[Extrapancreatic effects of GLP-1 receptor agonists: an open window towards new treatment goals in type 2 diabetes]

Med Clin (Barc). 2014 Sep:143 Suppl 2:28-34. doi: 10.1016/S0025-7753(14)70106-X. Epub 2014 Oct 15.
[Article in Spanish]

Abstract

The wide ubiquity of GLP-1 receptors in the body has stimulated the search for different extrapancreatic actions of GLP-1 and its receptor agonists. Thus, severe cardioprotective effects directed on myocardial ischaemia and dysfunction as well as diverse antiaterogenic actions have been reported. Also, native and GLP-1 receptor agonists have demonstrated significant beneficial effects on liver steatosis and fibrosis and on neuronal protection in experimental models of Alzheimer, and Parkinson's disease as well as on cerebral ischaemia. Recent evidences suggest that these drugs may also be useful for prevention and treatment of diabetic retinopathy, nephropathy and peripheral neuropathy. Good results have also been reported in psoriasis. Despite we still need confirmation that these promising effects can be applied to clinical practice, they offer new interesting perspectives for treatment of type 2 diabetes associated complications and give to GLP-1 receptor agonists an even more integral position in diabetes therapy.

Keywords: Agonistas GLP-1; Cardioprotección; Cardioprotection; Efectos extrapancreáticos; Exenatida; Exenatide; Extrapancreatic effects; GLP-1 receptor agonists; Hepatoprotección; Hepatoprotection; Incretinas; Incretins; Liraglutida; Liraglutide; Lixisenatida; Lixisenatide; Neuroprotección; Neuroprotection.

Publication types

  • English Abstract

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / pharmacology
  • Anti-Inflammatory Agents / therapeutic use
  • Anti-Obesity Agents / therapeutic use
  • Cardiotonic Agents / pharmacology
  • Cardiotonic Agents / therapeutic use
  • Cardiovascular Diseases / prevention & control
  • Clinical Trials as Topic
  • Diabetes Mellitus, Type 2 / drug therapy*
  • Disease Models, Animal
  • Endothelium, Vascular / drug effects
  • Glucagon-Like Peptide 1 / physiology*
  • Glucagon-Like Peptide 1 / therapeutic use
  • Glucagon-Like Peptide-1 Receptor
  • Humans
  • Hypoglycemic Agents / pharmacology
  • Hypoglycemic Agents / therapeutic use
  • Insulin Resistance
  • Kidney Diseases / prevention & control
  • Lipid Metabolism / drug effects
  • Liver Diseases / prevention & control
  • Multicenter Studies as Topic
  • Nervous System Diseases / prevention & control
  • Neuroprotective Agents / pharmacology
  • Neuroprotective Agents / therapeutic use
  • Organ Specificity
  • Receptors, Glucagon / agonists*
  • Receptors, Glucagon / physiology
  • Recombinant Proteins / therapeutic use

Substances

  • Anti-Inflammatory Agents
  • Anti-Obesity Agents
  • Cardiotonic Agents
  • GLP1R protein, human
  • Glucagon-Like Peptide-1 Receptor
  • Hypoglycemic Agents
  • Neuroprotective Agents
  • Receptors, Glucagon
  • Recombinant Proteins
  • Glucagon-Like Peptide 1