The Brown Foundation Institute of Molecular Medicine, University of Texas Health Science Center, Houston, TX 77030, USA.
Cells. 2023 Dec 28;13(1):65. doi: 10.3390/cells13010065.
Glucagon-like peptide-1 receptor agonists (GLP1RA) have been transformative for patients and clinicians in treating type-2 diabetes and obesity. Drugs of this class, the bioavailability of which is continuously improving, enable weight loss and control blood glucose with minimal unwanted side effects. Since adopting GLP1RA for treating metabolic diseases, animal and clinical studies have revealed their beneficial effects on several other pathologies, including cardiovascular diseases, neurodegeneration, kidney disease, and cancer. A notable commonality between these diseases is their association with older age. Clinical trials and preclinical data suggest that GLP1RA may improve outcomes in these aging-related diseases. Some of the benefits of GLP1RA may be indirect due to their effects on obesity and glucose metabolism. However, there is building evidence that GLP1RA may also act directly on multiple organs implicated in aging-related pathology. This review aims to compile the studies reporting the effects of GLP1RA on aging-related diseases and discuss potential underlying mechanisms.
胰高血糖素样肽-1 受体激动剂 (GLP1RA) 在治疗 2 型糖尿病和肥胖症方面为患者和临床医生带来了变革。这类药物的生物利用度不断提高,能够在最小化不良反应的情况下减轻体重并控制血糖。自从采用 GLP1RA 治疗代谢疾病以来,动物和临床研究揭示了它们对其他几种疾病的有益作用,包括心血管疾病、神经退行性疾病、肾脏疾病和癌症。这些疾病的一个显著共同点是它们与年龄增长有关。临床试验和临床前数据表明,GLP1RA 可能改善与年龄相关的疾病的结局。由于 GLP1RA 对肥胖和葡萄糖代谢的影响,其部分益处可能是间接的。然而,越来越多的证据表明,GLP1RA 也可能直接作用于多个与衰老相关病理有关的器官。本综述旨在汇编报告 GLP1RA 对与年龄相关疾病的影响的研究,并讨论潜在的潜在机制。