GLP-1a: Going beyond Traditional Use

Glucagon-like peptide-1 (GLP-1) is a human incretin hormone derived from the proglucagon molecule. GLP-1 receptor agonists are frequently used to treat type 2 diabetes mellitus and obesity. However, the hormone affects the liver, pancreas, brain, fat cells, heart, and gastrointestinal tract. The obj...

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Veröffentlicht in:International journal of molecular sciences 2022-01, Vol.23 (2), p.739
Hauptverfasser: Laurindo, Lucas Fornari, Barbalho, Sandra Maria, Guiguer, Elen Landgraf, da Silva Soares de Souza, Maricelma, de Souza, Gabriela Achete, Fidalgo, Thiago Marques, Araújo, Adriano Cressoni, de Souza Gonzaga, Heron F, de Bortoli Teixeira, Daniel, de Oliveira Silva Ullmann, Thais, Sloan, Katia Portero, Sloan, Lance Alan
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container_issue 2
container_start_page 739
container_title International journal of molecular sciences
container_volume 23
creator Laurindo, Lucas Fornari
Barbalho, Sandra Maria
Guiguer, Elen Landgraf
da Silva Soares de Souza, Maricelma
de Souza, Gabriela Achete
Fidalgo, Thiago Marques
Araújo, Adriano Cressoni
de Souza Gonzaga, Heron F
de Bortoli Teixeira, Daniel
de Oliveira Silva Ullmann, Thais
Sloan, Katia Portero
Sloan, Lance Alan
description Glucagon-like peptide-1 (GLP-1) is a human incretin hormone derived from the proglucagon molecule. GLP-1 receptor agonists are frequently used to treat type 2 diabetes mellitus and obesity. However, the hormone affects the liver, pancreas, brain, fat cells, heart, and gastrointestinal tract. The objective of this study was to perform a systematic review on the use of GLP-1 other than in treating diabetes. PubMed, Cochrane, and Embase were searched, and the PRISMA guidelines were followed. Nineteen clinical studies were selected. The results showed that GLP-1 agonists can benefit defined off-medication motor scores in Parkinson's Disease and improve emotional well-being. In Alzheimer's disease, GLP-1 analogs can improve the brain's glucose metabolism by improving glucose transport across the blood-brain barrier. In depression, the analogs can improve quality of life and depression scales. GLP-1 analogs can also have a role in treating chemical dependency, inhibiting dopaminergic release in the brain's reward centers, decreasing withdrawal effects and relapses. These medications can also improve lipotoxicity by reducing visceral adiposity and decreasing liver fat deposition, reducing insulin resistance and the development of non-alcoholic fatty liver diseases. The adverse effects are primarily gastrointestinal. Therefore, GLP-1 analogs can benefit other conditions besides traditional diabetes and obesity uses.
doi_str_mv 10.3390/ijms23020739
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Barbalho, Sandra Maria ; Guiguer, Elen Landgraf ; da Silva Soares de Souza, Maricelma ; de Souza, Gabriela Achete ; Fidalgo, Thiago Marques ; Araújo, Adriano Cressoni ; de Souza Gonzaga, Heron F ; de Bortoli Teixeira, Daniel ; de Oliveira Silva Ullmann, Thais ; Sloan, Katia Portero ; Sloan, Lance Alan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c412t-cd7ea3196fd5d88be70b2c50e3e5f5697f867f3fec493470c551831eeb2a79b83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adipocytes</topic><topic>Adipose tissue</topic><topic>Agonists</topic><topic>Alzheimer's disease</topic><topic>Analogs</topic><topic>Apoptosis</topic><topic>Appetite</topic><topic>Blood-brain barrier</topic><topic>Body fat</topic><topic>Body mass index</topic><topic>Clinical medicine</topic><topic>Clinical trials</topic><topic>Clinical Trials as Topic</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes mellitus (non-insulin dependent)</topic><topic>Diabetes Mellitus, Type 2 - drug therapy</topic><topic>Disease Management</topic><topic>Dopamine receptors</topic><topic>Drug dosages</topic><topic>Enzymes</topic><topic>Fatty liver</topic><topic>Gastrointestinal system</topic><topic>Gastrointestinal tract</topic><topic>GLP-1 receptor agonists</topic><topic>Glucagon</topic><topic>Glucagon-like peptide 1</topic><topic>Glucagon-Like Peptide 1 - metabolism</topic><topic>Glucagon-Like Peptide 1 - pharmacology</topic><topic>Glucagon-Like Peptide 1 - therapeutic use</topic><topic>Glucagon-Like Peptide-1 Receptor - agonists</topic><topic>Glucose</topic><topic>Glucose metabolism</topic><topic>Glucose transport</topic><topic>Hepatocytes</topic><topic>Homeostasis</topic><topic>Humans</topic><topic>Hyperglycemia</topic><topic>Inhibition (psychology)</topic><topic>Insulin</topic><topic>Insulin resistance</topic><topic>Liver</topic><topic>Liver diseases</topic><topic>Metabolism</topic><topic>Neurodegenerative Diseases - drug therapy</topic><topic>Obesity</topic><topic>Obesity - drug therapy</topic><topic>Pancreas</topic><topic>Parkinson's disease</topic><topic>Peptide Fragments - metabolism</topic><topic>Peptide Fragments - pharmacology</topic><topic>Peptide Fragments - therapeutic use</topic><topic>Psoriasis</topic><topic>Quality of life</topic><topic>Reinforcement</topic><topic>Review</topic><topic>Systematic review</topic><topic>Treatment Outcome</topic><topic>Weight control</topic><topic>Well being</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Laurindo, Lucas Fornari</creatorcontrib><creatorcontrib>Barbalho, Sandra Maria</creatorcontrib><creatorcontrib>Guiguer, Elen Landgraf</creatorcontrib><creatorcontrib>da Silva Soares de Souza, Maricelma</creatorcontrib><creatorcontrib>de Souza, Gabriela Achete</creatorcontrib><creatorcontrib>Fidalgo, Thiago Marques</creatorcontrib><creatorcontrib>Araújo, Adriano Cressoni</creatorcontrib><creatorcontrib>de Souza Gonzaga, Heron F</creatorcontrib><creatorcontrib>de Bortoli Teixeira, Daniel</creatorcontrib><creatorcontrib>de Oliveira Silva Ullmann, Thais</creatorcontrib><creatorcontrib>Sloan, Katia Portero</creatorcontrib><creatorcontrib>Sloan, Lance Alan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; 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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; MDPI - Multidisciplinary Digital Publishing Institute; PubMed Central
subjects Adipocytes
Adipose tissue
Agonists
Alzheimer's disease
Analogs
Apoptosis
Appetite
Blood-brain barrier
Body fat
Body mass index
Clinical medicine
Clinical trials
Clinical Trials as Topic
Diabetes
Diabetes mellitus
Diabetes mellitus (non-insulin dependent)
Diabetes Mellitus, Type 2 - drug therapy
Disease Management
Dopamine receptors
Drug dosages
Enzymes
Fatty liver
Gastrointestinal system
Gastrointestinal tract
GLP-1 receptor agonists
Glucagon
Glucagon-like peptide 1
Glucagon-Like Peptide 1 - metabolism
Glucagon-Like Peptide 1 - pharmacology
Glucagon-Like Peptide 1 - therapeutic use
Glucagon-Like Peptide-1 Receptor - agonists
Glucose
Glucose metabolism
Glucose transport
Hepatocytes
Homeostasis
Humans
Hyperglycemia
Inhibition (psychology)
Insulin
Insulin resistance
Liver
Liver diseases
Metabolism
Neurodegenerative Diseases - drug therapy
Obesity
Obesity - drug therapy
Pancreas
Parkinson's disease
Peptide Fragments - metabolism
Peptide Fragments - pharmacology
Peptide Fragments - therapeutic use
Psoriasis
Quality of life
Reinforcement
Review
Systematic review
Treatment Outcome
Weight control
Well being
title GLP-1a: Going beyond Traditional Use
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