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新型 GLP-1 受体激动剂与肥胖-糖尿病。

Newer GLP-1 receptor agonists and obesity-diabetes.

机构信息

Obesity & Endocrinology Research Group, Institute of Ageing and Chronic Disease, University of Liverpool, Liverpool, United Kingdom.

Obesity & Endocrinology Research Group, Institute of Ageing and Chronic Disease, University of Liverpool, Liverpool, United Kingdom.

出版信息

Peptides. 2018 Feb;100:61-67. doi: 10.1016/j.peptides.2017.12.009.

Abstract

Obesity is a major risk factor for type 2 diabetes and may complicate type 1 diabetes. In parallel with the global epidemic of obesity, the incidence of type 2 diabetes is increasing exponentially. To reverse these alarming trends, weight loss becomes a major therapeutic priority in prevention and treatment of type 2 diabetes. Given that glucagon-like peptide-1 receptor agonists (GLP-1 RAs) improve glycaemic control and cause weight loss, they are receiving increasing attention for the treatment of diabetes-obesity. This review discusses current and emerging therapeutic options with GLP-1 RAs and considers the next generation of novel peptide co-agonists with the potential for improved therapeutic outcomes in obesity and type 2 diabetes.

摘要

肥胖是 2 型糖尿病的主要危险因素,并且可能使 1 型糖尿病复杂化。随着肥胖的全球流行,2 型糖尿病的发病率呈指数级增长。为了扭转这些令人担忧的趋势,减肥成为预防和治疗 2 型糖尿病的主要治疗重点。鉴于胰高血糖素样肽-1 受体激动剂(GLP-1 RAs)可改善血糖控制并导致体重减轻,因此它们在糖尿病肥胖症的治疗中越来越受到关注。本综述讨论了 GLP-1 RAs 的现有和新兴治疗选择,并考虑了新一代新型肽共激动剂,它们有可能改善肥胖症和 2 型糖尿病的治疗效果。

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