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探索肥胖管理新领域——从传统技术到替尔泊肽

Charting New Territories in Obesity Management- Traditional Techniques to Tirzepatide.

作者信息

Fareed Areeba, Ghanem Laura, Vaid Rayyan, Iftikhar Zoha, Ur Rehman Adeel, Sarwar Ayesha, Asif Muhammad Iqbal

机构信息

Department of Medicine, Karachi Medical and Dental College, Karachi, Pakistan.

Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.

出版信息

Endocr Pract. 2025 Jan;31(1):102-113. doi: 10.1016/j.eprac.2024.09.004. Epub 2024 Sep 13.

Abstract

BACKGROUND

Obesity, a pervasive global health challenge affecting more than 2 billion people, requires comprehensive interventions. Traditional approaches, including lifestyle modification, and diverse drugs targeting a gastrointestinal hormone, including glucose-dependent insulinotropic polypeptide and glucagon-like peptide-1 (Liraglutide, Semaglutide, Exenatide, Albiglutide, Dulaglutide, Lixisenatide, Orlistat, Phentermine/Topiramate, Lorcaserin, Sibutramine, and Rimonabant) offer tailored strategies; yet their effectiveness is limited and some drugs were taken off the market. Moreover, various surgical modalities, such as Roux-en-Y Bypass surgery, sleeve gastrectomy, intragastric balloons, biliopancreatic diversion with duodenal switch, laparoscopic adjustable gastric band, and vagal nerve blockade can be considered but are associated with numerous side effects and require careful monitoring. Consequently, there is a pressing need for novel anti-obesity treatments.

METHODS

This comprehensive review was based on the available data to discuss the traditional pharmaceutical and surgical therapeutical strategies for obesity, going further to discuss tirzepatide's mode of action, its outcomes for obesity, and the associated side effects.

RESULTS

In this landscape, tirzepatide, initially designed for type 2 diabetes management, emerges as a potential game-changer. Functioning as a dual glucose-dependent insulinotropic polypeptide and glucagon-like peptide-1 receptor agonist, it not only addresses control but also introduces a fresh perspective on weight reduction. This review intricately explores tirzepatide's mechanism, dissecting insights from clinical studies and positioning it as a major force in obesity treatment.

CONCLUSIONS

In the middle of significant shifts in obesity management, tirzepatide presents itself as a promising and cost-effective intervention. Its Food and Drug Administration approval marks a milestone in the realm of obesity therapeutics. Going beyond a recapitulation of findings, the conclusion emphasizes the imperative for ongoing exploration and vigilant safety monitoring in tirzepatide's application.

摘要

背景

肥胖是一项影响超过20亿人的全球性普遍健康挑战,需要全面干预。传统方法,包括生活方式改变,以及针对胃肠激素的多种药物,如葡萄糖依赖性促胰岛素多肽和胰高血糖素样肽-1(利拉鲁肽、司美格鲁肽、艾塞那肽、阿必鲁肽、度拉鲁肽、利司那肽、奥利司他、芬特明/托吡酯、洛塞那肽、西布曲明和利莫那班)提供了量身定制的策略;然而,它们的有效性有限,一些药物已退市。此外,可以考虑各种手术方式,如 Roux-en-Y 旁路手术、袖状胃切除术、胃内球囊、胆胰分流十二指肠转位术、腹腔镜可调节胃束带术和迷走神经阻滞术,但这些手术伴有众多副作用,需要仔细监测。因此,迫切需要新型抗肥胖治疗方法。

方法

本综述基于现有数据,讨论肥胖的传统药物和手术治疗策略,并进一步探讨替尔泊肽的作用机制、其对肥胖的治疗效果以及相关副作用。

结果

在这种情况下,最初设计用于治疗2型糖尿病的替尔泊肽成为一个潜在的变革者。作为葡萄糖依赖性促胰岛素多肽和胰高血糖素样肽-1受体双重激动剂,它不仅有助于控制病情,还为减肥带来了新视角。本综述深入探讨了替尔泊肽的作用机制,剖析了临床研究的见解,并将其定位为肥胖治疗的一股主要力量。

结论

在肥胖管理发生重大转变之际,替尔泊肽是一种有前景且具成本效益的干预措施。其获得美国食品药品监督管理局批准标志着肥胖治疗领域的一个里程碑。结论不仅总结了研究结果,还强调了在替尔泊肽应用中持续探索和密切安全监测的必要性。

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