Ladenheim Ellen E
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Drug Des Devel Ther. 2015 Mar 30;9:1867-75. doi: 10.2147/DDDT.S58459. eCollection 2015.
The prevalence of obesity worldwide has nearly doubled since 1980 with current estimates of 2.1 billion in 2013. Overweight and obesity lead to numerous adverse conditions including type 2 diabetes, cardiovascular disease, stroke, and certain cancers. The worldwide spread of obesity and associated comorbidities not only threatens quality of life but also presents a significant economic burden. While bariatric surgery has proven to be a viable treatment option for the morbidly obese, there is clearly a need for less invasive alternatives. Recent research has suggested that long-acting analogs of the gut hormone, glucagon-like peptide 1 (GLP-1), may have potential as an antiobesity treatment. The GLP-1 receptor agonist, liraglutide (trade name Saxenda), was recently approved by the US Food and Drug Administration as an obesity treatment option and shown in clinical trials to be effective in reducing and sustaining body weight loss. This review presents the basis for GLP-1-based therapies with a specific focus on animal and human studies examining liraglutide's effects on food intake and body weight.
自1980年以来,全球肥胖症患病率几乎翻了一番,2013年的最新估计数为21亿。超重和肥胖会导致多种不良状况,包括2型糖尿病、心血管疾病、中风和某些癌症。肥胖症及相关合并症在全球范围内的蔓延不仅威胁生活质量,还带来了巨大的经济负担。虽然减肥手术已被证明是治疗病态肥胖的可行选择,但显然需要侵入性较小的替代方法。最近的研究表明,肠道激素胰高血糖素样肽1(GLP-1)的长效类似物可能具有作为抗肥胖治疗方法的潜力。GLP-1受体激动剂利拉鲁肽(商品名Saxenda)最近被美国食品药品监督管理局批准为一种肥胖治疗选择,并在临床试验中显示出对减轻体重和维持体重减轻有效。本综述介绍了基于GLP-1的治疗方法的依据,特别关注研究利拉鲁肽对食物摄入和体重影响的动物和人体研究。