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替尔泊肽在2型糖尿病管理中的创新应用及其在心血管健康方面的未来前景。

Tirzepatide's innovative applications in the management of type 2 diabetes and its future prospects in cardiovascular health.

作者信息

Yang Jingqi, Gu Yuncheng, Chen Huaigang, Wang Hong, Hong Lang, Li Bin, Yang Liu

机构信息

Department of Cardiology, Jiangxi Provincial People's Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, Jiangxi, China.

Department of Science and Education, Jiangxi Provincial People's Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, Jiangxi, China.

出版信息

Front Pharmacol. 2024 Aug 28;15:1453825. doi: 10.3389/fphar.2024.1453825. eCollection 2024.

Abstract

Tirzepatide, a novel GLP-1/GIP dual receptor agonist, shows significant advantages in glycemic management and weight control. By summarizing the results of the SURMOUNT and SURPASS clinical trials, we evaluate the efficacy and safety of tirzepatide in reducing blood glucose and weight. These trials indicate that tirzepatide significantly lowers HbA1c levels (with a maximum reduction of 2.24%) and promotes weight loss (up to 11.2 kg) with good tolerability. However, there are still some challenges in its clinical application, including high treatment costs and gastrointestinal discomfort. Additionally, the safety and efficacy of tirzepatide in special populations, such as patients with renal impairment, require further investigation. Future large-scale clinical trials, such as SURPASS-CVOT and SUMMIT, are expected to further verify the long-term benefits of tirzepatide in cardiovascular health management, providing stronger evidence for its comprehensive treatment of diabetes and its complications.

摘要

替尔泊肽是一种新型的胰高血糖素样肽-1/葡萄糖依赖性促胰岛素多肽双重受体激动剂,在血糖管理和体重控制方面显示出显著优势。通过总结SURMOUNT和SURPASS临床试验的结果,我们评估了替尔泊肽在降低血糖和体重方面的疗效和安全性。这些试验表明,替尔泊肽能显著降低糖化血红蛋白水平(最大降幅达2.24%),促进体重减轻(最多减轻11.2千克),且耐受性良好。然而,其临床应用仍存在一些挑战,包括治疗成本高和胃肠道不适。此外,替尔泊肽在特殊人群(如肾功能不全患者)中的安全性和疗效需要进一步研究。未来的大规模临床试验,如SURPASS-CVOT和SUMMIT,有望进一步验证替尔泊肽在心血管健康管理方面的长期益处,为其全面治疗糖尿病及其并发症提供更有力的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb10/11387164/e89332df3e4a/fphar-15-1453825-g001.jpg

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