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探索胰高血糖素样肽-1(GLP-1)受体激动剂在多囊卵巢综合征中的治疗潜力。

Exploring the Therapeutic Potential of Glucagon-Like Peptide 1 (GLP-1) Receptor Agonists in Polycystic Ovary Syndrome.

作者信息

Akel Miis, Ziq Aya, Kaldas Paul, Hamden Jad, Omari Abdul Rahman, Silanee Allen

机构信息

Obstetrics and Gynecology, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Clearwater, USA.

Internal Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Clearwater, USA.

出版信息

Cureus. 2024 Nov 14;16(11):e73687. doi: 10.7759/cureus.73687. eCollection 2024 Nov.

Abstract

Polycystic ovary syndrome (PCOS) is a complex endocrine disorder affecting women of reproductive age and is characterized by hormonal imbalances, insulin resistance, and reproductive dysfunctions. Glucagon-like peptide 1 (GLP-1) receptor agonists (GLP-1 RAs) are primarily used in diabetes management to enhance insulin release by stimulating GLP-1 receptors in the pancreas. The search strategy included randomized trials on the management of PCOS symptoms with GLP-1 RAs alone or in combination with other medications; meta-analyses, literature reviews, or case reports were excluded. This scoping review focuses on 11 articles to explore the therapeutic potential of GLP-1 RAs in PCOS patients. The results show significant reductions in body weight, body mass index (BMI), and waist circumference, alongside improvements in insulin sensitivity in PCOS patients treated with GLP-1 agonists. However, the diverse presentation of patients and treatment approaches was a challenge in understanding the exact mechanisms, long-term effects, and safety profiles of GLP-1 RAs in PCOS patients. This study investigates the promising potential of GLP-1 agonists in managing PCOS-related metabolic and reproductive disturbances.

摘要

多囊卵巢综合征(PCOS)是一种影响育龄女性的复杂内分泌紊乱疾病,其特征为激素失衡、胰岛素抵抗和生殖功能障碍。胰高血糖素样肽1(GLP-1)受体激动剂(GLP-1 RAs)主要用于糖尿病管理,通过刺激胰腺中的GLP-1受体来增强胰岛素释放。检索策略包括关于单独使用GLP-1 RAs或与其他药物联合使用治疗PCOS症状的随机试验;排除了荟萃分析、文献综述或病例报告。本综述聚焦11篇文章,以探讨GLP-1 RAs在PCOS患者中的治疗潜力。结果显示,使用GLP-1激动剂治疗的PCOS患者体重、体重指数(BMI)和腰围显著降低,同时胰岛素敏感性得到改善。然而,患者的多样化表现和治疗方法给理解GLP-1 RAs在PCOS患者中的确切机制、长期影响和安全性带来了挑战。本研究调查了GLP-1激动剂在管理PCOS相关代谢和生殖紊乱方面的潜在前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097b/11646169/c2e84db6a544/cureus-0016-00000073687-i01.jpg

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