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胰高血糖素样肽1受体激动剂的抗炎作用及其临床意义。

Anti-inflammatory role of glucagon-like peptide 1 receptor agonists and its clinical implications.

作者信息

Alharbi Saleh Hadi

机构信息

Department of Medicine, Imam Mohammed Ibn Saud Islamic University, Riyadh 11652, Saudi Arabia.

出版信息

Ther Adv Endocrinol Metab. 2024 Jan 27;15:20420188231222367. doi: 10.1177/20420188231222367. eCollection 2024.

Abstract

Glucagon-like peptide 1 receptor agonists (GLP-1RAs) have emerged as promising therapeutic agents with potent anti-inflammatory properties and diverse clinical implications. This in-depth review article explores the mechanisms behind the anti-inflammatory actions of GLP-1RAs and assesses their prospective applicability in a wide range of disease scenarios. The current review establishes the significance of comprehending the anti-inflammatory role of GLP-1RAs and identifies pertinent research gaps. A concise overview of inflammation and its clinical consequences underscores the critical need for effective anti-inflammatory interventions. Subsequently, the article elucidates the intricate mechanisms through which GLP-1RAs modulate immune cell signaling and regulate the nuclear factor-kappa B (NF-κB) pathway. Detailed discussions encompass their impact on inflammatory responses, cytokine production, and attenuation of oxidative stress. The exposition is substantiated by a collection of pertinent examples and an extensive array of references from both preclinical and clinical investigations. The historical trajectory of GLP-1RA drugs, including exenatide, lixisenatide, liraglutide, and semaglutide, is traced to delineate their development as therapeutic agents. Moreover, the review emphasizes the therapeutic potential of GLP-1RAs in specific disease contexts like type 2 diabetes, a neurodegenerative disorder, and inflammatory bowel disease (IBD), shedding light on their anti-inflammatory effects through rigorous examination of preclinical and clinical studies. The article also provides an outlook on future perspectives for GLP-1RAs, encompassing the domains of diabetes, neurodegenerative diseases, and IBD. In conclusion, GLP-1RAs exhibit substantial anti-inflammatory effects, rendering them promising therapeutic agents with broad clinical implications. They are very useful in a wide variety of diseases because they regulate immunological responses, block NF-κB activation, and decrease production of pro-inflammatory cytokines. Ongoing research endeavors aim to optimize their therapeutic use, delineate patient-specific treatment paradigms, and explore novel therapeutic applications. GLP-1RAs represent a significant breakthrough in anti-inflammatory therapy, offering novel treatment options, and improved patient outcomes.

摘要

胰高血糖素样肽-1受体激动剂(GLP-1RAs)已成为具有强大抗炎特性和多种临床意义的有前景的治疗药物。这篇深入的综述文章探讨了GLP-1RAs抗炎作用背后的机制,并评估了它们在广泛疾病场景中的潜在适用性。当前的综述确立了理解GLP-1RAs抗炎作用的重要性,并确定了相关的研究空白。对炎症及其临床后果的简要概述强调了有效抗炎干预措施的迫切需求。随后,文章阐明了GLP-1RAs调节免疫细胞信号传导和调节核因子-κB(NF-κB)途径的复杂机制。详细讨论包括它们对炎症反应、细胞因子产生和氧化应激减轻的影响。论述通过一系列相关实例以及来自临床前和临床研究的大量参考文献得到了证实。追溯了GLP-1RA药物(包括艾塞那肽、利司那肽、利拉鲁肽和司美格鲁肽)的历史轨迹,以描述它们作为治疗药物的发展历程。此外,综述强调了GLP-1RAs在2型糖尿病、神经退行性疾病和炎症性肠病(IBD)等特定疾病背景下的治疗潜力,通过对临床前和临床研究的严格审查揭示了它们的抗炎作用。文章还展望了GLP-1RAs在糖尿病、神经退行性疾病和IBD领域的未来前景。总之,GLP-1RAs具有显著的抗炎作用,使其成为具有广泛临床意义的有前景的治疗药物。它们在多种疾病中非常有用,因为它们调节免疫反应、阻断NF-κB激活并减少促炎细胞因子的产生。正在进行的研究努力旨在优化它们的治疗用途,确定针对患者的治疗模式,并探索新的治疗应用。GLP-1RAs代表了抗炎治疗的重大突破,提供了新的治疗选择,并改善了患者的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ea/10823863/6ffa2d9a4e11/10.1177_20420188231222367-fig1.jpg

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