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Cardiovascular effect of GLP-1 receptor agonists: meta-analyses suggest a class effect


Authors: Peter Novodvorský 1,2,3
Authors place of work: metabolické centrum s. r. o., Trenčín 1;  Centrum diabetologie IKEM, Praha 2;  Department of Oncology and Metabolism, Medical School, University of Sheffield, United Kingdom 3
Published in the journal: Diab Obez 2022; 22(43): 20-23
Category: Reviews

Summary

The position of GLP-1 receptor agonists (GLP-1 RA) in therapeutic guidelines for management of type 2 diabetes (T2DM) is constantly improving alongside the growing evidence for their pleiotropic effects including their glucose-lowering abilities with low risk of hypoglycaemia, reduction of body weight as well as positive effects on cardiovascular outcomes. At the same time, several clinically relevant questions emerge in relation to the generalisability of their benefits to distinct types of T2DM populations as well as to the differences in specific molecules of GLP-1 RA. In this paper, I discuss these issues in the light of the recently published large meta-analyses.

Keywords:

cardiovascular system – GLP1 receptor agonists – cardiovascular benefits – renal benefits


Zdroje

1. Inzucchi SE, Bergenstal RM, Buse JB et al. Management of hyperglycaemia in type 2 diabetes: a patient-centered approach. Position statement of the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetologia 2012; 55(6): 1577–1596. Dostupné z DOI: <http://dx.doi.org/10.1007/s00125–012–2534–0>.

2. Pfeffer MA, Claggett B, Diaz R et al. Lixisenatide in Patients with Type 2 Diabetes and Acute Coronary Syndrome. N Engl J Med 2015; 373(23): 2247–2257. Dostupné z DOI: <http://dx.doi.org/10.1056/NEJMoa1509225>.

3. Holman RR, Bethel MA, Mentz RJ et al. Effects of Once-Weekly Exenatide on Cardiovascular Outcomes in Type 2 Diabetes. N Engl J Med 2017; 377(13): 1228–1239. Dostupné z DOI: <http://dx.doi.org/10.1056/NEJMoa1612917>.

4. Verma S, Poulter NR, Bhatt DL et al. Effects of Liraglutide on Cardiovascular Outcomes in Patients With Type 2 Diabetes Mellitus With or Without History of Myocardial Infarction or Stroke. Circulation 2018; 138(25): 2884–2894. Dostupné z DOI: <http://dx.doi.org/10.1161/CIRCULATIONAHA.118.034516>.

5. Marso SP, Bain SC, Consoli A et al. Semaglutide and Cardiovascular Outcomes in Patients with Type 2 Diabetes. N Engl J Med 2016; 375(19): 1834–1844. Dostupné z DOI: <http://dx.doi.org/10.1056/NEJMoa1607141>.

6. Davies MJ, D’Alessio DA, Fradkin J et al. Management of Hyperglycemia in Type 2 Diabetes, 2018. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care 2018; 41(12): 2669–2701. Dostupné z DOI: <http://dx.doi.org/10.2337/dci18–0033>.

7. Hernandez AF, Green JB, Janmohamed S et al. Albiglutide and cardiovascular outcomes in patients with type 2 diabetes and cardiovascular disease (Harmony Outcomes): a double-blind, randomised placebo-controlled trial. Lancet 2018; 392(10157): 1519–1529. Dostupné z DOI: <http://dx.doi.org/10.1016/S0140–6736(18)32261-X>.

8. Gerstein HC, Colhoun HM, Dagenais GR et al. Dulaglutide and cardiovascular outcomes in type 2 diabetes (REWIND): a double-blind, randomised placebo-controlled trial. Lancet 2019; 394(10193): 121–130. Dostupné z DOI: <http://dx.doi.org/10.1016/S0140–6736(19)31149–3>.

9. Buse JB, Wexler DJ, Tsapas A et al. 2019 Update to: Management of Hyperglycemia in Type 2 Diabetes, 2018. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care 2020; 43(2): 487–493. Dostupné z DOI: <http://dx.doi.org/10.2337/dci19–0066>.

10. Gerstein HC, Sattar N, Rosenstock J et al. Cardiovascular and Renal Outcomes with Efpeglenatide in Type 2 Diabetes. N Engl J Med 2021; 385(10): 896–907. Dostupné z DOI: <http://dx.doi.org/10.1056/NEJMoa2108269>.

11. Husain M, Birkenfeld AL, Donsmark M et al. Oral Semaglutide and Cardiovascular Outcomes in Patients with Type 2 Diabetes. N Engl J Med 2019; 381(9): 841–851. Dostupné z DOI: <http://dx.doi.org/10.1056/NEJMoa1901118>.

12. Pantalone KM, Munir K, Hasenour CM et al. Cardiovascular outcomes trials with glucagon-like peptide-1 receptor agonists: A comparison of study designs, populations and results. Diabetes Obes Metab 2020; 22(12): 2209–2226. Dostupné z DOI: <http://dx.doi.org/10.1111/dom.14165>.

13. Marsico F, Paolillo S, Gargiulo P et al. Effects of glucagon-like peptide-1 receptor agonists on major cardiovascular events in patients with Type 2 diabetes mellitus with or without established cardiovascular disease: a meta-analysis of randomized controlled trials. Eur Heart J 2020; 41(35): 3346–3358. Dostupné z DOI: <http://dx.doi.org/10.1093/eurheartj/ehaa082

14. Sattar N, Lee MMY, Kristensen SL et al. Cardiovascular, mortality, and kidney outcomes with GLP-1 receptor agonists in patients with type 2 diabetes: a systematic review and meta-analysis of randomised trials. Lancet Diabetes Endocrinol 2021; 9(10): 653–662. Dostupné z DOI: <http://dx.doi.org/10.1016/S2213–8587(21)00203–5>.

Štítky
Diabetology Obesitology

Článok vyšiel v časopise

Diabetes and obesity

Číslo 43

2022 Číslo 43
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