PMID- 21130506 OWN - NLM STAT- MEDLINE DCOM- 20110509 LR - 20220129 IS - 1873-3735 (Electronic) IS - 0165-6147 (Linking) VI - 32 IP - 1 DP - 2011 Jan TI - Emerging therapies in the treatment of 'diabesity': beyond GLP-1. PG - 8-15 LID - 10.1016/j.tips.2010.10.003 [doi] AB - Bariatric surgery has proven to be an effective means of treating 'diabesity': the combination of type 2 diabetes mellitus (T2DM) and obesity. The effects of surgery go beyond weight loss but reflect a complex alteration in secretion of gut hormones. Finding a pharmaceutical alternative that mimics the benefits of surgery without surgical complications has become the 'holy grail' of the twenty-first century. As knowledge of the multifaceted functions of gut hormones increases, a multitude of drugs that exploit these actions has emerged. In this review, we examine the current understanding of the mechanisms by which bariatric surgery improves diabesity. We also discuss the rapidly emerging role of glucagon-like peptide-1-based treatments as well as the potential for new therapeutics based on other gut hormones (e.g. oxyntomodulin, peptide YY, gastric inhibitory peptide, ghrelin). CI - Copyright A(c) 2010 Elsevier Ltd. All rights reserved. FAU - Tharakan, George AU - Tharakan G AD - Department of Investigative Medicine, Division of Diabetes, Endocrinology and Metabolism, Imperial College London, Sixth Floor, Commonwealth Building, London W12 0HS, UK. FAU - Tan, Tricia AU - Tan T FAU - Bloom, Stephen AU - Bloom S LA - eng GR - G1000474/MRC_/Medical Research Council/United Kingdom GR - G7811974/MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Review DEP - 20101203 PL - England TA - Trends Pharmacol Sci JT - Trends in pharmacological sciences JID - 7906158 RN - 0 (Gastrointestinal Hormones) RN - 0 (Ghrelin) RN - 0 (Receptors, Gastrointestinal Hormone) RN - 0 (Receptors, Ghrelin) SB - IM MH - Animals MH - Bariatric Surgery/adverse effects MH - Diabetes Mellitus, Type 2/*complications/*drug therapy/metabolism/surgery MH - Gastrointestinal Hormones/agonists/antagonists & inhibitors/*metabolism MH - Ghrelin/antagonists & inhibitors/metabolism MH - Humans MH - Molecular Targeted Therapy MH - Obesity/*complications/*drug therapy/metabolism/physiopathology/surgery MH - Receptors, Gastrointestinal Hormone/agonists/antagonists & inhibitors/*metabolism MH - Receptors, Ghrelin/antagonists & inhibitors/metabolism EDAT- 2010/12/07 06:00 MHDA- 2011/05/10 06:00 CRDT- 2010/12/07 06:00 PHST- 2010/09/02 00:00 [received] PHST- 2010/10/25 00:00 [revised] PHST- 2010/10/27 00:00 [accepted] PHST- 2010/12/07 06:00 [entrez] PHST- 2010/12/07 06:00 [pubmed] PHST- 2011/05/10 06:00 [medline] AID - S0165-6147(10)00190-2 [pii] AID - 10.1016/j.tips.2010.10.003 [doi] PST - ppublish SO - Trends Pharmacol Sci. 2011 Jan;32(1):8-15. doi: 10.1016/j.tips.2010.10.003. Epub 2010 Dec 3.