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[Cardiovascular effects of GLP-1 receptor agonist treatment: focus on liraglutide].

Abstract
Cardiovascular risk reduction is the major aim of type 2 diabetes mellitus treatment. The effects of various antidiabetics on the cardiovascular complications are currently under careful scrutiny. Incretin-based therapy that utilizes the effects of glucagon-like peptide 1 (GLP-1) or stimulation of its receptor by GLP-1 receptor agonists represents one of the most promising approaches from the potential cardiovascular risk reduction point of view. Experimental studies have shown that the GLP-1 and GLP-1 agonists treatment improves endothelial function, decrease blood pressure and protects myocardium during experimentally-induced ischemia. Clinical studies with GLP-1 receptor agonists consistently show that, in addition to good antidiabetic efficacy, its long-term administration decreases blood pressure, body weight and improves circulating lipid levels while slightly increasing heart rate. In this paper, we focus on the cardiovascular effects of GLP-1 receptor agonist liraglutide. Preliminary analyses of cardiovascular complications in phase III trials with liraglutide indicate its good cardiovascular safety. A possibility of cardioprotective effects of liraglutide remains still open and is currently studied within a prospective cardiovascular trial LEADER.
AuthorsMartin Haluzík, Pavel Trachta, Miloš Mráz
JournalVnitrni lekarstvi (Vnitr Lek) 2015 Jul-Aug Vol. 61 Issue 7-8 Pg. 635-40 ISSN: 0042-773X [Print] Czech Republic
Vernacular TitleKardiovaskulární účinky léčby GLP-1 agonisty se zaměřením na liraglutid.
PMID26375689 (Publication Type: Journal Article)
Chemical References
  • Glucagon-Like Peptide-1 Receptor
  • Hypoglycemic Agents
  • Liraglutide
  • Glucagon-Like Peptide 1
Topics
  • Blood Pressure (drug effects)
  • Cardiovascular System (drug effects)
  • Diabetes Mellitus, Type 2 (drug therapy)
  • Glucagon-Like Peptide 1 (pharmacology)
  • Glucagon-Like Peptide-1 Receptor (agonists)
  • Humans
  • Hypoglycemic Agents (pharmacology, therapeutic use)
  • Liraglutide (pharmacology)
  • Prospective Studies
  • Risk Factors

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