Targeting cardiometabolic risk in type 1 diabetes through incretin physiology.

IF 11.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Ruth Frampton, Samantha Hocking, Jennifer R Snaith, Jerry R Greenfield
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引用次数: 0

Abstract

People living with type 1 diabetes have significantly increased cardiovascular risk compared with the general population. Traditional risk factors include hypertension, dyslipidaemia, and obesity. However, those with type 1 diabetes contend with treatment-induced insulin resistance and pancreatic and incretin hormone dysfunction, leading to dysglycaemia, which also impacts cardiovascular risk. Here, we highlight the underlying metabolic environment in type 1 diabetes with a focus on glucose-dependent insulinotropic polypeptide (GIP), glucagon-like peptide 1 (GLP-1), and glucagon physiology. With the emergence of incretin-based therapies such as semaglutide (a GLP-1 receptor agonist) and tirzepatide (a combined GLP-1/GIP receptor agonist) targeting these receptor pathways, there is now potential to directly target metabolic deficits to address cardiometabolic risk in a type 1 diabetes population.

通过肠促胰岛素生理学靶向1型糖尿病的心脏代谢风险。
与一般人群相比,1型糖尿病患者患心血管疾病的风险明显增加。传统的危险因素包括高血压、血脂异常和肥胖。然而,1型糖尿病患者面临治疗诱导的胰岛素抵抗、胰腺和肠促胰岛素激素功能障碍,导致血糖异常,这也会影响心血管风险。在这里,我们强调了1型糖尿病的潜在代谢环境,重点是葡萄糖依赖性胰岛素性多肽(GIP)、胰高血糖素样肽1 (GLP-1)和胰高血糖素生理学。随着以肠促胰岛素为基础的治疗方法的出现,如semaglutide(一种GLP-1受体激动剂)和tizepatide(一种GLP-1/GIP受体激动剂)靶向这些受体通路,现在有可能直接针对代谢缺陷来解决1型糖尿病人群的心脏代谢风险。
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来源期刊
Trends in Endocrinology and Metabolism
Trends in Endocrinology and Metabolism 医学-内分泌学与代谢
CiteScore
20.10
自引率
0.00%
发文量
98
审稿时长
82 days
期刊介绍: Trends in Endocrinology and Metabolism (TEM) stands as a premier Reviews journal in the realms of metabolism and endocrinology. Our commitment is reflected in the publication of refined, concise, and highly impactful articles that delve into cutting-edge topics, encompassing basic, translational, and clinical aspects. From state-of-the-art treatments for endocrine diseases to groundbreaking developments in molecular biology, TEM provides comprehensive coverage. Explore recent advancements in diabetes, endocrine diseases, obesity, neuroendocrinology, immunometabolism, molecular and cellular biology, and a myriad of other areas through our journal. TEM serves as an invaluable resource for researchers, clinicians, lecturers, teachers, and students. Each monthly issue is anchored by Reviews and Opinion articles, with Reviews meticulously chronicling recent and significant developments, often contributed by leading researchers in specific fields. Opinion articles foster debate and hypotheses. Our shorter pieces include Science & Society, shedding light on issues at the intersection of science, society, and policy; Spotlights, which focus on exciting recent developments in the literature, and single-point hypotheses as Forum articles. We wholeheartedly welcome and encourage responses to previously published TEM content in the form of Letters.
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