Gallwitz Baptist
Deputy Chief, Department of Medicine IV; Head of the Outpatient Clinic for Diabetes and Endocrinology, Eberhard Karls University, Germany.
Eur Endocrinol. 2015 Apr;11(1):21-25. doi: 10.17925/EE.2015.11.01.21. Epub 2015 Apr 11.
Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) were introduced for type 2 diabetes therapy nearly 10 years ago, among them short-acting compounds on the basis of the GLP-1-like peptide exendin-4 (exenatide and lixisenatide) and a long-acting GLP-1 RA based on the human GLP-1 sequence (liraglutide). Recently, two novel long-acting GLP-1 RAs on the basis of human GLP-1 sequence, for once-weekly application, have been approved for therapy of type 2 diabetes. Additionally, liraglutide has been approved for treatment of obesity at a higher dose than that used for diabetes therapy. This mini-review gives a short overview of the novel long-acting GLP-1 RAs albiglutide and dulaglutide and also reviews the studies of liraglutide in treatment of obesity leading to its approval for this use. These studies were largely presented at the annual meeting of the European Association for the Study of Diabetes (EASD) in fall 2014.
胰高血糖素样肽-1受体激动剂(GLP-1 RAs)近10年前被用于2型糖尿病治疗,其中基于类胰高血糖素样肽艾塞那肽-4的短效化合物(艾塞那肽和利司那肽)以及基于人GLP-1序列的长效GLP-1 RA(利拉鲁肽)。最近,两种基于人GLP-1序列、用于每周一次给药的新型长效GLP-1 RAs已被批准用于2型糖尿病治疗。此外,利拉鲁肽已被批准以高于糖尿病治疗剂量的用量用于治疗肥胖症。本综述简要概述了新型长效GLP-1 RAs阿必鲁肽和度拉鲁肽,并回顾了利拉鲁肽治疗肥胖症并因此获批的相关研究。这些研究大多在2014年秋季的欧洲糖尿病研究协会(EASD)年会上发表。