» Articles » PMID: 35005028

The Impact of Incretin-Based Medications on Lipid Metabolism

Overview
Journal J Diabetes Res
Publisher Wiley
Specialty Endocrinology
Date 2022 Jan 10
PMID 35005028
Authors
Affiliations
Soon will be listed here.
Abstract

Pathophysiological pathways that are induced by chronic hyperglycemia negatively impact lipid metabolism. Thus, diabetes is commonly accompanied by varying degrees of dyslipidemia which is itself a major risk factor for further macro- and microvascular diabetes complications such as atherosclerosis and nephropathy. Therefore, normalizing lipid metabolism is an attractive goal for therapy in patients with diabetes. Incretin-based medications are a novel group of antidiabetic agents with potent hypoglycemic effects. While the impact of incretins on glucose metabolism is clear, recent evidence indicates their positive modulatory roles on various aspects of lipid metabolism. Therefore, incretins may offer additional beneficial effects beyond that of glucose normalization. In the current review, how these antidiabetic medications can regulate lipid homeostasis and the possible cellular pathways involved are discussed, incorporating related clinical evidence about incretin effects on lipid homeostasis.

Citing Articles

Interplay of fatty acids, insulin and exercise in vascular health.

Anderson K, Liu J, Liu Z Lipids Health Dis. 2025; 24(1):4.

PMID: 39773723 PMC: 11706162. DOI: 10.1186/s12944-024-02421-5.


Adipocyte inflammation is the primary driver of hepatic insulin resistance in a human iPSC-based microphysiological system.

Qi L, Groeger M, Sharma A, Goswami I, Chen E, Zhong F Nat Commun. 2024; 15(1):7991.

PMID: 39266553 PMC: 11393072. DOI: 10.1038/s41467-024-52258-w.


Lipid regulation of the glucagon receptor family.

Oqua A, Manchanda Y, McGlone E, Jones B, Rouse S, Tomas A J Endocrinol. 2024; 261(3).

PMID: 38614123 PMC: 11103681. DOI: 10.1530/JOE-23-0335.


Anti-inflammatory benefits of semaglutide: State of the art.

Yaribeygi H, Maleki M, Jamialahmadi T, Sahebkar A J Clin Transl Endocrinol. 2024; 36:100340.

PMID: 38576822 PMC: 10992717. DOI: 10.1016/j.jcte.2024.100340.


Transforming Diabetes Care: The Molecular Pathways through Which GLP1-RAs Impact the Kidneys in Diabetic Kidney Disease.

Rroji M, Spasovski G Biomedicines. 2024; 12(3).

PMID: 38540270 PMC: 10967743. DOI: 10.3390/biomedicines12030657.


References
1.
Athyros V, Doumas M, Imprialos K, Stavropoulos K, Georgianou E, Katsimardou A . Diabetes and lipid metabolism. Hormones (Athens). 2018; 17(1):61-67. DOI: 10.1007/s42000-018-0014-8. View

2.
Yaribeygi H, Maleki M, Sathyapalan T, Jamialahmadi T, Sahebkar A . Anti-inflammatory potentials of incretin-based therapies used in the management of diabetes. Life Sci. 2019; 241:117152. DOI: 10.1016/j.lfs.2019.117152. View

3.
Xu F, Lin B, Zheng X, Chen Z, Cao H, Xu H . GLP-1 receptor agonist promotes brown remodelling in mouse white adipose tissue through SIRT1. Diabetologia. 2016; 59(5):1059-69. DOI: 10.1007/s00125-016-3896-5. View

4.
Lando H, Alattar M, Dua A . Elevated amylase and lipase levels in patients using glucagonlike peptide-1 receptor agonists or dipeptidyl-peptidase-4 inhibitors in the outpatient setting. Endocr Pract. 2012; 18(4):472-7. DOI: 10.4158/EP11290.OR. View

5.
Wang Y, Viscarra J, Kim S, Sul H . Transcriptional regulation of hepatic lipogenesis. Nat Rev Mol Cell Biol. 2015; 16(11):678-89. PMC: 4884795. DOI: 10.1038/nrm4074. View