic
hormone
with
variety
metabolic
effects
outside
endocrine
pancreas.
The
numerous
render
interesting
candidate
development
pharmacotherapies
obesity,
diabetes,
drug-induced
nausea
bone
neurodegenerative
disorders.