胰高血糖素样肽-1受体激动剂对银屑病及心血管合并症的影响:一项叙述性综述

Impact of GLP-1 Receptor Agonists on Psoriasis and Cardiovascular Comorbidities: A Narrative Review.

作者信息

Haran Kathryn, Johnson Chandler E, Smith Payton, Venable Zoë, Kranyak Allison, Bhutani Tina, Jeon Caleb, Liao Wilson

机构信息

Department of Dermatology, University of California San Francisco, San Francisco, CA, USA.

Department of Dermatology, Golden State Dermatology, Berkeley, CA, USA.

出版信息

Psoriasis (Auckl). 2024 Nov 15;14:143-152. doi: 10.2147/PTT.S485061. eCollection 2024.

Abstract

Psoriasis is an immune-mediated skin disease known to be associated with a higher risk of cardiometabolic comorbidities such as hypertension, myocardial infarction, and stroke. GLP-1 receptor agonists (GLP-1RAs) are medications approved to treat type 2 diabetes mellitus and obesity and have been reported to improve psoriasis. As more psoriasis patients start GLP-1RAs for approved indications, it is of interest to understand the impact of GLP-1RAs on both psoriasis and associated cardiovascular risk. In this review, we examine the effect of GLP-1RAs on psoriasis and cardiovascular comorbidities-defined as hypertension, stroke, and myocardial infarction. The majority of case reports and prospective cohort studies found GLP-1RAs improved psoriasis, while two randomized controlled trials showed conflicting results. For cardiovascular disease, most studies found GLP-1RAs reduced systolic blood pressure, total stroke, and myocardial mortality. These results suggest that GLP-1RAs may be a particularly promising treatment for psoriasis patients with diabetes or obesity comorbidities, offering both cardioprotective benefits and potential improvement in psoriatic symptoms.

摘要

银屑病是一种免疫介导的皮肤病,已知与高血压、心肌梗死和中风等心血管代谢合并症的风险较高有关。胰高血糖素样肽-1受体激动剂(GLP-1RAs)是被批准用于治疗2型糖尿病和肥胖症的药物,据报道可改善银屑病。随着越来越多的银屑病患者开始使用GLP-1RAs治疗已获批的适应症,了解GLP-1RAs对银屑病和相关心血管风险的影响很有意义。在这篇综述中,我们研究了GLP-1RAs对银屑病和心血管合并症(定义为高血压、中风和心肌梗死)的影响。大多数病例报告和前瞻性队列研究发现GLP-1RAs可改善银屑病,而两项随机对照试验则显示出相互矛盾的结果。对于心血管疾病,大多数研究发现GLP-1RAs可降低收缩压、总体中风和心肌死亡率。这些结果表明,GLP-1RAs对于合并糖尿病或肥胖症的银屑病患者可能是一种特别有前景的治疗方法,既能提供心脏保护益处,又可能改善银屑病症状。

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