GLP-1受体激动剂及其在炎症性肠病和其他免疫介导的炎症性疾病中的治疗潜力:文献系统综述
GLP-1R Agonists and Their Therapeutic Potential in Inflammatory Bowel Disease and Other Immune-Mediated Inflammatory Diseases, a Systematic Review of the Literature.
作者信息
Thin Lena, Teh Wei Ling
机构信息
Department of Gastroenterology, Fiona Stanley Hospital, Murdoch, WA 6150, Australia.
Internal Medicine, Medical School, University of Western Australia, Perth, WA 6009, Australia.
出版信息
Biomedicines. 2025 May 6;13(5):1128. doi: 10.3390/biomedicines13051128.
GLP-1 receptor agonists (GLP-1RAs) have revolutionized weight loss and shown anti-inflammatory actions in several experimental models of colitis. There has been a wealth of recent data suggesting that GLP-1RA treatment may modify disease outcomes in inflammatory bowel disease (IBD). The aim of this systematic review is to determine if GLP-1RAs can act as a sole or adjunctive agent to induce steroid-free clinical remission in IBD patients. The PubMed/Medline, Cochrane Clinical Trial, and EMBASE databases were interrogated with a pre-defined search strategy and eligibility criteria to examine the evidence regarding GLP-1RAs' use in IBD and non-IBD immune-mediated inflammatory disease (IMID) patients. While there is a wealth of pre-clinical animal data suggesting that GLP-1RAs can ameliorate experimental colitis, there is a lack of prospective clinical studies on treating active IBD with GLP-1RAs to specifically induce steroid-free clinical remission. Surrogate data on better IBD composite outcomes have been reported with the use of GLP-1RAs, including a lower risk of surgery, hospitalization, corticosteroid use, and/or the initiation of advance therapies. Data from non-IBD IMID patients are only available for the effect of these agonists on psoriatic plaques, with positive signals. The current evidence for the role of GLP-1RAs as a potential anti-inflammatory therapy in IBD is limited, but provides the impetus for much-needed prospective studies and RCTs that include patients with active IBD.
胰高血糖素样肽-1受体激动剂(GLP-1RAs)彻底改变了减肥方式,并在多种结肠炎实验模型中显示出抗炎作用。最近有大量数据表明,GLP-1RA治疗可能会改变炎症性肠病(IBD)的疾病结局。本系统评价的目的是确定GLP-1RAs是否可作为单一药物或辅助药物,诱导IBD患者实现无类固醇临床缓解。通过预定义的检索策略和纳入标准,对PubMed/Medline、Cochrane临床试验和EMBASE数据库进行检索,以审查有关GLP-1RAs在IBD和非IBD免疫介导的炎症性疾病(IMID)患者中应用的证据。虽然有大量临床前动物数据表明GLP-1RAs可改善实验性结肠炎,但缺乏关于使用GLP-1RAs治疗活动性IBD以特异性诱导无类固醇临床缓解的前瞻性临床研究。使用GLP-1RAs已报告了关于更好的IBD综合结局的替代数据,包括手术、住院、使用皮质类固醇和/或开始使用进阶疗法的风险降低。非IBD IMID患者的数据仅涉及这些激动剂对银屑病斑块的影响,且有阳性信号。目前关于GLP-1RAs作为IBD潜在抗炎治疗作用的证据有限,但为开展急需的包括活动性IBD患者的前瞻性研究和随机对照试验提供了动力。