GLP-1R 激动剂对肥胖、糖尿病和癌症医学三联症的影响。
The effect of GLP-1R agonists on the medical triad of obesity, diabetes, and cancer.
发表日期:2024 May 27
作者:
Shahad Sabaawi Ibrahim, Raghad Sabaawi Ibrahim, Batoul Arabi, Aranka Brockmueller, Mehdi Shakibaei, Dietrich Büsselberg
来源:
DIABETES & METABOLISM
摘要:
胰高血糖素样肽 1 受体 (GLP-1R) 激动剂因其在解决糖尿病、肥胖和癌症等相互关联的健康挑战方面的治疗潜力而受到广泛关注。强调了 GLP-1R 在 2 型糖尿病 (T2DM) 中的作用,强调其对葡萄糖稳态、促进 β 细胞增殖和促进胰岛素释放的关键贡献。 GLP-1R 激动剂通过减少饥饿、调节食物摄入和调节体重来有效控制肥胖。除了糖尿病和肥胖症之外,GLP-1R 激动剂对各种恶性肿瘤的癌症进展也表现出多方面的影响。这些效应的机制涉及与细胞生长、存活和代谢相关的信号通路的调节。然而,目前的文献表明缺乏对特定 GLP-1R 激动剂(如索马鲁肽)的体内研究,需要进一步研究以阐明其精确机制和作用,特别是在癌症中。虽然其他 GLP-1R 激动剂在减缓癌症进展方面显示出有希望的结果,但某些 GLP-1R 激动剂与癌症风险增加之间的关联仍然是一个需要更深入研究的话题。这就需要进行更广泛的研究来阐明 GLP-1R 激动剂与不同癌症之间的复杂关系,为临床医生和研究人员提供宝贵的见解。© 2024。作者。
Glucagon-like peptide-1 receptor (GLP-1R) agonists have garnered significant attention for their therapeutic potential in addressing the interconnected health challenges of diabetes, obesity, and cancer. The role of GLP-1R in type 2 diabetes mellitus (T2DM) is highlighted, emphasizing its pivotal contribution to glucose homeostasis, promoting β-cell proliferation, and facilitating insulin release. GLP-1R agonists have effectively managed obesity by reducing hunger, moderating food intake, and regulating body weight. Beyond diabetes and obesity, GLP-1R agonists exhibit a multifaceted impact on cancer progression across various malignancies. The mechanisms underlying these effects involve the modulation of signaling pathways associated with cell growth, survival, and metabolism. However, the current literature reveals a lack of in vivo studies on specific GLP-1R agonists such as semaglutide, necessitating further research to elucidate its precise mechanisms and effects, particularly in cancer. While other GLP-1R agonists have shown promising outcomes in mitigating cancer progression, the association between some GLP-1R agonists and an increased risk of cancer remains a topic requiring more profound investigation. This calls for more extensive research to unravel the intricate relationships between the GLP-1R agonist and different cancers, providing valuable insights for clinicians and researchers alike.© 2024. The Author(s).