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Anti-inflammatory effects of GLP-1 in patients with COVID-19
Saharnaz Sazgarnejad1,2,3, Niloufar Yazdanpanah1,3,4, Nima Rezaei3,4,5
1School Of Medicine, Tehran University Of Medical Sciences, Tehran, Iran.
Introduction:
Understanding the pathogenesis and risk factors to control the coronavirus disease 2019 (COVID-19) is necessary. Due to the importance of the inflammatory pathways in the pathogenesis of COVID-19 patients, evaluating the effects of anti-inflammatory medications is important. Glucagon-like peptide 1 receptor agonist (GLP-1 RA) is awell-known glucose-lowering agent with anti-inflammatory effects.
Areas Covered:
Resources were extracted from the PubMed database, using keywords such as glucagon-like peptide-1, GLP-1 RA, SARS-CoV-2, COVID-19, inflammation, in April2021. In this review, the effects of GLP-1RA in reducing inflammation and modifying risk factors of COVID-19 severe complications are discussed. However, GLP-1 is degraded by DPP-4 with aplasma half-life of about 2-5 minutes, which makes it difficult to measure GLP-1 plasma level in clinical settings.
Expert Opinion:
Since no definitive treatment is available for COVID-19 so far, determining promising targets to design and/or repurpose effective medications is necessary.
Insights
Glucagon-like peptide 1 receptor agonist (GLP-1 RA) shows potential anti-inflammatory effects beneficial for managing COVID-19 complications. Further research into GLP-1 RA is crucial for developing new therapeutic strategies against the virus.
Area of Science:
- Endocrinology
- Virology
- Immunology
Background:
- Understanding COVID-19 pathogenesis and risk factors is crucial for effective control.
- Inflammatory pathways play a significant role in COVID-19 pathogenesis.
- Glucagon-like peptide 1 receptor agonist (GLP-1 RA) possesses known glucose-lowering and anti-inflammatory properties.
Purpose of the Study:
- To evaluate the potential of GLP-1 RA as an anti-inflammatory agent in COVID-19.
- To explore GLP-1 RA's role in mitigating COVID-19 risk factors and complications.
Main Methods:
- Literature review of studies on GLP-1, GLP-1 RA, SARS-CoV-2, COVID-19, and inflammation.
- PubMed database search conducted in April 2021.
- Discussion of GLP-1 RA's effects on inflammation and COVID-19 risk factors.
Main Results:
- GLP-1 RA exhibits anti-inflammatory effects relevant to COVID-19.
- GLP-1 RA may help modify risk factors associated with severe COVID-19 complications.
- The short plasma half-life of GLP-1 (2-5 minutes) due to DPP-4 degradation poses measurement challenges.
Conclusions:
- No definitive treatment for COVID-19 currently exists.
- Identifying promising therapeutic targets for repurposing or designing effective medications is essential.
- GLP-1 RA represents a potential candidate for further investigation in COVID-19 treatment strategies.
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