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Del Prato, S.* ; Gallwitz, B. ; Holst, J.J.* ; Meier, J.J.*

The incretin/glucagon system as a target for pharmacotherapy of obesity.

Obes. Rev., DOI: 10.1111/obr.13372 (2021)
Postprint DOI PMC
Open Access Green
Obesity is a chronic, multifactorial, relapsing disease. Despite multicomponent lifestyle interventions, including pharmacotherapy, maintaining bodyweight loss is challenging for many people. The pathophysiology of obesity is complex, and currently approved pharmacotherapies only target a few of the many pathways involved; thus, single-targeting agents have limited efficacy. Proglucagon-derived peptides, glucagon, and the incretin hormones glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP), represent attractive targets for managing obesity and metabolic disorders because they may have direct roles in multiple mechanisms including satiety, energy homeostasis, and lipolytic activity. Unimolecular dual and triple agonists targeting glucagon and incretin hormone receptors have been shown to promote bodyweight loss, lower glucose levels, and reduce food intake in animal models of obesity. Multiple dual receptor agonists are in clinical development for the treatment of obesity, including GLP-1/GIP and GLP-1/glucagon receptor agonists. The extent to which glucagon contributes to treatment effects remains to be understood, but it may promote bodyweight loss by reducing food intake, while concomitant GLP-1 receptor agonism ensures normal glucose control. Further research is required to fully understand the molecular mechanisms of action and metabolic effects of both dual and triple receptor agonists.
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Publikationstyp Artikel: Journalartikel
Dokumenttyp Review
Korrespondenzautor
Schlagwörter Dual Agonist ; Glp-1 ; Glucagon ; Overweight; Glucagon-like Peptide-1; Gastric-inhibitory Polypeptide; Spontaneous Meal Size; Food-intake; Weight-loss; Adipose-tissue; Energy-expenditure; African-american; Receptor Agonist; Healthy-subjects
ISSN (print) / ISBN 1467-7881
e-ISSN 1467-789X
Zeitschrift Obesity Reviews
Verlag Blackwell
Verlagsort Oxford
Nichtpatentliteratur Publikationen
Begutachtungsstatus Peer reviewed
Institut(e) Institute of Diabetes Research and Metabolic Diseases (IDM)
Förderungen Boehringer Ingelheim