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胰高血糖素样肽-1(GLP-1)激动剂在2型糖尿病及相关代谢紊乱管理中的最新进展和治疗益处

Recent Advances and Therapeutic Benefits of Glucagon-Like Peptide-1 (GLP-1) Agonists in the Management of Type 2 Diabetes and Associated Metabolic Disorders.

作者信息

Olukorode John O, Orimoloye Dolapo A, Nwachukwu Nwachukwu O, Onwuzo Chidera N, Oloyede Praise O, Fayemi Temiloluwa, Odunaike Oluwatobi S, Ayobami-Ojo Petra S, Divine Nwachi, Alo Demilade J, Alex Chukwurah U

机构信息

Internal Medicine, Babcock University Teaching Hospital, Ilishan-Remo, NGA.

Internal Medicine, College of Medicine, University of Lagos, Lagos, NGA.

出版信息

Cureus. 2024 Oct 21;16(10):e72080. doi: 10.7759/cureus.72080. eCollection 2024 Oct.

DOI:10.7759/cureus.72080
PMID:39574978
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11579408/
Abstract

Glucagon-like peptide-1 (GLP-1) agonists have emerged as a groundbreaking class of medications for managing type 2 diabetes and associated metabolic disorders. These agents not only improve glycemic control by increasing insulin secretion and reducing glucagon levels but also promote significant weight loss, enhance cardiovascular and renal health, and offer potential neuroprotective benefits. Their multifaceted mechanisms include appetite suppression, increased energy expenditure, and direct neuroprotective effects. GLP-1 agonists have shown recent benefits in Obstructive Sleep Apnea, and the treatment of neurodegenerative diseases such as Alzheimer's and Parkinson's, as well as reducing the risk of stroke. This review highlights the therapeutic potential of GLP-1 agonists in diabetes management and beyond, advocating for continued research to optimize their clinical use and explore new therapeutic avenues.

摘要

胰高血糖素样肽-1(GLP-1)激动剂已成为治疗2型糖尿病及相关代谢紊乱的一类开创性药物。这些药物不仅通过增加胰岛素分泌和降低胰高血糖素水平来改善血糖控制,还能显著促进体重减轻,增强心血管和肾脏健康,并具有潜在的神经保护作用。它们的多方面作用机制包括抑制食欲、增加能量消耗以及直接的神经保护作用。GLP-1激动剂最近在阻塞性睡眠呼吸暂停、阿尔茨海默病和帕金森病等神经退行性疾病的治疗中显示出益处,还能降低中风风险。本综述强调了GLP-1激动剂在糖尿病管理及其他方面的治疗潜力,主张持续开展研究以优化其临床应用并探索新的治疗途径。

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本文引用的文献

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2
Glucagon-Like Peptide-1: New Regulator in Lipid Metabolism.胰高血糖素样肽-1:脂质代谢的新调节剂。
Diabetes Metab J. 2024 May;48(3):354-372. doi: 10.4093/dmj.2023.0277. Epub 2024 Apr 1.
3
The impact of GLP-1 receptor agonist liraglutide on blood pressure profile, hydration, natriuresis in diabetic patients with severely impaired kidney function.利拉鲁肽对严重肾功能受损的糖尿病患者血压谱、水合状态、利钠作用的影响。
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4
Comparative effectiveness of GLP-1 receptor agonists on glycaemic control, body weight, and lipid profile for type 2 diabetes: systematic review and network meta-analysis.胰高血糖素样肽-1受体激动剂对2型糖尿病血糖控制、体重和血脂水平的比较疗效:系统评价和网状Meta分析
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