Huang Pan-Feng, Wang Qi-Yu, Chen Rong-Bin, Wang Ya-Di, Wang Yuan-Yuan, Liu Jiang-Hua, Xiao Xin-Hua, Liao Zhe-Zhen
Department of Metabolism and Endocrinology, The First Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, 421001, Hunan, China.
Department of Clinical Laboratory Medicine, Institution of microbiology and infectious diseases, The First Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, 421001, China.
Curr Mol Med. 2025;25(1):13-26. doi: 10.2174/0115665240270426231123155924.
Obesity dramatically increases the risk of type 2 diabetes, fatty liver, hypertension, cardiovascular disease, and cancer, causing both declines in quality of life and life expectancy, which is a serious worldwide epidemic. At present, more and more patients with obesity are choosing drug therapy. However, given the high failure rate, high cost, and long design and testing process for discovering and developing new anti-obesity drugs, drug repurposing could be an innovative method and opportunity to broaden and improve pharmacological tools in this context. Because different diseases share molecular pathways and targets in the cells, anti-obesity drugs discovered in other fields are a viable option for treating obesity. Recently, some drugs initially developed for other diseases, such as treating diabetes, tumors, depression, alcoholism, erectile dysfunction, and Parkinson's disease, have been found to exert potential anti-obesity effects, which provides another treatment prospect. In this review, we will discuss the potential benefits and barriers associated with these drugs being used as obesity medications by focusing on their mechanisms of action when treating obesity. This could be a viable strategy for treating obesity as a significant advance in human health.
肥胖显著增加了2型糖尿病、脂肪肝、高血压、心血管疾病和癌症的风险,导致生活质量下降和预期寿命缩短,这是一种严重的全球流行病。目前,越来越多的肥胖患者选择药物治疗。然而,鉴于发现和开发新型抗肥胖药物的高失败率、高成本以及漫长的设计和测试过程,药物再利用可能是一种创新方法和机会,以拓宽和改进这方面的药理学工具。由于不同疾病在细胞中共享分子途径和靶点,在其他领域发现的抗肥胖药物是治疗肥胖的可行选择。最近,一些最初为其他疾病开发的药物,如治疗糖尿病、肿瘤、抑郁症、酒精中毒、勃起功能障碍和帕金森病的药物,已被发现具有潜在的抗肥胖作用,这提供了另一种治疗前景。在这篇综述中,我们将通过关注这些药物治疗肥胖时的作用机制,讨论将它们用作肥胖药物的潜在益处和障碍。这可能是治疗肥胖的一种可行策略,是人类健康的一项重大进展。