Clinical Analysis of Resemblance and Dissimilarities of Glucagon-like Peptide-1 Receptor Agonists: Therapeutic Approach Towards the Management of Diabetes Mellitus

被引:0
作者
Sashi, Kajal [2 ]
Rani, Kajal [2 ]
Rani, Komal [3 ]
Ankita, Deepak [5 ]
Mittal, Vineet [5 ]
Kaushik, Deepak [5 ]
Dhall, Manish [6 ]
Bamrah, Prabhjeet Kaur [1 ]
Kumar, Tarun [7 ]
Pandey, Manisha [7 ]
Jain, Neha [8 ]
Arya, Ashwani [4 ,7 ]
机构
[1] Kurukshetra Univ, Inst Pharmaceut Sci, Kurukshetra 136119, India
[2] GD Goenka Univ, Sch Med & Allied Sci, Gurugram, India
[3] Gurugram Univ, Dept Pharmaceut Sci, Gurugram, India
[4] BPS Women Univ, Dept Pharmaceut Educ & Res, South Campus,Bhainswal Kalan, Sonepat 124001, Haryana, India
[5] Maharshi Dayanand Univ, Dept Pharmaceut Sci, Rohtak 124001, Haryana, India
[6] Pt BD Sharma Univ Hlth Sci, Swami Dayanand Postgrad Inst Pharmaceut Sci, Rohtak, Haryana, India
[7] Cent Univ Haryana, Dept Pharmaceut Sci, Mahendergarh 123031, Haryana, India
[8] Amity Univ, Amity Inst Pharm, Dept Pharmaceut, Noida, India
关键词
GLP-1; type 2 diabetes mellitus; beta-cells; insulin; exenatide; incretin mimetics; GLYCEMIC CONTROL; POOLED ANALYSIS; WEIGHT-LOSS; EXENATIDE; GLP-1; EFFICACY; LIRAGLUTIDE; MECHANISM; SAFETY; DISCONTINUATION;
D O I
10.2174/0115748855276929231218053337
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
One of the classes of injective antidiabetic agents includes Glucagon-like peptide-1 receptor agonists (GLP-1RA) which ameliorate glycemia and numerous atherosclerosis-related factors in individuals prone to Type 2 diabetes mellitus (T2-DM) disorder. Methods: The review paper targeted the role of GLP-1RA in managing DM. The literature published during the last decades in several data-based searches (PubMed, Scopus, ScienceDirect) was reviewed and compiled the therapeutic uses of GLP-1 RA in the management of DM. In this review, we have discussed GLP-1RA and its role in the management of diabetes mellitus. Results and Discussion: Disrupted homeostasis marks insulin resistance and beta-cell deterioration as two major indications of T2-DM. beta-cells failure (~80% of functioning of beta-cell) and insulin resistance in the liver and muscles are primarily susceptive to physiological defects. GLP-1RAs if administered for a prolonged period also cause a loss in weight through the activation of receptors of GLP-1 found in hypothalamic satiety centers which control appetite and decrease intake of calories. They not only assist in controlling blood glucose but also improve beta- cell function and post-diabetic conditions namely hyperlipidemia, obesity, and hypertension. Conclusion: It was concluded that GLP-1RA has a new therapeutic approach to the management of DM. Hence, GLP-1RA provides distinctive and innovative evolution for the treatment of T2-DM.
引用
收藏
页码:45 / 56
页数:12
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