Xiang Jie, Qin Liyan, Zhong Jinling, Xia Ning, Liang Yuzhen
Department of Clinical Nutrition, The First Affiliated Hospital of Guangxi Medical University, Nanning, People's Republic of China.
Department of Geriatric Endocrinology, The First Affiliated Hospital of Guangxi Medical University, Nanning, People's Republic of China.
Diabetes Metab Syndr Obes. 2023 Aug 15;16:2433-2446. doi: 10.2147/DMSO.S425642. eCollection 2023.
BACKGROUND: Obesity is related to the loss of skeletal muscle mass and function (sarcopenia). The co-existence of obesity and sarcopenia is called sarcopenic obesity (SO). Glucagon like peptide-1 receptor agonists (GLP-1RA) are widely used in the treatment of diabetes and obesity. However, the protective effects of GLP-1RA on skeletal muscle in obesity and SO are not clear. This study investigated the effects of GLP-1RA liraglutide and semaglutide on obesity-induced muscle atrophy and explored the underlying mechanisms. METHODS: Thirty-six male C57BL/6J mice were randomly divided into two groups and fed a regular diet and a high-fat diet for 18 weeks, respectively. After establishing an obesity model, mice were further divided into six groups: control group, liraglutide (LIRA) group, semaglutide (SEMA) group, high-fat diet (HFD) group, HFD + LIRA group, HFD + SEMA group, and subcutaneous injection for 4 weeks. The body weight, muscle mass, muscle strength, glycolipid metabolism, muscle atrophy markers, myogenic differentiation markers, GLUT4 and SIRT1 were analyzed. C2C12 myotube cells treated with palmitic acid (PA) were divided into four groups: control group, PA group, PA + LIRA group, PA + SEMA group. The changes in glucose uptake, myotube diameter, lipid droplet infiltration, markers of muscle atrophy, myogenic differentiation markers, GLUT4 and SIRT1 were analyzed, and the changes in related indicators were observed after the addition of SIRT1 inhibitor EX527. RESULTS: Liraglutide and semaglutide reduced HFD-induced body weight gain, excessive lipid accumulation and improved muscle atrophy. Liraglutide and semaglutide eliminated the increase of muscle atrophy markers in skeletal muscle and C2C12 myotubes. Liraglutide and semaglutide restored impaired glucose tolerance and insulin resistance. However, these beneficial effects were attenuated by inhibiting SIRT1 expression. CONCLUSION: Liraglutide and semaglutide protects skeletal muscle against obesity-induced muscle atrophy via the SIRT1 pathway.
背景:肥胖与骨骼肌质量和功能丧失(肌肉减少症)有关。肥胖与肌肉减少症并存被称为肌肉减少性肥胖(SO)。胰高血糖素样肽-1受体激动剂(GLP-1RA)广泛用于治疗糖尿病和肥胖症。然而,GLP-1RA对肥胖和SO患者骨骼肌的保护作用尚不清楚。本研究调查了GLP-1RA利拉鲁肽和司美格鲁肽对肥胖诱导的肌肉萎缩的影响,并探讨了其潜在机制。 方法:将36只雄性C57BL/6J小鼠随机分为两组,分别给予正常饮食和高脂饮食18周。建立肥胖模型后,将小鼠进一步分为六组:对照组、利拉鲁肽(LIRA)组、司美格鲁肽(SEMA)组、高脂饮食(HFD)组、HFD + LIRA组、HFD + SEMA组,并皮下注射4周。分析体重、肌肉质量、肌肉力量、糖脂代谢、肌肉萎缩标志物、成肌分化标志物、GLUT4和SIRT1。用棕榈酸(PA)处理的C2C12肌管细胞分为四组:对照组、PA组、PA + LIRA组、PA + SEMA组。分析葡萄糖摄取、肌管直径、脂滴浸润、肌肉萎缩标志物、成肌分化标志物、GLUT4和SIRT1的变化,并在加入SIRT1抑制剂EX527后观察相关指标的变化。 结果:利拉鲁肽和司美格鲁肽减少了HFD诱导的体重增加、过多的脂质积累,并改善了肌肉萎缩。利拉鲁肽和司美格鲁肽消除了骨骼肌和C2C12肌管中肌肉萎缩标志物的增加。利拉鲁肽和司美格鲁肽恢复了受损的葡萄糖耐量和胰岛素抵抗。然而,通过抑制SIRT1表达,这些有益作用减弱。 结论:利拉鲁肽和司美格鲁肽通过SIRT1途径保护骨骼肌免受肥胖诱导的肌肉萎缩。
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