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用于儿科精神药理学的胰高血糖素样肽-1激动剂:机遇与注意事项

GLP-1 Agonists for Pediatric Psychopharmacology: Opportunities and Cautions.

作者信息

Bartkoski Michael, Poweleit Ethan A, Stancil Stephani L

机构信息

Division of Clinical Pharmacology, Toxicology, & Therapeutic Innovation, Department of Pediatrics, Children's Mercy Kansas City, Kansas City, Missouri, USA.

Division of Adolescent and Young Adult Medicine, Department of Pediatrics, Children's Mercy Kansas City, Kansas City, Missouri, USA.

出版信息

Clin Transl Sci. 2025 Jun;18(6):e70262. doi: 10.1111/cts.70262.

DOI:10.1111/cts.70262
PMID:40434284
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12117883/
Abstract

Glucagon-like peptide-1 agonists (GLP-1A) are increasingly prescribed to treat obesity and type 2 diabetes mellitus in children and adolescents. Emerging evidence suggesting neuropsychiatric effects presents an opportunity for pediatric psychopharmacology but requires careful consideration of potential adverse effects and risk of misuse. This perspective examines potential applications and cautions surrounding GLP-1As for pediatric mental health, particularly substance use, depression, and eating disorders, and advocates for research and clinical monitoring to ensure their safety and efficacy.

摘要

胰高血糖素样肽-1激动剂(GLP-1A)越来越多地被用于治疗儿童和青少年的肥胖症及2型糖尿病。新出现的证据表明其具有神经精神方面的影响,这为儿科精神药理学带来了机遇,但需要仔细考虑潜在的不良反应和滥用风险。本文观点探讨了GLP-1A在儿童心理健康方面的潜在应用及注意事项,特别是在物质使用、抑郁症和饮食失调方面,并倡导进行研究和临床监测以确保其安全性和有效性。

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GLP-1 Agonists for Pediatric Psychopharmacology: Opportunities and Cautions.用于儿科精神药理学的胰高血糖素样肽-1激动剂:机遇与注意事项
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本文引用的文献

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Functional Brain Connectivity Predictors of Prospective Substance Use Initiation and Their Environmental Correlates.前瞻性物质使用起始的功能性脑连接预测指标及其环境相关因素
Biol Psychiatry Cogn Neurosci Neuroimaging. 2025 Feb;10(2):203-212. doi: 10.1016/j.bpsc.2024.10.002. Epub 2024 Oct 25.
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Risk of Suicidal Ideation or Attempts in Adolescents With Obesity Treated With GLP1 Receptor Agonists.接受GLP-1受体激动剂治疗的肥胖青少年出现自杀意念或自杀未遂的风险。
JAMA Pediatr. 2024 Dec 1;178(12):1307-1315. doi: 10.1001/jamapediatrics.2024.3812.
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Association of semaglutide with reduced incidence and relapse of cannabis use disorder in real-world populations: a retrospective cohort study.
在真实人群中,与大麻使用障碍的发病率和复发率降低相关的司美格鲁肽:一项回顾性队列研究。
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Use of glucagon-like peptide-1 receptor agonists in eating disorder populations.胰高血糖素样肽-1 受体激动剂在进食障碍人群中的应用。
Int J Eat Disord. 2024 Feb;57(2):286-293. doi: 10.1002/eat.24109. Epub 2023 Dec 22.
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Unintended consequences of glucagon-like peptide-1 receptor agonists medications in children and adolescents: A call to action.胰高血糖素样肽-1受体激动剂类药物在儿童和青少年中的意外后果:行动呼吁。
J Clin Transl Sci. 2023 Aug 18;7(1):e184. doi: 10.1017/cts.2023.612. eCollection 2023.
6
The Antidepressant Effects of GLP-1 Receptor Agonists: A Systematic Review and Meta-Analysis.胰高血糖素样肽-1受体激动剂的抗抑郁作用:一项系统评价与荟萃分析
Am J Geriatr Psychiatry. 2024 Jan;32(1):117-127. doi: 10.1016/j.jagp.2023.08.010. Epub 2023 Aug 21.
7
Once-Weekly Semaglutide in Adolescents with Obesity.每周一次司美格鲁肽治疗肥胖青少年。
N Engl J Med. 2022 Dec 15;387(24):2245-2257. doi: 10.1056/NEJMoa2208601. Epub 2022 Nov 2.
8
Can GLP-1 Be a Target for Reward System Related Disorders? A Qualitative Synthesis and Systematic Review Analysis of Studies on Palatable Food, Drugs of Abuse, and Alcohol.胰高血糖素样肽-1能否成为奖赏系统相关疾病的治疗靶点?关于美味食物、滥用药物和酒精的研究的定性综合与系统评价分析
Front Behav Neurosci. 2021 Jan 18;14:614884. doi: 10.3389/fnbeh.2020.614884. eCollection 2020.
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A Randomized, Controlled Trial of Liraglutide for Adolescents with Obesity.利拉鲁肽治疗肥胖青少年的随机对照试验。
N Engl J Med. 2020 May 28;382(22):2117-2128. doi: 10.1056/NEJMoa1916038. Epub 2020 Mar 31.
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Young adult outcomes in the follow-up of the multimodal treatment study of attention-deficit/hyperactivity disorder: symptom persistence, source discrepancy, and height suppression.注意缺陷多动障碍多模式治疗研究随访中的青年成人结局:症状持续、来源差异和身高抑制
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