Department of Cardiovascular Medicine, The First Hospital of Jilin University, Changchun, China.
Department of Neurosurgery, The First Hospital of Jilin University, Changchun, China.
Front Endocrinol (Lausanne). 2023 Feb 1;14:1085799. doi: 10.3389/fendo.2023.1085799. eCollection 2023.
Obesity is a complex disease characterized by excessive fat accumulation which is caused by 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 to people's health and lives, and increasing public health care expenses. Evidence from previous studies show that weight loss can significantly reduce the risk of obesity-related complications and chronic diseases. Diet control, moderate exercise, behavior modification programs, bariatric surgery and prescription drug treatment are the major interventions used to help people lose weight. Among them, anti-obesity drugs have high compliance rates and cause noticeable short-term effects in reducing obese levels. However, given the safety or effectiveness concerns of anti-obesity drugs, many of the currently used drugs have limited clinical use. Glucagon-like peptide-1 receptor (GLP-1R) agonists are a group of drugs that targets incretin hormone action, and its receptors are widely distributed in nerves, islets, heart, lung, skin, and other organs. Several animal experiments and clinical trials have demonstrated that GLP-1R agonists are more effective in treating or preventing obesity. Therefore, GLP-1R agonists are promising agents for the treatment of obese individuals. This review describes evidence from previous research on the effects of GLP-1R agonists on obesity. We anticipate that this review will generate data that will help biomedical researchers or clinical workers develop obesity treatments based on GLP-1R agonists.
肥胖症是一种由遗传、环境和其他因素引起的复杂疾病,其特征是脂肪过度积累。近年来,由于肥胖导致的发病率、残疾率和死亡率不断上升,对人们的健康和生命构成了巨大威胁,并增加了公共卫生保健费用。先前的研究证据表明,减肥可以显著降低肥胖相关并发症和慢性病的风险。饮食控制、适度运动、行为修正计划、减肥手术和处方药物治疗是帮助人们减肥的主要干预措施。其中,减肥药具有较高的依从性,并在降低肥胖水平方面产生明显的短期效果。然而,由于对减肥药的安全性或有效性的担忧,许多目前使用的药物在临床上的应用有限。胰高血糖素样肽-1 受体(GLP-1R)激动剂是一类针对肠促胰岛素作用的药物,其受体广泛分布于神经、胰岛、心脏、肺、皮肤和其他器官。几项动物实验和临床试验表明,GLP-1R 激动剂在治疗或预防肥胖方面更有效。因此,GLP-1R 激动剂是治疗肥胖个体的有前途的药物。本综述描述了先前关于 GLP-1R 激动剂对肥胖影响的研究证据。我们预计,这篇综述将产生有助于生物医学研究人员或临床工作者开发基于 GLP-1R 激动剂的肥胖治疗方法的数据。