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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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
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author Michael Razavi
Ying-Ying Wei
Xiao-Quan Rao
Ji-Xin Zhong
author_facet Michael Razavi
Ying-Ying Wei
Xiao-Quan Rao
Ji-Xin Zhong
author_sort Michael Razavi
collection DOAJ
description 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.
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spelling doaj.art-d8f3f4f51e8f47c884d0ced18e16a2372022-12-22T02:15:11ZengBMCMilitary Medical Research2054-93692022-08-019111510.1186/s40779-022-00410-2DPP-4 inhibitors and GLP-1RAs: cardiovascular safety and benefitsMichael Razavi0Ying-Ying Wei1Xiao-Quan Rao2Ji-Xin Zhong3Tulane University School of MedicineDepartment of Rheumatology and Immunology, Tongji Hospital, Tongji Medical College of Huazhong University of Science and TechnologyDepartment of Cardiovascular Medicine, Tongji Hospital, Tongji Medical College of Huazhong University of Science and TechnologyDepartment of Rheumatology and Immunology, Tongji Hospital, Tongji Medical College of Huazhong University of Science and TechnologyAbstract 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.https://doi.org/10.1186/s40779-022-00410-2Glucagon-like peptide-1 receptor agonistsDipeptidyl peptidase-4 inhibitorsType 2 diabetes mellitusCardiovascular outcome
spellingShingle Michael Razavi
Ying-Ying Wei
Xiao-Quan Rao
Ji-Xin Zhong
DPP-4 inhibitors and GLP-1RAs: cardiovascular safety and benefits
Military Medical Research
Glucagon-like peptide-1 receptor agonists
Dipeptidyl peptidase-4 inhibitors
Type 2 diabetes mellitus
Cardiovascular outcome
title DPP-4 inhibitors and GLP-1RAs: cardiovascular safety and benefits
title_full DPP-4 inhibitors and GLP-1RAs: cardiovascular safety and benefits
title_fullStr DPP-4 inhibitors and GLP-1RAs: cardiovascular safety and benefits
title_full_unstemmed DPP-4 inhibitors and GLP-1RAs: cardiovascular safety and benefits
title_short DPP-4 inhibitors and GLP-1RAs: cardiovascular safety and benefits
title_sort dpp 4 inhibitors and glp 1ras cardiovascular safety and benefits
topic Glucagon-like peptide-1 receptor agonists
Dipeptidyl peptidase-4 inhibitors
Type 2 diabetes mellitus
Cardiovascular outcome
url https://doi.org/10.1186/s40779-022-00410-2
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