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Application of glucagon-like peptide-1 receptor antagonists in fibrotic diseases
Fuxun Yang1, Xiaoxiu Luo1, Jiajia Li1
1Department of ICU, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Abstract:
Fibrosis can occur in various organs, leading to structural destruction, dysfunction, and even organ failure. Hence, organ fibrosis is being actively researched worldwide. Glucagon-like peptide-1 (GLP-1), a naturally occurring hormone, binds to a G-protein-coupled receptor widely distributed in the pancreas, kidney, lung, heart, gastrointestinal tract, and other organs. Synthetic GLP-1 analogs can be used as GLP-1 receptor agonists (GLP-1RAs) for treating diabetes mellitus. In recent years, GLP-1RAs have also been found to exert anti-inflammatory, antioxidant, and cardiovascular protective effects. GLP-1RAs have also been shown to inhibit fibrosis of solid organs, such as the lung, heart, liver, and kidney. In this review, we discuss the advancements in research on the role of GLP-1RAs in the fibrosis of the heart, lung, liver, kidney, and other organs to obtain new clues for treating organ fibrosis.
Insights
Glucagon-like peptide-1 receptor agonists (GLP-1RAs) show potential in treating organ fibrosis. Research indicates GLP-1RAs inhibit fibrosis in the heart, lung, liver, and kidney, offering new therapeutic avenues.
Area of Science:
- Pharmacology and Therapeutics
- Cell Biology
- Organ Pathophysiology
Background:
- Organ fibrosis, characterized by structural destruction and dysfunction, affects multiple organs and is a significant health concern.
- Glucagon-like peptide-1 (GLP-1) is a hormone with a receptor (GLP-1R) found in various organs.
- Synthetic GLP-1 receptor agonists (GLP-1RAs) are established treatments for diabetes mellitus.
Purpose of the Study:
- To review the current research on the role of GLP-1 receptor agonists (GLP-1RAs) in mitigating organ fibrosis.
- To explore the potential of GLP-1RAs as a therapeutic strategy for fibrotic diseases across different organs.
Main Methods:
- Review of existing scientific literature on GLP-1RAs and their effects on fibrotic processes.
- Analysis of studies investigating GLP-1RA action in the context of heart, lung, liver, and kidney fibrosis.
Main Results:
- GLP-1RAs demonstrate anti-inflammatory, antioxidant, and cardiovascular protective properties.
- Evidence suggests GLP-1RAs inhibit fibrosis in solid organs including the lung, heart, liver, and kidney.
- GLP-1RAs offer promising therapeutic potential beyond diabetes management.
Conclusions:
- GLP-1 receptor agonists show significant promise in combating organ fibrosis.
- Further research into GLP-1RAs may yield novel treatments for diverse fibrotic conditions.
- Understanding the anti-fibrotic mechanisms of GLP-1RAs can guide future therapeutic development.
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