Incretin-based co- and tri-agonists Innovative polypharmacology for the treatment of obesity and diabetes.
Incretin-based co- and tri-agonists: Innovative polypharmacology for the treatment of obesity and diabetes.
Internist 60, 895-902 (2019)
Background The worldwide rise in overweight and obesity is paralleled by an increasing prevalence of type-2 diabetes. Apart from bariatric surgery, treatment options to decrease body weight are often underwhelming. Innovative pharmacological options are required to cope with the global "diabesity" pandemic. Objectives Particular novel pharmacological approaches are discussed, with a special focus on polyagonist-based pharmacotherapies. Materials and methods Articles on co- and tri-agonists for the treatment of obesity and diabetes are presented and discussed. Results Unimolecular peptides have been developed for the treatment of obesity and type-2 diabetes. These peptides activate the receptors of multiple hormones and bundle their positive effects in one single molecule. In preclinical studies, polyagonists targeting the receptors for glucagon-like peptide-1 (GLP-1), glucagon, or glucose-dependent insulinotropic peptide (GIP) were promising to reduce body weight and blood glucose. GLP-1-mediated delivery of the nuclear hormones estrogen or dexamethasone also yielded beneficial effects in preclinical studies of obesity. Conclusions Polyagonists represent an innovative strategy for the development of novel pharmacotherapies to treat obesity and diabetes.
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Publication type
Article: Journal article
Document type
Scientific Article
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Keywords
Overweight ; Blood Glucose ; Glucagon-like Peptide 1 ; Glucose-dependent Insulinotropic Peptide ; Weight Loss; Glucagon Receptor Antagonist; Gastric-inhibitory Polypeptide; Type-2; Pharmacology; Pharmacodynamics; Pharmacokinetics; Ly2409021; Glucose; Biology; Safety
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Language
english
Publication Year
2019
Prepublished in Year
HGF-reported in Year
2019
ISSN (print) / ISBN
0020-9554
e-ISSN
1432-1289
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Volume: 60,
Issue: 9,
Pages: 895-902
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Springer
Publishing Place
Berlin ; Heidelberg
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Reviewing status
Peer reviewed
POF-Topic(s)
90000 - German Center for Diabetes Research
30201 - Metabolic Health
Research field(s)
Helmholtz Diabetes Center
PSP Element(s)
G-501900-221
G-502200-001
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Erfassungsdatum
2019-08-02