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胰高血糖素样肽 1——心脏医学新维度

Glucagon-like peptide 1--a cardiologic dimension.

机构信息

Department of Biomedical Sciences and The Danish National Foundation Research Center for Heart Arrhythmia, University of Copenhagen, Copenhagen, Denmark.

出版信息

Trends Cardiovasc Med. 2010 Jan;20(1):8-12. doi: 10.1016/j.tcm.2010.02.012.

DOI:10.1016/j.tcm.2010.02.012
PMID:20685571
Abstract

Recent experimental data suggest glucagon-like peptide 1 (GLP-1) and its analogs to have direct effects on the cardiovascular system, in addition to their classic glucoregulatory actions. These direct effects may be cardioprotective, contractility augmenting, and vasorelaxant. A few preliminary clinical trials appear to support a mechanical function improvement after GLP-1 administration to patients with a weakened left ventricle. Based on animal studies, diminished lethal injury to the postischemic reperfused myocardium appears to be a particularly promising prospect, awaiting to be tested in clinical settings.

摘要

最近的实验数据表明,胰高血糖素样肽 1(GLP-1)及其类似物除了具有经典的血糖调节作用外,还对心血管系统有直接作用。这些直接作用可能具有心脏保护、增强收缩力和血管舒张作用。一些初步的临床试验似乎支持在左心室功能减弱的患者中给予 GLP-1 后改善机械功能。基于动物研究,减少缺血再灌注心肌的致命损伤似乎是一个特别有前途的前景,有待在临床环境中进行测试。

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Glucagon-like peptide 1--a cardiologic dimension.胰高血糖素样肽 1——心脏医学新维度
Trends Cardiovasc Med. 2010 Jan;20(1):8-12. doi: 10.1016/j.tcm.2010.02.012.
2
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Protective effects of GLP-1 analogues exendin-4 and GLP-1(9-36) amide against ischemia-reperfusion injury in rat heart.胰高血糖素样肽-1类似物艾塞那肽-4和胰高血糖素样肽-1(9-36)酰胺对大鼠心脏缺血再灌注损伤的保护作用。
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Effect of glucagon-like peptide-1 (GLP-1) on glycemic control and left ventricular function in patients undergoing coronary artery bypass grafting.胰高血糖素样肽-1(GLP-1)对接受冠状动脉旁路移植术患者血糖控制及左心室功能的影响。
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Glucagon-like peptide-1 limits myocardial stunning following brief coronary occlusion and reperfusion in conscious canines.胰高血糖素样肽-1可减轻清醒犬短暂冠状动脉闭塞及再灌注后的心肌顿抑。
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Curr Atheroscler Rep. 2016 Dec;18(12):79. doi: 10.1007/s11883-016-0633-y.
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Ischaemic conditioning and targeting reperfusion injury: a 30 year voyage of discovery.
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Balancing benefits and risks in patients receiving incretin-based therapies: focus on cardiovascular and pancreatic side effects.接受肠促胰岛素类疗法患者的获益与风险平衡:关注心血管和胰腺副作用。
Drug Saf. 2014 Dec;37(12):1003-10. doi: 10.1007/s40264-014-0238-8.
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The cardiovascular safety of incretin-based therapies: a review of the evidence.基于肠促胰岛素的治疗药物的心血管安全性:证据回顾。
Cardiovasc Diabetol. 2013 Sep 6;12:130. doi: 10.1186/1475-2840-12-130.
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Cyclic nucleotide phosphodiesterase 3A1 protects the heart against ischemia-reperfusion injury.环核苷酸磷酸二酯酶 3A1 可保护心脏免受缺血再灌注损伤。
J Mol Cell Cardiol. 2013 Nov;64:11-9. doi: 10.1016/j.yjmcc.2013.08.003. Epub 2013 Aug 27.
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Epac2-dependent mobilization of intracellular Ca²+ by glucagon-like peptide-1 receptor agonist exendin-4 is disrupted in β-cells of phospholipase C-ε knockout mice.胰高血糖素样肽-1 受体激动剂 exendin-4 通过 Epac2 依赖性细胞内 Ca²+动员在 PLC-ε 基因敲除小鼠的β细胞中被破坏。
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