Research progress of GLP-1RAs in the treatment of type 2 diabetes mellitus

Glucagon-like peptide-1 (GLP-1) is a 30-amino acid intestinal insulin-stimulating factor, which is mainly secreted by L cells in the distal ileum and colon. It has various physiological functions, such as promoting insulin secretion and synthesis, stimulating β-cell proliferation, inducing islet reg...

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Main Authors: Xu He, Wei Zhao, PeiHang Li, YinJiang Zhang, GuoHua Li, HongYu Su, BiNan Lu, ZongRan Pang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Pharmacology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2024.1483792/full
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author Xu He
Xu He
Xu He
Wei Zhao
Wei Zhao
PeiHang Li
PeiHang Li
YinJiang Zhang
YinJiang Zhang
GuoHua Li
HongYu Su
BiNan Lu
BiNan Lu
ZongRan Pang
ZongRan Pang
author_facet Xu He
Xu He
Xu He
Wei Zhao
Wei Zhao
PeiHang Li
PeiHang Li
YinJiang Zhang
YinJiang Zhang
GuoHua Li
HongYu Su
BiNan Lu
BiNan Lu
ZongRan Pang
ZongRan Pang
author_sort Xu He
collection DOAJ
description Glucagon-like peptide-1 (GLP-1) is a 30-amino acid intestinal insulin-stimulating factor, which is mainly secreted by L cells in the distal ileum and colon. It has various physiological functions, such as promoting insulin secretion and synthesis, stimulating β-cell proliferation, inducing islet regeneration, inhibiting β-cell apoptosis and glucagon release, delaying gastric emptying and controlling appetite, etc. It plays a role through a specific GLP-1 receptor (GLP-1R) distributed in many organs or tissues and participates in the regulation of glucose homeostasis in the body. GLP-1 receptor agonists (GLP-1RAs) has the similar physiological function of GLP-1. Because of its structural difference from natural GLP-1, it is not easy to be degraded by dipeptidyl peptidase-4 (DPP-4), thus prolonging the action time. GLP-1RAs have been recognized as a new type of hypoglycemic drugs and widely used in the treatment of type 2 diabetes mellitus (T2DM). Compared with other non-insulin hypoglycemic drugs, it can not only effectively reduce blood glucose and glycosylated hemoglobin (HbA1c), but also protect cardiovascular system, nervous system and kidney function without causing hypoglycemia and weight gain. Therefore, GLP-1RAs has good application prospects and potential for further development.
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series Frontiers in Pharmacology
spelling doaj-art-8664fc09b8984dcc8580000e359df9a72025-01-20T07:20:09ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-01-011510.3389/fphar.2024.14837921483792Research progress of GLP-1RAs in the treatment of type 2 diabetes mellitusXu He0Xu He1Xu He2Wei Zhao3Wei Zhao4PeiHang Li5PeiHang Li6YinJiang Zhang7YinJiang Zhang8GuoHua Li9HongYu Su10BiNan Lu11BiNan Lu12ZongRan Pang13ZongRan Pang14School of Pharmacy, Minzu University of China, Beijing, ChinaKey Laboratory of Ethnomedicine (Minzu University of China), Ministry of Education, Beijing, ChinaPharmacy Department, People’s Hospital of Dali Bai Autonomous Prefecture, Dali, ChinaSchool of Pharmacy, Minzu University of China, Beijing, ChinaKey Laboratory of Ethnomedicine (Minzu University of China), Ministry of Education, Beijing, ChinaSchool of Pharmacy, Minzu University of China, Beijing, ChinaKey Laboratory of Ethnomedicine (Minzu University of China), Ministry of Education, Beijing, ChinaSchool of Pharmacy, Minzu University of China, Beijing, ChinaKey Laboratory of Ethnomedicine (Minzu University of China), Ministry of Education, Beijing, ChinaPharmacy Department, People’s Hospital of Dali Bai Autonomous Prefecture, Dali, ChinaGraduate School, Chengde Medical College, Chengde, ChinaSchool of Pharmacy, Minzu University of China, Beijing, ChinaKey Laboratory of Ethnomedicine (Minzu University of China), Ministry of Education, Beijing, ChinaSchool of Pharmacy, Minzu University of China, Beijing, ChinaKey Laboratory of Ethnomedicine (Minzu University of China), Ministry of Education, Beijing, ChinaGlucagon-like peptide-1 (GLP-1) is a 30-amino acid intestinal insulin-stimulating factor, which is mainly secreted by L cells in the distal ileum and colon. It has various physiological functions, such as promoting insulin secretion and synthesis, stimulating β-cell proliferation, inducing islet regeneration, inhibiting β-cell apoptosis and glucagon release, delaying gastric emptying and controlling appetite, etc. It plays a role through a specific GLP-1 receptor (GLP-1R) distributed in many organs or tissues and participates in the regulation of glucose homeostasis in the body. GLP-1 receptor agonists (GLP-1RAs) has the similar physiological function of GLP-1. Because of its structural difference from natural GLP-1, it is not easy to be degraded by dipeptidyl peptidase-4 (DPP-4), thus prolonging the action time. GLP-1RAs have been recognized as a new type of hypoglycemic drugs and widely used in the treatment of type 2 diabetes mellitus (T2DM). Compared with other non-insulin hypoglycemic drugs, it can not only effectively reduce blood glucose and glycosylated hemoglobin (HbA1c), but also protect cardiovascular system, nervous system and kidney function without causing hypoglycemia and weight gain. Therefore, GLP-1RAs has good application prospects and potential for further development.https://www.frontiersin.org/articles/10.3389/fphar.2024.1483792/fullGLP-1GLP-1RAsT2DMglucosemechanism
spellingShingle Xu He
Xu He
Xu He
Wei Zhao
Wei Zhao
PeiHang Li
PeiHang Li
YinJiang Zhang
YinJiang Zhang
GuoHua Li
HongYu Su
BiNan Lu
BiNan Lu
ZongRan Pang
ZongRan Pang
Research progress of GLP-1RAs in the treatment of type 2 diabetes mellitus
Frontiers in Pharmacology
GLP-1
GLP-1RAs
T2DM
glucose
mechanism
title Research progress of GLP-1RAs in the treatment of type 2 diabetes mellitus
title_full Research progress of GLP-1RAs in the treatment of type 2 diabetes mellitus
title_fullStr Research progress of GLP-1RAs in the treatment of type 2 diabetes mellitus
title_full_unstemmed Research progress of GLP-1RAs in the treatment of type 2 diabetes mellitus
title_short Research progress of GLP-1RAs in the treatment of type 2 diabetes mellitus
title_sort research progress of glp 1ras in the treatment of type 2 diabetes mellitus
topic GLP-1
GLP-1RAs
T2DM
glucose
mechanism
url https://www.frontiersin.org/articles/10.3389/fphar.2024.1483792/full
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