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Future perspectives in diabesity treatment: Semaglutide, a glucagon‑like peptide 1 receptor agonist (Review)

  • Authors:
    • Mariana Cornelia Tilinca
    • Robert Aurelian Tiuca
    • Cristina Niculas
    • Andreea Varga
    • Ioan Tilea
  • View Affiliations / Copyright

    Affiliations: Department of Internal Medicine, ‘George Emil Palade’ University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540142 Targu Mures, Romania, Department of Endocrinology, ‘George Emil Palade’ University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540142 Targu Mures, Romania, Richter Pharmacy 7, 400129 Cluj Napoca, Romania, Department of Family Medicine, ‘George Emil Palade’ University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540142 Targu Mures, Romania
    Copyright: © Tilinca et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 1167
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    Published online on: August 12, 2021
       https://doi.org/10.3892/etm.2021.10601
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Abstract

Given their endemic prevalence in the past decades, obesity and type 2 diabetes mellitus (T2DM) have become a major sanitary burden with an important economic impact. Novel treatment options have been designed with the aim of reducing the numerous complications associated with these metabolic disorders, as well as reducing morbidity and mortality and improving the quality of life of those who suffer from these disorders. Glucagon‑like peptide 1 receptor agonists (GLP‑1 RAs) are among the most modern therapeutics that target ‘diabesity’, a term used to describe the pathophysiological link between obesity and T2DM. Their glucose‑lowering effects are mainly attributed to glucose‑dependent insulin secretion, glucagon inhibition and decreased gastric emptying. Given the effects on the central nervous system, GLP‑1 RA usage may lead to body weight reduction. GLP‑1 RAs are classified based on their pharmacokinetic properties as short‑ and long‑acting agents, with both types being administered by subcutaneous injection. The latest agent from this drug class approved for use in T2DM is semaglutide, a long‑acting compound that is the only GLP‑1 RA available as an oral pill. The present narrative review highlights the most recently published data on the effects and safety of semaglutide in diabetic obesity, also emphasizing its cardiovascular benefits and potential side effects. In addition, an overview of the role of semaglutide in the treatment of non‑diabetic obesity is provided.11
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1 

Hasanzad M, Sarhangi N, Nikfar S, Ostad SN and Aghaei Meybodi HR: A narrative review of current trends in liraglutide: Insights into the unmet needs in management of type 2 diabetes and obesity. J Diabetes Metab Disord. 19:1863–1872. 2020.PubMed/NCBI View Article : Google Scholar

2 

World Health Organization (WHO): Obesity and Overweight, 2020. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight. Accessed April 21, 2021.

3 

Gadde KM, Martin CK, Berthoud HR and Heymsfield SB: Obesity: Pathophysiology and management. J Am Coll Cardiol. 71:69–84. 2018.PubMed/NCBI View Article : Google Scholar

4 

Sims EA, Danforth E Jr, Horton ES, Bray GA, Glennon JA and Salans LB: Endocrine and metabolic effects of experimental obesity in man. Recent Prog Horm Res. 29:457–496. 1973.PubMed/NCBI View Article : Google Scholar

5 

International Diabetes Federation: IDF Diabetes Atlas-9th edition. http://www.diabetesatlas.org/(2019). Accessed April 21, 2021.

6 

Zhang PY: Cardiovascular disease in diabetes. Eur Rev Med Pharmacol Sci. 18:2205–2214. 2014.PubMed/NCBI

7 

Cercato C and Fonseca FA: Cardiovascular risk and obesity. Diabetol Metab Syndr. 11(74)2019.PubMed/NCBI View Article : Google Scholar

8 

Apovian CM, Okemah J and O'Neil PM: Body weight considerations in the management of type 2 diabetes. Adv Ther. 36:44–58. 2019.PubMed/NCBI View Article : Google Scholar

9 

American Diabetes Association. 8. Obesity management for the treatment of type 2 diabetes: Standards of medical care in diabetes-2021. Diabetes Care. 44 (Suppl 1):S100–S110. 2021.PubMed/NCBI View Article : Google Scholar

10 

American Diabetes Association. 9. Pharmacologic approaches to glycemic treatment: Standards of medical care in diabetes-2021. Diabetes Care. 44 (Suppl 1):S111–S124. 2021.PubMed/NCBI View Article : Google Scholar

11 

Herrmann C, Göke R, Richter G, Fehmann HC, Arnold R and Göke B: Glucagon-like peptide-1 and glucose-dependent insulin-releasing polypeptide plasma levels in response to nutrients. Digestion. 56:117–126. 1995.PubMed/NCBI View Article : Google Scholar

12 

Müller TD, Finan B, Bloom SR, D'Alessio D, Drucker DJ, Flatt PR, Fritsche A, Gribble F, Grill HJ, Habener JF, et al: Glucagon-like peptide 1 (GLP-1). Mol Metab. 30:72–130. 2019.PubMed/NCBI View Article : Google Scholar

13 

Holst JJ: The physiology of glucagon-like peptide 1. Physiol Rev. 87:1409–1439. 2007.PubMed/NCBI View Article : Google Scholar

14 

Drucker DJ: Glucagon-like peptide-1 and the islet beta-cell: Augmentation of cell proliferation and inhibition of apoptosis. Endocrinology. 144:5145–5148. 2003.PubMed/NCBI View Article : Google Scholar

15 

Lee YS and Jun HS: Anti-diabetic actions of glucagon-like peptide-1 on pancreatic beta-cells. Metabolism. 63:9–19. 2014.PubMed/NCBI View Article : Google Scholar

16 

Tang-Christensen M, Vrang N and Larsen PJ: Glucagon-like peptide containing pathways in the regulation of feeding behaviour. Int J Obes Relat Metab Disord. 25 (Suppl 5):S42–S47. 2001.PubMed/NCBI View Article : Google Scholar

17 

Rinaman L: Ascending projections from the caudal visceral nucleus of the solitary tract to brain regions involved in food intake and energy expenditure. Brain Res. 1350:18–34. 2010.PubMed/NCBI View Article : Google Scholar

18 

Chilton R, Wyatt J, Nandish S, Oliveros R and Lujan M: Cardiovascular comorbidities of type 2 diabetes mellitus: Defining the potential of glucagonlike peptide-1-based therapies. Am J Med. 124 (Suppl):S35–S53. 2011.PubMed/NCBI View Article : Google Scholar

19 

Nikolaidis LA, Mankad S, Sokos GG, Miske G, Shah A, Elahi D and Shannon RP: Effects of glucagon-like peptide-1 in patients with acute myocardial infarction and left ventricular dysfunction after successful reperfusion. Circulation. 109:962–965. 2004.PubMed/NCBI View Article : Google Scholar

20 

Meier JJ, Gethmann A, Götze O, Gallwitz B, Holst JJ, Schmidt WE and Nauck MA: Glucagon-like peptide 1 abolishes the postprandial rise in triglyceride concentrations and lowers levels of non-esterified fatty acids in humans. Diabetologia. 49:452–458. 2006.PubMed/NCBI View Article : Google Scholar

21 

Gutzwiller JP, Tschopp S, Bock A, Zehnder CE, Huber AR, Kreyenbuehl M, Gutmann H, Drewe J, Henzen C, Goeke B and Beglinger C: Glucagon-like peptide 1 induces natriuresis in healthy subjects and in insulin-resistant obese men. J Clin Endocrinol Metab. 89:3055–3061. 2004.PubMed/NCBI View Article : Google Scholar

22 

Nauck MA and Meier JJ: Management of endocrine disease: Are all GLP-1 agonists equal in the treatment of type 2 diabetes? Eur J Endocrinol. 181:R211–R234. 2019.PubMed/NCBI View Article : Google Scholar

23 

Nauck MA, Quast DR, Wefers J and Meier JJ: GLP-1 receptor agonists in the treatment of type 2 diabetes-state-of-the-art. Mol Metab. 46(101102)2021.PubMed/NCBI View Article : Google Scholar

24 

Iepsen EW, Torekov SS and Holst JJ: Liraglutide for type 2 diabetes and obesity: A 2015 update. Expert Rev Cardiovasc Ther. 13:753–767. 2015.PubMed/NCBI View Article : Google Scholar

25 

Pandey A, Chawla S and Guchhait P: Type-2 diabetes: Current understanding and future perspectives. IUBMB Life. 67:506–513. 2015.PubMed/NCBI View Article : Google Scholar

26 

Paley CA and Johnson MI: Abdominal obesity and metabolic syndrome: Exercise as medicine? BMC Sports Sci Med Rehabil. 10(7)2018.PubMed/NCBI View Article : Google Scholar

27 

Siddiqui S: Obesity and diabetes: Interrelationship. Adv Obes Weight Manag Control. 8:155–158. 2018.

28 

Nicola P, Ardeleanu E, Gadau C, Dorobantu M, Darabont R, Tilea I, Varga A, Folescu R, Zamfir AS, Boanca M, et al: Evaluation of biochemical and clinical parametres of hypertension with type 2 diabetes mellitus. Rev Chim. 69:2402–2406. 2018.

29 

Nolen-Doerr E, Stockman MC and Rizo I: Mechanism of glucagon-like peptide 1 improvements in type 2 diabetes mellitus and obesity. Curr Obes Rep. 8:284–291. 2019.PubMed/NCBI View Article : Google Scholar

30 

Hinnen D: Glucagon-like peptide 1 receptor agonists for type 2 diabetes. Diabetes Spectr. 30:202–210. 2017.PubMed/NCBI View Article : Google Scholar

31 

Sorli C, Harashima SI, Tsoukas GM, Unger J, Karsbøl JD, Hansen T and Bain SC: Efficacy and safety of once-weekly semaglutide monotherapy versus placebo in patients with type 2 diabetes (SUSTAIN 1): A double-blind, randomised, placebo-controlled, parallel-group, multinational, multicentre phase 3a trial. Lancet Diabetes Endocrinol. 5:251–260. 2017.PubMed/NCBI View Article : Google Scholar

32 

Ahrén B, Masmiquel L, Kumar H, Sargin M, Karsbøl JD, Jacobsen SH and Chow F: Efficacy and safety of once-weekly semaglutide versus once-daily sitagliptin as an add-on to metformin, thiazolidinediones, or both, in patients with type 2 diabetes (SUSTAIN 2): A 56-week, double-blind, phase 3a, randomised trial. Lancet Diabetes Endocrinol. 5:341–354. 2017.PubMed/NCBI View Article : Google Scholar

33 

Ahmann AJ, Capehorn M, Charpentier G, Dotta F, Henkel E, Lingvay I, Holst AG, Annett MP and Aroda VR: Efficacy and safety of once-weekly semaglutide versus exenatide ER in subjects with type 2 diabetes (SUSTAIN 3): A 56-week, open-label, randomized clinical trial. Diabetes Care. 41:258–266. 2018.PubMed/NCBI View Article : Google Scholar

34 

Aroda VR, Bain SC, Cariou B, Piletič M, Rose L, Axelsen M, Rowe E and DeVries JH: Efficacy and safety of once-weekly semaglutide versus once-daily insulin glargine as add-on to metformin (with or without sulfonylureas) in insulin-naive patients with type 2 diabetes (SUSTAIN 4): A randomised, open-label, parallel-group, multicentre, multinational, phase 3a trial. Lancet Diabetes Endocrinol. 5:355–366. 2017.PubMed/NCBI View Article : Google Scholar

35 

Rodbard HW, Lingvay I, Reed J, de la Rosa R, Rose L, Sugimoto D, Araki E, Chu PL, Wijayasinghe N and Norwood P: Semaglutide added to basal insulin in type 2 diabetes (SUSTAIN 5): A randomized, controlled trial. J Clin Endocrinol Metab. 103:2291–2301. 2018.PubMed/NCBI View Article : Google Scholar

36 

Pratley RE, Aroda VR, Lingvay I, Lüdemann J, Andreassen C, Navarria A and Viljoen A: SUSTAIN 7 investigators. Semaglutide versus dulaglutide once weekly in patients with type 2 diabetes (SUSTAIN 7): A randomised, open-label, phase 3b trial. Lancet Diabetes Endocrinol. 6:275–286. 2018.PubMed/NCBI View Article : Google Scholar

37 

Lingvay I, Catarig AM, Frias JP, Kumar H, Lausvig NL, le Roux CW, Thielke D, Viljoen A and McCrimmon RJ: Efficacy and safety of once-weekly semaglutide versus daily canagliflozin as add-on to metformin in patients with type 2 diabetes (SUSTAIN 8): A double-blind, phase 3b, randomised controlled trial. Lancet Diabetes Endocrinol. 7:834–844. 2019.PubMed/NCBI View Article : Google Scholar

38 

Zinman B, Bhosekar V, Busch R, Holst I, Ludvik B, Thielke D, Thrasher J, Woo V and Philis-Tsimikas A: Semaglutide once weekly as add-on to SGLT-2 inhibitor therapy in type 2 diabetes (SUSTAIN 9): A randomised, placebo-controlled trial. Lancet Diabetes Endocrinol. 7:356–367. 2019.PubMed/NCBI View Article : Google Scholar

39 

Capehorn MS, Catarig AM, Furberg JK, Janez A, Price HC, Tadayon S, Vergès B and Marre M: Efficacy and safety of once-weekly semaglutide 1.0 mg vs once-daily liraglutide 1.2 mg as add-on to 1-3 oral antidiabetic drugs in subjects with type 2 diabetes (SUSTAIN 10). Diabetes Metab. 46:100–109. 2020.PubMed/NCBI View Article : Google Scholar

40 

McCrimmon RJ, Catarig AM, Frias JP, Lausvig NL, le Roux CW, Thielke D and Lingvay I: Effects of once-weekly semaglutide vs once-daily canagliflozin on body composition in type 2 diabetes: A substudy of the SUSTAIN 8 randomised controlled clinical trial. Diabetologia. 63:473–485. 2020.PubMed/NCBI View Article : Google Scholar

41 

O'Neil PM, Birkenfeld AL, McGowan B, Mosenzon O, Pedersen SD, Wharton S, Carson CG, Jepsen CH, Kabisch M and Wilding JPH: Efficacy and safety of semaglutide compared with liraglutide and placebo for weight loss in patients with obesity: A randomised, double-blind, placebo and active controlled, dose-ranging, phase 2 trial. Lancet. 392:637–649. 2018.PubMed/NCBI View Article : Google Scholar

42 

Wilding JPH, Batterham RL, Calanna S, Davies M, Van Gaal LF, Lingvay I, McGowan BM, Rosenstock J, Tran MTD, Wadden TA, et al: Once-weekly semaglutide in adults with overweight or obesity. N Engl J Med. 384:989–1002. 2021.PubMed/NCBI View Article : Google Scholar

43 

U.S. Food and Drug Administration: FDA Approves New Drug Treatment for Chronic Weight Management: First Since 2014. https://www.fda.gov/news-events/press-announcements/fda-approves-new-drug-treatment-chronic-weight-management-first-2014. Accessed June 25, 2021.

44 

Davies M, Færch L, Jeppesen OK, Pakseresht A, Pedersen SD, Perreault L, Rosenstock J, Shimomura I, Viljoen A, Wadden TA, et al: Semaglutide 2·4 mg once a week in adults with overweight or obesity, and type 2 diabetes (STEP 2): A randomised, double-blind, double-dummy, placebo-controlled, phase 3 trial. Lancet. 397:971–984. 2021.PubMed/NCBI View Article : Google Scholar

45 

Wadden TA, Bailey TS, Billings LK, Davies M, Frias JP, Koroleva A, Lingvay I, O'Neil PM, Rubino DM, Skovgaard D, et al: Effect of subcutaneous semaglutide vs placebo as an adjunct to intensive behavioral therapy on body weight in adults with overweight or obesity: The STEP 3 randomized clinical trial. JAMA. 325:1403–1413. 2021.PubMed/NCBI View Article : Google Scholar

46 

Rubino D, Abrahamsson N, Davies M, Hesse D, Greenway FL, Jensen C, Lingvay I, Mosenzon O, Rosenstock J, Rubio MA, et al: Effect of continued weekly subcutaneous semaglutide vs placebo on weight loss maintenance in adults with overweight or obesity: The STEP 4 randomized clinical trial. JAMA. 325:1414–1425. 2021.PubMed/NCBI View Article : Google Scholar

47 

Aroda VR, Rosenstock J, Terauchi Y, Altuntas Y, Lalic NM, Morales Villegas EC, Jeppesen OK, Christiansen E, Hertz CL and Haluzík M: PIONEER 1 Investigators. PIONEER 1: Randomized clinical trial of the efficacy and safety of oral semaglutide monotherapy in comparison with placebo in patients with type 2 diabetes. Diabetes Care. 42:1724–1732. 2019.PubMed/NCBI View Article : Google Scholar

48 

Rodbard HW, Rosenstock J, Canani LH, Deerochanawong C, Gumprecht J, Lindberg SØ, Lingvay I, Søndergaard AL, Treppendahl MB and Montanya E: PIONEER 2 Investigators. Oral semaglutide versus empagliflozin in patients with type 2 diabetes uncontrolled on metformin: The PIONEER 2 trial. Diabetes Care. 42:2272–2281. 2019.PubMed/NCBI View Article : Google Scholar

49 

Pratley R, Amod A, Hoff ST, Kadowaki T, Lingvay I, Nauck M, Pedersen KB, Saugstrup T and Meier JJ: PIONEER 4 investigators. Oral semaglutide versus subcutaneous liraglutide and placebo in type 2 diabetes (PIONEER 4): A randomised, double-blind, phase 3a trial. Lancet. 394:39–50. 2019.PubMed/NCBI View Article : Google Scholar

50 

Yabe D, Nakamura J, Kaneto H, Deenadayalan S, Navarria A, Gislum M and Inagaki N: PIONEER 10 Investigators. Safety and efficacy of oral semaglutide versus dulaglutide in Japanese patients with type 2 diabetes (PIONEER 10): An open-label, randomised, active-controlled, phase 3a trial. Lancet Diabetes Endocrinol. 8:392–406. 2020.PubMed/NCBI View Article : Google Scholar

51 

Marso SP, Bain SC, Consoli A, Eliaschewitz FG, Jódar E, Leiter LA, Lingvay I, Rosenstock J, Seufert J, Warren ML, et al: Semaglutide and cardiovascular outcomes in patients with type 2 diabetes. N Engl J Med. 375:1834–1844. 2016.PubMed/NCBI View Article : Google Scholar

52 

Górriz JL, Soler MJ, Navarro-González JF, García-Carro C, Puchades MJ, D'Marco L, Martínez Castelao A, Fernández-Fernández B, Ortiz A, Górriz-Zambrano C, et al: GLP-1 receptor agonists and diabetic kidney disease: A call of attention to nephrologists. J Clin Med. 9(947)2020.PubMed/NCBI View Article : Google Scholar

53 

Jódar E, Michelsen M, Polonsky W, Réa R, Sandberg A, Vilsbøll T, Warren M, Harring S, Ziegler U and Bain S: Semaglutide improves health-related quality of life versus placebo when added to standard of care in patients with type 2 diabetes at high cardiovascular risk (SUSTAIN 6). Diabetes Obes Metab. 22:1339–1347. 2020.PubMed/NCBI View Article : Google Scholar

54 

Husain M, Birkenfeld AL, Donsmark M, Dungan K, Eliaschewitz FG, Franco DR, Jeppesen OK, Lingvay I, Mosenzon O, Pedersen SD, et al: Oral semaglutide and cardiovascular outcomes in patients with type 2 diabetes. N Engl J Med. 381:841–851. 2019.PubMed/NCBI View Article : Google Scholar

55 

Hardy T, Oakley F, Anstee QM and Day CP: Nonalcoholic fatty liver disease: Pathogenesis and disease spectrum. Annu Rev Pathol. 11:451–496. 2016.PubMed/NCBI View Article : Google Scholar

56 

Non-alcoholic Fatty Liver Disease Study Group. Lonardo A, Bellentani S, Argo CK, Ballestri S, Byrne CD, Caldwell SH, Cortez-Pinto H, Grieco A, Machado MV, et al: Epidemiological modifiers of non-alcoholic fatty liver disease: Focus on high-risk groups. Dig Liver Dis. 47:997–1006. 2015.PubMed/NCBI View Article : Google Scholar

57 

Hazlehurst JM, Woods C, Marjot T, Cobbold JF and Tomlinson JW: Non-alcoholic fatty liver disease and diabetes. Metabolism. 65:1096–1108. 2016.PubMed/NCBI View Article : Google Scholar

58 

Mantovani A, Scorletti E, Mosca A, Alisi A, Byrne CD and Targher G: Complications, morbidity and mortality of nonalcoholic fatty liver disease. Metabolism. 111S(154170)2020.PubMed/NCBI View Article : Google Scholar

59 

Lonardo A, Mantovani A, Lugari S and Targher G: Epidemiology and pathophysiology of the association between NAFLD and metabolically healthy or metabolically unhealthy obesity. Ann Hepatol. 19:359–366. 2020.PubMed/NCBI View Article : Google Scholar

60 

Younossi ZM: Non-alcoholic fatty liver disease-A global public health perspective. J Hepatol. 70:531–544. 2019.PubMed/NCBI View Article : Google Scholar

61 

Tarantino G, Citro V and Capone D: Nonalcoholic fatty liver disease: A challenge from mechanisms to therapy. J Clin Med. 9(15)2019.PubMed/NCBI View Article : Google Scholar

62 

Tarantino G and Balsano C: Gastrointestinal peptides and nonalcoholic fatty liver disease. Curr Opin Endocrinol Diabetes Obes. 27:11–15. 2020.PubMed/NCBI View Article : Google Scholar

63 

Lv X, Dong Y, Hu L, Lu F, Zhou C and Qin S: Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) for the management of nonalcoholic fatty liver disease (NAFLD): A systematic review. Endocrinol Diabetes Metab. 3(e00163)2020.PubMed/NCBI View Article : Google Scholar

64 

Mantovani A, Petracca G, Beatrice G, Csermely A, Lonardo A and Targher G: Glucagon-like peptide-1 receptor agonists for treatment of nonalcoholic fatty liver disease and nonalcoholic steatohepatitis: An updated meta-analysis of randomized controlled trials. Metabolites. 11(73)2021.PubMed/NCBI View Article : Google Scholar

65 

Newsome PN, Buchholtz K, Cusi K, Linder M, Okanoue T, Ratziu V, Sanyal AJ, Sejling AS and Harrison SA: NN9931-4296 Investigators. A placebo-controlled trial of subcutaneous semaglutide in nonalcoholic steatohepatitis. N Engl J Med. 384:1113–1124. 2021.PubMed/NCBI View Article : Google Scholar

66 

European Medicines Agency: Ozempic: summary of product characteristics; 2018. https://www.ema.europa.eu/en/documents/product-information/ozempic-epar-product-information_en.pdf. Accessed April 24, 2021.

67 

Gomez-Peralta F and Abreu C: Profile of semaglutide in the management of type 2 diabetes: Design, development, and place in therapy. Drug Des Devel Ther. 13:731–738. 2019.PubMed/NCBI View Article : Google Scholar

68 

Trujillo JM, Nuffer W and Ellis SL: GLP-1 receptor agonists: A review of head-to-head clinical studies. Ther Adv Endocrinol Metab. 6:19–28. 2015.PubMed/NCBI View Article : Google Scholar

69 

Trujillo JM, Nuffer W and Smith BA: GLP-1 receptor agonists: An updated review of head-to-head clinical studies. Ther Adv Endocrinol Metab. 12(2042018821997320)2021.PubMed/NCBI View Article : Google Scholar

70 

Shi FH, Li H, Cui M, Zhang ZL, Gu ZC and Liu XY: Efficacy and safety of once-weekly semaglutide for the treatment of type 2 diabetes: Protocol for a systematic review and meta-analysis. Medicine (Baltimore). 97(e0420)2018.PubMed/NCBI View Article : Google Scholar

71 

Røder ME: Clinical potential of treatment with semaglutide in type 2 diabetes patients. Drugs Context. 8(212585)2019.PubMed/NCBI View Article : Google Scholar

72 

Bjerre Knudsen L, Madsen LW, Andersen S, Almholt K, de Boer AS, Drucker DJ, Gotfredsen C, Egerod FL, Hegelund AC, Jacobsen H, et al: Glucagon-like Peptide-1 receptor agonists activate rodent thyroid C-cells causing calcitonin release and C-cell proliferation. Endocrinology. 151:1473–1486. 2010.PubMed/NCBI View Article : Google Scholar

73 

Prasad-Reddy L and Isaacs D: A clinical review of GLP-1 receptor agonists: Efficacy and safety in diabetes and beyond. Drugs Context. 4(212283)2015.PubMed/NCBI View Article : Google Scholar

74 

Sfairopoulos D, Liatis S, Tigas S and Liberopoulos E: Clinical pharmacology of glucagon-like peptide-1 receptor agonists. Hormones. 17:333–350. 2018.PubMed/NCBI View Article : Google Scholar

75 

Lando HM, Alattar M and Dua AP: Elevated amylase and lipase levels in patients using glucagonlike peptide-1 receptor agonists or dipeptidyl-peptidase-4 inhibitors in the outpatient setting. Endocr Pract. 18:472–477. 2012.PubMed/NCBI View Article : Google Scholar

76 

Abd El Aziz M, Cahyadi O, Meier JJ, Schmidt WE and Nauck MA: Incretin-based glucose-lowering medications and the risk of acute pancreatitis and malignancies: A meta-analysis based on cardiovascular outcomes trials. Diabetes Obes Metab. 22:699–704. 2020.PubMed/NCBI View Article : Google Scholar

77 

Diabetes Control and Complications Trial Research Group. Nathan DM, Genuth S, Lachin J, Cleary P, Crofford O, Davis M, Rand L and Siebert C: The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med. 329:977–986. 1993.PubMed/NCBI View Article : Google Scholar

78 

Gorman DM, le Roux CW and Docherty NG: The effect of bariatric surgery on diabetic retinopathy: Good, bad, or both? Diabetes Metab J. 40:354–364. 2016.PubMed/NCBI View Article : Google Scholar

79 

American Diabetes Association. 14. management of diabetes in pregnancy: Standards of medical care in diabetes-2021. Diabetes Care. 44 (Suppl 1):S200–S210. 2021.PubMed/NCBI View Article : Google Scholar

80 

Kelly AS, Auerbach P, Barrientos-Perez M, Gies I, Hale PM, Marcus C, Mastrandrea LD, Prabhu N and Arslanian S: NN8022-4180 Trial Investigators. A Randomized, controlled trial of liraglutide for adolescents with obesity. N Engl J Med. 382:2117–2128. 2020.PubMed/NCBI View Article : Google Scholar

81 

Enebo LB, Berthelsen KK, Kankam M, Lund MT, Rubino DM, Satylganova A and Lau DCW: Safety, tolerability, pharmacokinetics, and pharmacodynamics of concomitant administration of multiple doses of cagrilintide with semaglutide 2·4 mg for weight management: A randomised, controlled, phase 1b trial. Lancet. 397:1736–1748. 2021.PubMed/NCBI View Article : Google Scholar

82 

Nauck MA and Quast DR: Cardiovascular safety and benefits of semaglutide in patients with type 2 diabetes: Findings from SUSTAIN 6 and PIONEER 6. Front Endocrinol (Lausanne). 12(645566)2021.PubMed/NCBI View Article : Google Scholar

83 

ClinicalTrials.gov NCT03914326: A heart disease study of semaglutide in patients with type 2 diabetes (SOUL). https://clinicaltrials.gov/ct2/show/NCT03914326. Accessed July 10, 2021.

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Copy and paste a formatted citation
Spandidos Publications style
Tilinca MC, Tiuca RA, Niculas C, Varga A and Tilea I: Future perspectives in diabesity treatment: Semaglutide, a glucagon‑like peptide 1 receptor agonist (Review). Exp Ther Med 22: 1167, 2021.
APA
Tilinca, M.C., Tiuca, R.A., Niculas, C., Varga, A., & Tilea, I. (2021). Future perspectives in diabesity treatment: Semaglutide, a glucagon‑like peptide 1 receptor agonist (Review). Experimental and Therapeutic Medicine, 22, 1167. https://doi.org/10.3892/etm.2021.10601
MLA
Tilinca, M. C., Tiuca, R. A., Niculas, C., Varga, A., Tilea, I."Future perspectives in diabesity treatment: Semaglutide, a glucagon‑like peptide 1 receptor agonist (Review)". Experimental and Therapeutic Medicine 22.4 (2021): 1167.
Chicago
Tilinca, M. C., Tiuca, R. A., Niculas, C., Varga, A., Tilea, I."Future perspectives in diabesity treatment: Semaglutide, a glucagon‑like peptide 1 receptor agonist (Review)". Experimental and Therapeutic Medicine 22, no. 4 (2021): 1167. https://doi.org/10.3892/etm.2021.10601
Copy and paste a formatted citation
x
Spandidos Publications style
Tilinca MC, Tiuca RA, Niculas C, Varga A and Tilea I: Future perspectives in diabesity treatment: Semaglutide, a glucagon‑like peptide 1 receptor agonist (Review). Exp Ther Med 22: 1167, 2021.
APA
Tilinca, M.C., Tiuca, R.A., Niculas, C., Varga, A., & Tilea, I. (2021). Future perspectives in diabesity treatment: Semaglutide, a glucagon‑like peptide 1 receptor agonist (Review). Experimental and Therapeutic Medicine, 22, 1167. https://doi.org/10.3892/etm.2021.10601
MLA
Tilinca, M. C., Tiuca, R. A., Niculas, C., Varga, A., Tilea, I."Future perspectives in diabesity treatment: Semaglutide, a glucagon‑like peptide 1 receptor agonist (Review)". Experimental and Therapeutic Medicine 22.4 (2021): 1167.
Chicago
Tilinca, M. C., Tiuca, R. A., Niculas, C., Varga, A., Tilea, I."Future perspectives in diabesity treatment: Semaglutide, a glucagon‑like peptide 1 receptor agonist (Review)". Experimental and Therapeutic Medicine 22, no. 4 (2021): 1167. https://doi.org/10.3892/etm.2021.10601
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