DPP-4 inhibitors and GLP-1RAs: cardiovascular safety and benefits

Abstract Glucagon-like peptide-1 receptor agonists and dipeptidyl peptidase-4 inhibitors are commonly used treatments for patients with type 2 diabetes mellitus (T2DM). Both anti-diabetic treatments function by playing key modulatory roles in the incretin system. Though these drugs have been deemed...

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Bibliographic Details
Main Authors: Michael Razavi, Ying-Ying Wei, Xiao-Quan Rao, Ji-Xin Zhong
Format: Article
Language:English
Published: BMC 2022-08-01
Series:Military Medical Research
Subjects:
Online Access:https://doi.org/10.1186/s40779-022-00410-2
Description
Summary:Abstract Glucagon-like peptide-1 receptor agonists and dipeptidyl peptidase-4 inhibitors are commonly used treatments for patients with type 2 diabetes mellitus (T2DM). Both anti-diabetic treatments function by playing key modulatory roles in the incretin system. Though these drugs have been deemed effective in treating T2DM, the Food and Drug Administration (FDA) and some members of the scientific community have questioned the safety of these therapeutics relative to important cardiovascular endpoints. As a result, since 2008, the FDA has required all new drugs for glycemic control in T2DM patients to demonstrate cardiovascular safety. The present review article strives to assess the safety and benefits of incretin-based therapy, a new class of antidiabetic drug, on the health of patient cardiovascular systems. In the process, this review will also provide a physiological overview of the incretin system and how key components function in T2DM.
ISSN:2054-9369