Glucagon-like peptide-1 in diabetes care: Can glycaemic control be achieved without nausea and vomiting?

Glucagon-like peptide-1 in diabetes care: Can glycaemic control be achieved without nausea and vomiting?
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胰高血糖素样肽-1在糖尿病护理中的应用:在不发生恶心和呕吐的情况下能否实现血糖控制?

DOI:
10.1111/bph.15647
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发表时间:
2022-03
影响因子:
7.3
通讯作者:
De Jonghe BC
De Jonghe BC
中科院分区:
医学2区
文献类型:
--
作者:
Borner T;Tinsley IC;Doyle RP;Hayes MR;De Jonghe BC

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Introduced less than two decades ago, glucagon-like peptide-1 receptor agonists rapidly reshaped the field of Type 2 diabetes mellitus (T2DM) care by providing glycaemic control in tandem with weight loss. However, FDA-approved GLP-1 receptor agonists are often accompanied by nausea and emesis and, in some lean T2DM patients, by undesired anorexia. Importantly, the hypophagic and emetic effects of GLP-1 receptor agonists are caused by activation of central GLP-1 receptors. This review summarizes two different approaches to mitigate the incidence and severity of nausea and emesis related to GLP-1 receptor agonists: conjugation with vitamin B12, or related corrin ring-containing compounds (‘corrination’), and development of dual agonists of GLP-1 receptors with glucose-dependent insulinotropic polypeptide (GIP). Such approaches could lead to the generation of GLP-1 receptor agonists with improved therapeutic efficacy, thus decreasing treatment attrition, increasing patient compliance and extending treatment to a broader population of T2DM patients. The data reviewed show that it is possible to pharmacologically separate the emetic effects of GLP-1 receptor agonists from their glucoregulatory action.
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期刊: DIABETES CARE
影响因子: 16.2
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期刊: CELL REPORTS
影响因子: 8.8
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