Recent achievements and future directions of anti-obesity medications.
Lancet Reg. Health-Eur. 47:101100 (2024)
Pharmacological management of obesity long suffered from a reputation of a 'Mission Impossible,' with inefficient weight loss and/or unacceptable tolerability. However, the tide has turned with recent progress in biochemical engineering and the development of long-acting agonists at the receptor for glucagon-like peptide-1 (GLP-1), and with unimolecular peptides that simultaneously possess activity at the receptors for GLP-1, the glucose-dependent insulinotropic polypeptide (GIP) and glucagon. Some of these novel therapeutics not only improve body weight and glycemic control in individuals with obesity and type 2 diabetes with hitherto unmet efficacy and tolerable safety, but also exhibit potential therapeutic value in diverse areas such as neurodegenerative diseases, fatty liver disease, dyslipidemia, atherosclerosis, and cardiovascular diseases. In this review, we highlight recent advances in incretin-based therapies and discuss their pharmacological potential within and beyond the treatment of obesity and diabetes, as well as their limitations in use, side effects, and underlying molecular mechanisms.
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Publication type
Article: Journal article
Document type
Review
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Keywords
Anti-obesity Medication (aom) ; Diabetes ; Gip ; Glp-1 ; Obesity; Glucagon-like Peptide-1; Dependent Insulinotropic Polypeptide; Once-weekly Semaglutide; Glp-1 Receptor Agonist; Inhibits Bone-resorption; Double-blind; Cardiovascular Outcomes; Parallel-group; Body-weight; Open-label
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Language
english
Publication Year
2024
Prepublished in Year
0
HGF-reported in Year
2024
ISSN (print) / ISBN
2666-7762
e-ISSN
2666-7762
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Volume: 47,
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Article Number: 101100
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Elsevier
Publishing Place
Radarweg 29, 1043 Nx Amsterdam, Netherlands
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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
G-502296-001
Grants
German Center for Diabetes Research (DZD e.V.)
German Research Foundation
Neither the European Union
European Union
Copyright
Erfassungsdatum
2024-12-03