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替尔泊肽:2 型糖尿病和肥胖症的新型心血管保护剂。

Tirzepatide: A novel cardiovascular protective agent in type 2 diabetes mellitus and obesity.

机构信息

Department of Cardiology, Allama Iqbal Medical College, Allama Shabbir Ahmed Usmani Road, Lahore 54700, Pakistan.

Department of Medicine, Allama Iqbal Medical College, Lahore, Pakistan.

出版信息

Curr Probl Cardiol. 2024 May;49(5):102489. doi: 10.1016/j.cpcardiol.2024.102489. Epub 2024 Feb 28.

Abstract

Cardiovascular disease (CVD) remains a major global health concern, and obesity and diabetes mellitus have been found to be important risk factors. Tirzepatide a dual glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP1) receptor agonist has been shown to have cardioprotective effects. Noteworthy benefits of Tirzepatide include decreased cardiovascular risk factors in people with Type 2 diabetes mellitus (T2DM). In the SURPASS-4 trial, tirzepatide significant decreased blood pressure, body weight, and HbA1c. Furthermore, the SURMOUNT-1 trial demonstrated the effectiveness of tirzepatide in reducing cardiometabolic risk factors in people with obesity without T2DM. Together, the dual receptor agonism improves lipid profiles, increases insulin secretion, reduces inflammation, and promotes endothelial integrity. Tirzepatide shows promise as a comprehensive therapeutic option for managing cardiovascular risk factors in patients with T2DM and obesity. While further studies are needed to assess the long-term cardiovascular benefits, current evidence supports tirzepatide's potential impact on cardiovascular health beyond its antidiabetic properties.

摘要

心血管疾病(CVD)仍然是一个主要的全球健康关注点,肥胖和糖尿病已被发现是重要的危险因素。Tirzepatide 是一种双重葡萄糖依赖性胰岛素促分泌多肽(GIP)和胰高血糖素样肽-1(GLP1)受体激动剂,已被证明具有心脏保护作用。Tirzepatide 的显著获益包括降低 2 型糖尿病(T2DM)患者的心血管危险因素。在 SURPASS-4 试验中,Tirzepatide 显著降低了血压、体重和 HbA1c。此外,SURMOUNT-1 试验表明,Tirzepatide 可有效降低肥胖但无 T2DM 患者的心血管代谢危险因素。双重受体激动作用改善了血脂谱,增加了胰岛素分泌,减轻了炎症,促进了内皮完整性。Tirzepatide 有望成为治疗 T2DM 和肥胖患者心血管危险因素的综合治疗选择。虽然还需要进一步研究来评估其长期心血管获益,但现有证据支持 Tirzepatide 在其降糖作用之外对心血管健康的潜在影响。

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