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Tirzepatide protects against doxorubicin-induced cardiotoxicity by inhibiting oxidative stress and inflammation via PI3K/Akt signaling 替扎帕肽通过 PI3K/Akt 信号转导抑制氧化应激和炎症,从而防止多柔比星诱发的心脏毒性
IF 3 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-05-25 DOI: 10.1016/j.peptides.2024.171245
Ling Chen , Xi Chen , Bing Ruan , Hongjie Yang , Yang Yu

Background

Doxorubicin (DOX) is a highly effective and widely used cytotoxic agent with application for various malignancies, but it’s clinically limited due to its cardiotoxicity Oxidative stress and inflammation were reported to take part in DOX-induced cardiotoxicity. Tirzepatide, a dual glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP) receptor agonist has been approved to treat type 2 diabetes. However, its role in DOX-induced cardiotoxicity and the underlying mechanisms has not been explored.

Methods

The cardioprotective properties of Tirzepatide against DOX-induced cardiotoxicity are examined in this work both in vivo and in vitro. For four weeks, an intraperitoneal injection of 4 mg/kg DOX was used to cause cardiotoxicity in C57BL/6 mice. To ascertain the cardioprotective function and underlying mechanisms of Tirzepatide against DOX-induced cardiotoxicity, mice and H9c2 cells were treated with and without Tirzepatide.

Results

Tirzepatide treatment significantly inhibited DOX-induced oxidative stress, inflammation and cardiac injury. Mechanistically, PI3K/Akt signaling pathway contributes to the protective effect of Tirzepatide against DOX-induced cardiotoxicity and inhibited PI3K/Akt signaling pathway with LY294002 almost blocked its therapeutic effect.

Conclusions

Collectively, Tirzepatide could alleviate DOX-induced oxidative stress, inflammation and cardiac injury via activating PI3K/Akt signaling pathway and Tirzepatide may be a novel therapeutic target for DOX-induced cardiotoxicity.

背景多柔比星(Doxorubicin,DOX)是一种高效且应用广泛的细胞毒性药物,可用于多种恶性肿瘤,但由于其心脏毒性,临床应用受到限制。替扎帕肽是一种胰高血糖素样肽-1(GLP-1)和葡萄糖依赖性促胰岛素多肽(GIP)双受体激动剂,已被批准用于治疗 2 型糖尿病。本研究在体内和体外研究了替哌肽对 DOX 引起的心脏毒性的保护作用。连续四周向 C57BL/6 小鼠腹腔注射 4 mg/kg DOX,使其产生心脏毒性。为了确定替扎帕肽对 DOX 引起的心脏毒性的心脏保护功能和潜在机制,小鼠和 H9c2 细胞分别接受了替扎帕肽治疗和未接受替扎帕肽治疗。从机理上讲,PI3K/Akt 信号通路是替哌肽对 DOX 引起的心脏毒性具有保护作用的原因,而用 LY294002 抑制 PI3K/Akt 信号通路几乎阻断了替哌肽的治疗作用。
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引用次数: 0
The impact of GLP-1 signalling on the energy metabolism of pancreatic islet β-cells and extrapancreatic tissues GLP-1 信号对胰岛β细胞和胰腺外组织能量代谢的影响
IF 3 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-05-22 DOI: 10.1016/j.peptides.2024.171243
Leah A. Peart, Matthew Draper, Andrei I. Tarasov

Glucagon-like peptide-1 signalling impacts glucose homeostasis and appetite thereby indirectly affecting substrate availability at the whole-body level. The incretin canonically produces an insulinotropic effect, thereby lowering blood glucose levels by promoting the uptake and inhibiting the production of the sugar by peripheral tissues. Likewise, GLP-1 signalling within the central nervous system reduces the appetite and food intake, whereas its gastric effect delays the absorption of nutrients, thus improving glycaemic control and reducing the risk of postprandial hyperglycaemia. We review the molecular aspects of the GLP-1 signalling, focusing on its impact on intracellular energy metabolism. Whilst the incretin exerts its effects predominantly via a Gs receptor, which decodes the incretin signal into the elevation of intracellular cAMP levels, the downstream signalling cascades within the cell, acting on fast and slow timescales, resulting in an enhancement or an attenuation of glucose catabolism, respectively.

胰高血糖素样肽-1 信号影响葡萄糖稳态和食欲,从而间接影响全身的底物供应。增量素会产生促胰岛素效应,从而通过促进外周组织摄取和抑制糖的产生来降低血糖水平。同样,GLP-1 在中枢神经系统内的信号传导可降低食欲和食物摄入量,而其胃作用可延缓营养物质的吸收,从而改善血糖控制并降低餐后高血糖的风险。我们回顾了 GLP-1 信号的分子方面,重点是其对细胞内能量代谢的影响。增量蛋白主要通过 Gs 受体发挥其作用,Gs 受体将增量蛋白信号解码为细胞内 cAMP 水平的升高,细胞内的下游信号级联以快和慢的时间尺度发挥作用,分别导致葡萄糖分解代谢的增强或减弱。
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引用次数: 0
Gluco-metabolic response to exogenous oxytocin in totally pancreatectomized patients and healthy individuals 完全胰腺切除术患者和健康个体对体外催产素的糖代谢反应。
IF 3 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-05-22 DOI: 10.1016/j.peptides.2024.171242
Vivian Kliim-Hansen , Ida M. Gether , Caroline T.-B. Juel , Anne-Marie Ellegaard , Miriam G. Pedersen , Bolette Hartmann , Nicolai J. Wewer Albrechtsen , Jens J. Holst , Asger B. Lund , Lærke S. Gasbjerg , Filip K. Knop

Oxytocin has been proposed to possess glucose-stabilizing effects through the release of insulin and glucagon from the pancreas. Also, exogenous oxytocin has been shown to stimulate extrapancreatic glucagon secretion in depancreatized dogs. Here, we investigated the effect of exogenous oxytocin on circulating levels of pancreatic and gut-derived glucose-stabilizing hormones (insulin [measured as C-peptide], glucagon, glucagon-like peptide 1 [GLP-1], and glucose-dependent insulinotropic polypeptide). We studied nine pancreatectomized (PX) patients and nine healthy controls (CTRLs) (matched on age and body mass index) before, during, and after an intravenous infusion of 10 IU of oxytocin administered over 12 min. Oxytocin did not increase plasma glucagon levels, nor induce any changes in plasma glucose, C-peptide, or GIP in any of the groups. Oxytocin decreased plasma glucagon levels by 19 ± 10 % in CTRLs (from 2.0 ± 0.5 [mean ± SEM] to 1.3 ± 0.2 pmol/l, P = 0.0025) and increased GLP-1 by 42 ± 22 % in PX patients (from 9.0 ± 1.0–12.7 ± 1.0 pmol/l, P = 0.0003). Fasting plasma glucose levels were higher in PX patients compared with CTRLs (13.1 ± 1.1 vs. 5.1 ± 0.1 mmol/l, P < 0.0001). In conclusion, the present findings do not support pancreas-mediated glucose-stabilizing effects of acute oxytocin administration in humans and warrant further investigation of oxytocin’s gluco-metabolic effects.

催产素被认为可通过从胰腺释放胰岛素和胰高血糖素来起到稳定血糖的作用。此外,外源性催产素还能刺激去势犬胰腺外胰高血糖素的分泌。在此,我们研究了外源性催产素对循环中胰腺和肠道来源的葡萄糖稳定激素(胰岛素 [以 C 肽衡量]、胰高血糖素、胰高血糖素样肽 1 [GLP-1] 和葡萄糖依赖性促胰岛素多肽)水平的影响。我们研究了九名胰腺切除术(PX)患者和九名健康对照组(CTRLs)(年龄和体重指数相匹配)在 12 分钟内静脉注射 10 IU 催产素之前、期间和之后的情况。催产素不会增加血浆胰高血糖素水平,也不会引起血浆葡萄糖、C 肽或 GIP 的任何变化。催产素使 CTRL 患者的血浆胰高血糖素水平降低了 19 ± 10%(从 2.0 ± 0.5 [mean ± SEM] 降至 1.3 ± 0.2 pmol/l,P = 0.0025),使 PX 患者的 GLP-1 水平升高了 42 ± 22%(从 9.0 ± 1.0 升至 12.7 ± 1.0 pmol/l,P = 0.0003)。与 CTRLs 相比,PX 患者的空腹血浆葡萄糖水平更高(13.1 ± 1.1 vs. 5.1 ± 0.1mmol/l,P < 0.0001)。总之,目前的研究结果并不支持人体急性注射催产素后胰腺介导的葡萄糖稳定作用,因此有必要进一步研究催产素的葡萄糖代谢作用。试验注册 ClinicalTrials.gov NCT02944110。
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引用次数: 0
Involvement of relaxin-family peptide-3 receptor (RXFP3) in the ventral dentate gyrus of the hippocampus in spatial and fear memory in rats 海马腹侧齿状回中的弛缓素家族肽-3受体(RXFP3)参与大鼠的空间记忆和恐惧记忆
IF 3 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-05-22 DOI: 10.1016/j.peptides.2024.171244
Zohreh Vafaei , Fariba Khodagholi , Mohsen Nategh , Sara Nikseresht , Seyed Reza Hashemirad , Payman Raise-Abdullahi , Abbas Ali Vafaei , Fereshteh Motamedi

The neuropeptide relaxin-3 and its cognate receptor, relaxin family peptide-3 receptors (RXFP3), have been implicated in modulating learning and memory processes, but their specific roles remain unclear. This study utilized behavioral and molecular approaches to investigate the effects of putatively reversible blockade of RXFP3 in the ventral dentate gyrus (vDG) of the hippocampus on spatial and fear memory formation in rats. Male Wistar rats received bilateral vDG cannula implantation and injections of the RXFP3 antagonist, R3(BΔ23–27)R/I5 (400 ng/0.5 μL per side), or vehicle at specific time points before acquisition, consolidation, or retrieval phases of the Morris water maze and passive avoidance learning tasks. RXFP3 inhibition impaired acquisition in the passive avoidance task but not the spatial learning task. However, both memory consolidation and retrieval were disrupted in both tasks following RXFP3 antagonism. Ventral hippocampal levels of the consolidation-related kinase p70-S6 kinase (p70S6K) were reduced RXFP3 blockade. These findings highlight a key role for ventral hippocampal RXFP3 signaling in the acquisition, consolidation, and retrieval of spatial and emotional memories, extending previous work implicating this neuropeptide system in hippocampal memory processing.

神经肽松弛素-3及其同源受体松弛素家族肽-3受体(RXFP3)被认为与学习和记忆过程的调节有关,但它们的具体作用仍不清楚。本研究利用行为和分子方法研究了在海马腹侧齿状回(vDG)中可逆阻断 RXFP3 对大鼠空间记忆和恐惧记忆形成的影响。雄性 Wistar 大鼠在莫里斯水迷宫和被动回避学习任务的获得、巩固或检索阶段之前的特定时间点接受了双侧 vDG 插管植入和 RXFP3 拮抗剂 R3(BΔ23-27)R/I5 (每侧 400 ng/0.5 μL)或药物注射。抑制 RXFP3 会影响被动回避任务的获得,但不会影响空间学习任务。然而,在RXFP3拮抗后,这两项任务中的记忆巩固和检索都受到了干扰。RXFP3阻断后,巩固相关激酶p70-S6激酶(p70S6K)在海马腹侧的水平降低。这些发现突显了腹侧海马 RXFP3 信号在空间记忆和情感记忆的获得、巩固和检索中的关键作用,扩展了之前关于该神经肽系统与海马记忆处理有关的研究。
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引用次数: 0
Corrigendum to “Liraglutide inhibited AGEs induced coronary smooth muscle cell phenotypic transition through inhibiting the NF-κB signal pathway” [Peptides 112 (2019) 125–132] 更正:"利拉鲁肽通过抑制NF-κB信号通路抑制AGEs诱导的冠状动脉平滑肌细胞表型转变" [Peptides 112 (2019) 125-132]。
IF 3 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-05-18 DOI: 10.1016/j.peptides.2024.171241
Beibing Di, Hong-Wei Li, Weiping Li, Bing Hua
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引用次数: 0
Intraperitoneal administration of arginine vasotocin (AVT) induces anorexigenic and anxiogenic actions via the brain V1a receptor-signaling pathway in the tiger puffer, Takifugu rubripes 腹腔注射精氨酸血管收缩素(AVT)可通过脑V1a受体信号通路诱导虎河豚产生厌食和焦虑作用。
IF 3 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-05-07 DOI: 10.1016/j.peptides.2024.171239
Ryo Nagamine , Norifumi Konno , Tomoya Nakamachi , Hajime Matsubara , Kouhei Matsuda

Arginine vasotocin (AVT) is produced mainly in the hypothalamus and as a neurohypophyseal hormone peripherally regulates water-mineral balance in sub-mammals. In addition, AVT-containing neurons innervate several areas of the brain, and AVT also acts centrally as both an anorexigenic and anxiogenic factor in goldfish. However, it is unclear whether these central effects operate in fish in general. In the present study, therefore, we investigated AVT-like immunoreactivity in the brain of the tiger puffer, a cultured fish with a high market value in Japan and also a representative marine teleost species, focusing particularly on whether AVT affects food intake and psychomotor activity. AVT-like immunoreactivity was distributed higher in the ventral region of the telencephalon, the hypothalamus and midbrain. Intraperitoneal (IP) administration of AVT at 100 pmol g−1 body weight (BW) increased the immunoreactivity of phosphorylated ribosomal proteinS6 (RPS6), a neuronal activation marker, in the telencephalon and diencephalon, decreased food consumption and enhanced thigmotaxis. AVT-induced anorexigenic and anxiogenic actions were blocked by IP co-injection of a V1a receptor (V1aR) antagonist, Manning compound (MC) at 300 pmol g−1 BW. These results suggest that AVT acts as an anorexigenic and anxiogenic factor via the V1aR-signaling pathway in the tiger puffer brain.

精氨酸血管收缩素(AVT)主要产生于下丘脑,作为一种神经下丘脑激素,它在外周调节亚哺乳动物体内的水矿物质平衡。此外,含 AVT 的神经元支配着大脑的多个区域,AVT 在金鱼体内还作为厌食和焦虑因子发挥中枢作用。然而,目前还不清楚这些中枢效应是否在鱼类中普遍存在。因此,在本研究中,我们调查了虎河豚(一种在日本具有很高市场价值的养殖鱼类,也是一种具有代表性的海洋远摄性鱼类)大脑中的 AVT 类免疫反应,尤其关注 AVT 是否会影响食物摄入量和精神运动活动。AVT类免疫反应主要分布在端脑腹侧区域、下丘脑和中脑。腹腔注射 100 pmol g-1 体重(BW)的 AVT 会增加端脑和间脑中磷酸化核糖体蛋白 S6(RPS6)(一种神经元活化标记物)的免疫反应性,减少食物摄入量并增强滞后性。在 IP 上同时注射 300 pmol g-1 BW 的 V1a 受体(V1aR)拮抗剂 Manning 复合物(MC)可阻断 AVT 诱导的厌食和焦虑作用。这些结果表明,AVT在虎河豚脑中通过V1aR信号通路发挥厌食和致焦虑因子的作用。
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引用次数: 0
Glucagon-like Peptide 1 Receptor Agonist use and the effect on diabetic retinopathy: An uncertain relationship 胰高血糖素样肽 1 受体激动剂的使用与糖尿病视网膜病变的影响:不确定的关系
IF 3 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-05-03 DOI: 10.1016/j.peptides.2024.171240
Benjamin T.K. Hui , Jian Lee Yeong , Tunde Peto , Colin E. Willoughby

Glucagon-like Peptide 1 Receptor Agonists (GLP-1 RAs) are a group of relatively novel medications for the treatment of diabetes mellitus. These medications can mimic the naturally occurring incretins of the body, which promote the release of insulin in response to hyperglycaemia. The anti-glycaemic effects of these medications can be profound and carry other metabolic benefits such as promoting weight loss. Clinical trials have shown GLP-1 RAs are safe to use from a cardiovascular perspective. However, some trials have suggested a link between GLP-1 RA use and worsening diabetic retinopathy. The conclusions surrounding this link are poorly established as data is drawn primarily from cardiovascular outcome trials. If an association does exist, a possible explanation might be the observed phenomenon of early worsening diabetic retinopathy with rapid correction of hyperglycaemic states. Trials which look at diabetic retinopathy as a primary outcome in relation to use of GLP-1 RAs are sparse and warrant investigation given the growing use of this group of medications. Therefore currently, it is uncertain what effect, beneficial or adverse, GLP-1 RA use has on diabetic retinopathy. This article provides an overview of GLP-1 RA use as a treatment for diabetes mellitus and the current understanding of their relationship with diabetic retinopathy.

胰高血糖素样肽 1 受体激动剂(GLP-1 RAs)是一组治疗糖尿病的相对新型药物。这些药物可以模拟人体自然产生的胰岛素增量蛋白,从而促进胰岛素的释放,以应对高血糖。这些药物的抗血糖效果非常明显,还能带来其他代谢方面的益处,如促进减肥。临床试验表明,从心血管角度来看,使用 GLP-1 RAs 是安全的。然而,一些试验表明,使用 GLP-1 RA 与糖尿病视网膜病变恶化之间存在联系。由于数据主要来自心血管结果试验,因此围绕这种联系的结论尚不明确。如果确实存在关联,一个可能的解释可能是观察到的糖尿病视网膜病变早期恶化现象与快速纠正高血糖状态有关。将糖尿病视网膜病变作为与使用 GLP-1 RAs 有关的主要结果的试验很少,鉴于这类药物的使用越来越多,值得进行调查。因此,目前还不能确定使用 GLP-1 RA 对糖尿病视网膜病变有什么影响,是有益还是有害。本文概述了 GLP-1 RA 作为糖尿病治疗药物的使用情况,以及目前对其与糖尿病视网膜病变关系的认识。
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引用次数: 0
Oxytocin transported from the blood across the blood-brain barrier by receptor for advanced glycation end-products (RAGE) affects brain function related to social behavior 通过高级糖化终产物受体(RAGE)从血液中运送通过血脑屏障的催产素会影响与社交行为相关的大脑功能
IF 3 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-04-26 DOI: 10.1016/j.peptides.2024.171230
Haruhiro Higashida , Yu Oshima , Yasuhiko Yamamoto

Oxytocin (OT) is a neuropeptide that primarily functions as a hormone controlling female reproductive processes. Since numerous recent studies have shown that single and repetitive administrations of OT increase trust, social interaction, and maternal behaviors in humans and animals, OT is considered a key molecule that regulates social memory and behavior. Furthermore, OT binds to receptors for advanced glycation end-products (RAGE), and it has been demonstrated that loss of RAGE in the brain vascular endothelial cells of mice fails to increase brain OT concentrations following peripheral OT administration. This leads to the hypothesis that RAGE is involved in the direct transport of OT, allowing it access to the brain by transporting it across the blood–brain barrier; however, this hypothesis is only based on limited evidence. Herein, we review the recent results related to this hypothesis, such as the mode of transport of OT in the blood circulation to the brain via different forms of RAGE, including membrane-bound full-length RAGE and soluble RAGE. We further review the modulation of brain function and social behavior, which seem to be mediated by RAGE-dependent OT. Overall, this review mostly confirms that RAGE enables the recruitment of circulating OT to the brain, thereby influencing social behavior. The requirement for further studies considering the physiological aspects of RAGE is also discussed.

催产素(OT)是一种神经肽,主要功能是控制女性的生殖过程。最近的大量研究表明,单次或重复注射催产素可增加人类和动物的信任、社会互动和母性行为,因此催产素被认为是调节社会记忆和行为的关键分子。此外,OT 与高级糖化终产物受体(RAGE)结合,有研究表明,小鼠脑血管内皮细胞中 RAGE 的缺失无法增加外周给药 OT 后的脑 OT 浓度。这导致了一种假设,即 RAGE 参与了 OT 的直接转运,使其能够通过血脑屏障转运进入大脑;然而,这种假设仅基于有限的证据。在此,我们回顾了与这一假说相关的最新研究成果,如 OT 在血液循环中通过不同形式的 RAGE(包括膜结合型全长 RAGE 和可溶性 RAGE)转运至大脑的模式。我们进一步回顾了大脑功能和社会行为的调节,这些似乎都是由依赖于 RAGE 的 OT 介导的。总之,这篇综述主要证实了 RAGE 能够将循环中的 OT 招募到大脑,从而影响社交行为。此外,还讨论了进一步研究 RAGE 生理方面的要求。
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引用次数: 0
Arginine vasopressin: Critical regulator of circadian homeostasis 精氨酸加压素昼夜节律平衡的关键调节器
IF 3 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-04-23 DOI: 10.1016/j.peptides.2024.171229
Yoshiaki Yamaguchi

Circadian rhythms optimally regulate numerous physiological processes in an organism and synchronize them with the external environment. The suprachiasmatic nucleus (SCN), the center of the circadian clock in mammals, is composed of multiple cell types that form a network that provides the basis for the remarkable stability of the circadian clock. Among the neuropeptides expressed in the SCN, arginine vasopressin (AVP) has attracted much attention because of its deep involvement in the function of circadian rhythms, as elucidated in particular by studies using genetically engineered mice. This review briefly summarizes the current knowledge on the peptidergic distribution and topographic neuronal organization in the SCN, the molecular mechanisms of the clock genes, and the relationship between the SCN and peripheral clocks. With respect to the physiological roles of AVP and AVP-expressing neurons, in addition to a sex-dependent action of AVP in the SCN, studies using AVP receptor knockout mice and mice genetically manipulated to alter the clock properties of AVP neurons are summarized here, highlighting its importance in maintaining circadian homeostasis and its potential as a target for therapeutic interventions.

昼夜节律能以最佳方式调节生物体内的许多生理过程,并使其与外部环境同步。上丘脑核(SCN)是哺乳动物昼夜节律钟的中心,由多种细胞类型组成的网络为昼夜节律钟的显著稳定性奠定了基础。在 SCN 中表达的神经肽中,精氨酸血管加压素(AVP)备受关注,因为它深度参与了昼夜节律的功能,利用基因工程小鼠进行的研究尤其阐明了这一点。本综述简要总结了目前有关肽能分布和 SCN 神经元拓扑组织、时钟基因的分子机制以及 SCN 与外周时钟之间关系的知识。关于 AVP 和 AVP 表达神经元的生理作用,除了 AVP 在 SCN 中的作用具有性别依赖性外,本文还总结了利用 AVP 受体基因敲除小鼠和通过基因操作改变 AVP 神经元时钟特性的小鼠进行的研究,强调了 AVP 在维持昼夜节律平衡中的重要性及其作为治疗干预靶点的潜力。
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引用次数: 0
Gut hormone analogues and skeletal health in diabetes and obesity: Evidence from preclinical models 肠道激素类似物与糖尿病和肥胖症患者的骨骼健康:来自临床前模型的证据
IF 3 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-04-23 DOI: 10.1016/j.peptides.2024.171228
Guillaume Mabilleau , Béatrice Bouvard

Diabetes mellitus and obesity are rapidly growing worldwide. Aside from metabolic disturbances, these two disorders also affect bone with a higher prevalence of bone fractures. In the last decade, a growing body of evidence suggested that several gut hormones, including ghrelin, gastrin, glucose-dependent insulinotropic polypeptide (GIP), glucagon, and glucagon-like peptide-1 and 2 (GLP-1 and GLP-2, respectively) may affect bone physiology. Several gut hormone analogues have been developed for the treatment of type 2 diabetes and obesity, and could represent a new alternative in the therapeutic arsenal against bone fragility. In the present review, a summary of the physiological roles of these gut hormones and their analogues is presented at the cellular level but also in several preclinical models of bone fragility disorders including type 2 diabetes mellitus, especially on bone mineral density, microarchitecture and bone material properties. The present review also summarizes the impact of GLP-1 receptor agonists approved for the treatment of type 2 diabetes mellitus and the more recent dual or triple analogue on bone physiology and strength.

糖尿病和肥胖症在全球范围内迅速增长。除了新陈代谢紊乱外,这两种疾病还会影响骨骼,导致骨折发生率升高。近十年来,越来越多的证据表明,一些肠道激素,包括胃泌素、胃泌素、葡萄糖依赖性促胰岛素多肽(GIP)、胰高血糖素、胰高血糖素样肽-1 和 2(分别为 GLP-1 和 GLP-2)可能会影响骨生理。目前已开发出几种肠道激素类似物,用于治疗 2 型糖尿病和肥胖症,它们可能是治疗骨质脆弱的新选择。本综述总结了这些肠道激素及其类似物在细胞水平上的生理作用,以及在包括 2 型糖尿病在内的几种骨脆性疾病临床前模型中的生理作用,尤其是对骨矿物质密度、微结构和骨材料特性的影响。本综述还总结了已获批准用于治疗 2 型糖尿病的 GLP-1 受体激动剂和最新的双重或三重类似物对骨生理学和骨强度的影响。
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