Glucagon-Like Peptide-1 Agonists for Treating Obesity in Patients With Immune-Mediated Skin Diseases

Actas Dermosifiliogr. 2024 Jan;115(1):56-65. doi: 10.1016/j.ad.2023.06.017. Epub 2023 Jul 13.
[Article in English, Spanish]

Abstract

Psoriasis and hidradenitis suppurativa are often associated with obesity. Because chronic low-grade inflammation underlies these 2 diseases, they can progress to more severe forms in patients with obesity if weight-reduction measures are not taken. This review covers pharmacologic alternatives for treating obesity, with emphasis on the benefits associated with the novel use of glucagon-like peptide-1 (GLP-1) agonists that act on satiety receptors. These drugs have led to greater weight loss in clinical trials and real-world settings than orlistat, which until recently was the only drug approved for treating obesity in the European Union. Although experience with GLP-1 agonists in patients with obesity and inflammatory skin diseases is currently scarce, the promising results reported suggest they may offer a useful tool for managing obesity.

Keywords: Agonistas del receptor de GLP-1; Glucagon-like peptide-1 (GLP-1) agonists; Hidradenitis suppurativa; Hidradenitis supurativa; Liraglutida; Liraglutide; Obesidad; Obesity; Psoriasis; Semaglutida; Semaglutide.

Publication types

  • Review

MeSH terms

  • Diabetes Mellitus, Type 2*
  • Humans
  • Hypoglycemic Agents / pharmacology
  • Hypoglycemic Agents / therapeutic use
  • Liraglutide / therapeutic use
  • Obesity / complications
  • Obesity / drug therapy
  • Skin Diseases* / drug therapy
  • Skin Diseases* / etiology

Substances

  • Hypoglycemic Agents
  • Liraglutide