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基于系统评价的胰高血糖素样肽-1受体激动剂的作用:益处与风险

A System-Based Review on Effects of Glucagon-Like Peptide-1 Receptor Agonists: Benefits vs Risks.

作者信息

Fadel Lynn P, Thao Gigi, Chitre Tanvi, Rojas Edwin D, Nguyen Fricko Maria, Domingo Valerie, Budginas Brigita, Guerrero Lorenz Carmelo, Ghatas Maria, Arani Niloufar T, Tabatabai Niki, Pemminati Sudhakar

机构信息

Department of Biomedical Education, California Health Sciences University College of Osteopathic Medicine, Clovis, USA.

Department of Biomedical Education, Noorda College of Osteopathic Medicine, Provo, USA.

出版信息

Cureus. 2025 Feb 5;17(2):e78575. doi: 10.7759/cureus.78575. eCollection 2025 Feb.

Abstract

Glucagon-like peptide 1 (GLP-1), an incretin hormone primarily secreted by L-cells in the gut, prompts insulin release, thus reducing blood sugar levels and causing weight loss by inducing feelings of fullness while curbing appetite. GLP-1 receptor agonists (GLP-1 RAs) mimic its effects, proving highly effective in managing type 2 diabetes mellitus (T2DM) and facilitating weight loss. While predominantly approved for T2DM and obesity, GLP-1 RAs also hold promise for treating other conditions like heart and kidney disease, with ongoing research exploring additional therapeutic applications. These agonists exhibit diverse effects within different organ systems, influencing conditions such as psoriasis, polycystic ovarian syndrome (PCOS), thyroid disorders, neurodegenerative diseases, and cardiopulmonary dysfunction. This study aims to comprehensively review the impact of GLP-1 RAs on various body systems, emphasizing both positive and negative effects while addressing existing knowledge gaps in the literature. By enhancing understanding of the diverse effects of GLP-1 RAs, this study aims to contribute to a broader awareness of their therapeutic potential. This systemic review uses Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to ensure a robust and transparent search process, aiming to minimize bias and maximize the retrieval of pertinent studies for review, where past research on GLP-1 RAs' interactions with various bodily systems were analyzed. The hypothesis posits that a systems-based review of GLP-1 RA mechanisms will reveal positive and negative effects across multiple organ systems, providing comprehensive insights into the hormone's physiological impact. This systematic review will assess the appropriateness of GLP-1 RAs in various aforementioned patient health states, shedding light on their potential impacts on comorbidities. With the surge in popularity of GLP-1 RAs for weight loss and diabetes management, this study aims to enhance patient understanding and informed decision-making regarding these medications, countering trends driven by celebrity endorsements and promoting better healthcare outcomes.

摘要

胰高血糖素样肽1(GLP-1)是一种肠促胰岛素激素,主要由肠道中的L细胞分泌,可促进胰岛素释放,从而降低血糖水平,并通过产生饱腹感和抑制食欲来减轻体重。GLP-1受体激动剂(GLP-1 RAs)模仿其作用,在治疗2型糖尿病(T2DM)和促进体重减轻方面被证明非常有效。虽然GLP-1 RAs主要被批准用于治疗T2DM和肥胖症,但它们在治疗其他疾病如心脏病和肾病方面也具有潜力,目前正在进行的研究探索其更多的治疗应用。这些激动剂在不同器官系统中表现出多种作用,可影响诸如牛皮癣、多囊卵巢综合征(PCOS)、甲状腺疾病、神经退行性疾病和心肺功能障碍等病症。本研究旨在全面综述GLP-1 RAs对身体各个系统的影响,强调其正面和负面影响,同时填补文献中现有的知识空白。通过增进对GLP-1 RAs多种作用的理解,本研究旨在提高对其治疗潜力的更广泛认识。这项系统评价采用系统评价和Meta分析的首选报告项目(PRISMA)指南,以确保搜索过程的稳健性和透明度,旨在最大限度地减少偏差,并最大限度地检索相关研究进行综述,其中分析了过去关于GLP-1 RAs与各种身体系统相互作用的研究。该假设认为,基于系统的GLP-1 RA机制综述将揭示其在多个器官系统中的正面和负面影响,从而全面深入了解该激素的生理影响。这项系统评价将评估GLP-1 RAs在上述各种患者健康状况中的适用性,阐明它们对合并症的潜在影响。随着GLP-1 RAs在减肥和糖尿病管理方面的 popularity激增,本研究旨在提高患者对这些药物的理解和明智决策,countering由名人代言驱动的趋势,并促进更好的医疗保健结果。 (注:原文中“popularity”和“countering”后似乎有遗漏信息)

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b46/11888820/fb93e7acae70/cureus-0017-00000078575-i01.jpg

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