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DPP4 as a Potential Candidate in Cardiovascular Disease
Si-Yu Chen1, Xiang-Quan Kong1,2, Ke-Fan Zhang3
1Department of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, People's Republic of China.
Insights
Dipeptidyl peptidase-4 (DPP4) inhibitors, used for diabetes, show cardiovascular safety and potential therapeutic benefits. This review explores their role in managing cardiovascular diseases beyond blood glucose control.
Area of Science:
- Cardiology
- Endocrinology
- Pharmacology
Background:
- Cardiovascular disease (CVD) is a leading global health concern, with diabetes as a significant risk factor.
- DPP4 inhibitors are a class of anti-diabetic medications.
- Recent cardiovascular outcome trials have established the cardiovascular safety of DPP4 inhibitors.
Purpose of the Study:
- To review recent advances in the understanding of DPP4 inhibitors' role in cardiovascular disease.
- To discuss the potential of DPP4 inhibitors as a therapeutic option for cardiovascular conditions.
Main Methods:
- Literature review of recent studies and clinical trials.
- Analysis of the mechanisms by which DPP4 inhibitors affect cardiovascular risk factors and disease progression.
Main Results:
- DPP4 inhibitors are cardiovascularly safe and demonstrate potential benefits in hypertension, calcified aortic valve disease, coronary atherosclerosis, and heart failure.
- Beyond glycemic control, DPP4 inhibitors modulate cardiovascular risk factors.
- DPP4 inhibitors exert direct effects on the development and progression of cardiovascular diseases through various pathways.
Conclusions:
- DPP4 inhibitors offer a dual benefit in managing diabetes and cardiovascular health.
- Their multifaceted mechanisms suggest a promising role in cardiovascular therapy.
- Further research into DPP4 inhibitors for cardiovascular indications is warranted.
Abstract:
The rising prevalence of cardiovascular disease has become a global health concern. The occurrence of cardiovascular disease is the result of long-term interaction of many risk factors, one of which is diabetes. As a novel anti-diabetic drug, DPP4 inhibitor has been proven to be cardiovascular safe in five recently completed cardiovascular outcome trials. Accumulating studies suggest that DPP4 inhibitor has potential benefits in a variety of cardiovascular diseases, including hypertension, calcified aortic valve disease, coronary atherosclerosis, and heart failure. On the one hand, in addition to improving blood glucose control, DPP4 inhibitor is involved in controlling cardiovascular risk factors. On the other hand, DPP4 inhibitor directly regulates the occurrence and progression of cardiovascular diseases through a variety of mechanisms. In this review, we summarize the recent advances of DPP4 in cardiovascular disease, aiming to discuss DPP4 inhibitor as a potential option for cardiovascular therapy.
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