Cardiovascular effects of incretin-based therapies

被引:0
|
作者
Lehrke, M. [1 ]
Marx, N. [1 ]
机构
[1] Univ Klinikum Aachen, Med Klin Kardiol Pneumol & Angiol 1, D-52074 Aachen, Germany
关键词
Incretin; Glucagon-like peptide 1 (GLP-1); Myocardial infarction; Heart failure; GLUCAGON-LIKE PEPTIDE-1; ISCHEMIA-REPERFUSION INJURY; MYOCARDIAL GLUCOSE-UPTAKE; LEFT-VENTRICULAR PERFORMANCE; CONSCIOUS DOGS; BLOOD-PRESSURE; CARDIAC-FUNCTION; 7-36; AMIDE; ENDOTHELIAL FUNCTION; DOBUTAMINE STRESS;
D O I
10.1007/s00059-012-3599-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Pharmacological modulation of the glucagon-like peptide-1 (GLP-1) system has emerged as a new therapeutic option for treatment of diabetes mellitus. In addition to the glucose lowering potential GLP-1 was found to have a variety of cardioprotective effects. GLP-1 reduced the size of myocardial infarction during acute ischemia by activation of prosurvival pathways including PI3-kinase, Akt und ERK1/2. In addition, GLP-1 prevented atherosclerotic lesion formation in experimental models and improved endothelial function while acting anti-inflammatory. Furthermore GLP-1 was found to improve chronic heart failure by increasing insulin independent cellular glucose transport. Consequently GLP-1 based therapies might reduce cardiovascular events in diabetic patients which is currently evaluated in clinical endpoint studies.
引用
收藏
页码:287 / 293
页数:7
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