胰高血糖素样肽 1 受体激动剂的抗炎作用及其临床意义。

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC
ACS Applied Electronic Materials Pub Date : 2024-01-27 eCollection Date: 2024-01-01 DOI:10.1177/20420188231222367
Saleh Hadi Alharbi
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引用次数: 0

摘要

胰高血糖素样肽 1 受体激动剂(GLP-1RAs)是一种前景广阔的治疗药物,具有强大的抗炎特性和多种临床意义。这篇深度综述文章探讨了 GLP-1RAs 抗炎作用背后的机制,并评估了它们在多种疾病中的应用前景。本综述确定了理解 GLP-1RAs 抗炎作用的重要性,并指出了相关的研究空白。文章简要概述了炎症及其临床后果,强调了有效抗炎干预的迫切需要。随后,文章阐明了GLP-1RA调节免疫细胞信号和调节核因子-卡巴B(NF-κB)通路的复杂机制。详细讨论了它们对炎症反应、细胞因子产生和氧化应激减弱的影响。通过收集临床前和临床研究中的相关实例和大量参考文献,对这些论述进行了证实。文章追溯了 GLP-1RA 药物(包括艾塞那肽、利西那肽、利拉鲁肽和赛马鲁肽)的历史轨迹,勾勒出它们作为治疗药物的发展过程。此外,文章还强调了 GLP-1RA 在特定疾病(如 2 型糖尿病、神经退行性疾病和炎症性肠病 (IBD))中的治疗潜力,通过对临床前和临床研究的严格审查,阐明了它们的抗炎作用。文章还展望了 GLP-1RA 在糖尿病、神经退行性疾病和 IBD 领域的未来前景。总之,GLP-1RA 具有显著的抗炎作用,使其成为具有广泛临床意义的治疗药物。由于它们能调节免疫反应、阻断 NF-κB 激活并减少促炎细胞因子的产生,因此对多种疾病都非常有用。目前正在进行的研究旨在优化其治疗用途,确定针对特定患者的治疗范例,并探索新的治疗应用。GLP-1RA 是抗炎疗法的一个重大突破,它提供了新的治疗选择,并改善了患者的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Anti-inflammatory role of glucagon-like peptide 1 receptor agonists and its clinical implications.

Glucagon-like peptide 1 receptor agonists (GLP-1RAs) have emerged as promising therapeutic agents with potent anti-inflammatory properties and diverse clinical implications. This in-depth review article explores the mechanisms behind the anti-inflammatory actions of GLP-1RAs and assesses their prospective applicability in a wide range of disease scenarios. The current review establishes the significance of comprehending the anti-inflammatory role of GLP-1RAs and identifies pertinent research gaps. A concise overview of inflammation and its clinical consequences underscores the critical need for effective anti-inflammatory interventions. Subsequently, the article elucidates the intricate mechanisms through which GLP-1RAs modulate immune cell signaling and regulate the nuclear factor-kappa B (NF-κB) pathway. Detailed discussions encompass their impact on inflammatory responses, cytokine production, and attenuation of oxidative stress. The exposition is substantiated by a collection of pertinent examples and an extensive array of references from both preclinical and clinical investigations. The historical trajectory of GLP-1RA drugs, including exenatide, lixisenatide, liraglutide, and semaglutide, is traced to delineate their development as therapeutic agents. Moreover, the review emphasizes the therapeutic potential of GLP-1RAs in specific disease contexts like type 2 diabetes, a neurodegenerative disorder, and inflammatory bowel disease (IBD), shedding light on their anti-inflammatory effects through rigorous examination of preclinical and clinical studies. The article also provides an outlook on future perspectives for GLP-1RAs, encompassing the domains of diabetes, neurodegenerative diseases, and IBD. In conclusion, GLP-1RAs exhibit substantial anti-inflammatory effects, rendering them promising therapeutic agents with broad clinical implications. They are very useful in a wide variety of diseases because they regulate immunological responses, block NF-κB activation, and decrease production of pro-inflammatory cytokines. Ongoing research endeavors aim to optimize their therapeutic use, delineate patient-specific treatment paradigms, and explore novel therapeutic applications. GLP-1RAs represent a significant breakthrough in anti-inflammatory therapy, offering novel treatment options, and improved patient outcomes.

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