PMID- 25260877 OWN - NLM STAT- MEDLINE DCOM- 20150302 LR - 20181202 IS - 1744-7666 (Electronic) IS - 1465-6566 (Linking) VI - 15 IP - 17 DP - 2014 Dec TI - Therapies for inter-relating diabetes and obesity - GLP-1 and obesity. PG - 2487-500 LID - 10.1517/14656566.2014.965678 [doi] AB - INTRODUCTION: The dramatic rise in the prevalence of obesity and type 2 diabetes mellitus (T2DM) is associated with increased mortality, morbidity as well as public health care expenses worldwide. The need for effective and long-lasting pharmaceutical treatment is obvious. The record of anti-obesity drugs has been poor so far and the only efficient treatment today is bariatric surgery. Research has indicated that appetite inhibiting hormones from the gut may have a therapeutic potential in obesity. The gut incretin hormone, glucagon-like peptide-1 (GLP-1), appears to be involved in both peripheral and central pathways mediating satiety. Clinical trials have shown that two GLP-1 receptor agonists exenatide and liraglutide have a weight-lowering potential in non-diabetic obese individuals. Furthermore, they may also hold a potential in preventing diabetes as compared to other weight loss agents. AREAS COVERED: The purpose of this review is to cover the background for the GLP-1-based therapies and their potential in obesity and pre-diabetes. Up-to-date literature on incretin-based therapies will be summarized with a special mention of their weight-lowering properties. The literature updated to August 2014 from PubMed was identified using the combinations: GLP-1, GLP-1 receptor agonists, incretins, obesity and pre-diabetes. EXPERT OPINION: The incretin impairment, which seems to exist in both obesity and diabetes, may link these two pathologies and underlines the potential of GLP-1-based therapies in the prevention and treatment of these diseases. FAU - Iepsen, Eva W AU - Iepsen EW AD - University of Copenhagen, Department of Biomedical Sciences, Faculty of Health and Medical Sciences , Blegdamsvej 3B, Copenhagen 2200 , Denmark. FAU - Torekov, Signe S AU - Torekov SS FAU - Holst, Jens J AU - Holst JJ LA - eng PT - Journal Article PT - Review DEP - 20140926 PL - England TA - Expert Opin Pharmacother JT - Expert opinion on pharmacotherapy JID - 100897346 RN - 0 (Anti-Obesity Agents) RN - 0 (GLP1R protein, human) RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Hypoglycemic Agents) RN - 0 (Incretins) RN - 0 (Peptides) RN - 0 (Receptors, Glucagon) RN - 0 (Venoms) RN - 839I73S42A (Liraglutide) RN - 89750-14-1 (Glucagon-Like Peptide 1) RN - 9P1872D4OL (Exenatide) SB - IM EIN - Expert Opin Pharmacother. 2015 Jan;16(1):147. PMID: 25490726 MH - Anti-Obesity Agents/*therapeutic use MH - Appetite/physiology MH - Diabetes Mellitus, Type 2/*drug therapy/metabolism/prevention & control MH - Exenatide MH - Glucagon-Like Peptide 1/analogs & derivatives/*metabolism/therapeutic use MH - Glucagon-Like Peptide-1 Receptor MH - Humans MH - Hypoglycemic Agents/*therapeutic use MH - Incretins/metabolism MH - Liraglutide MH - Obesity/*drug therapy/metabolism MH - Peptides/therapeutic use MH - Prediabetic State/drug therapy/metabolism MH - Receptors, Glucagon/*agonists MH - Venoms/therapeutic use OTO - NOTNLM OT - glucagon-like peptide 1 OT - glucagon-like peptide 1 receptor agonists OT - incretins OT - obesity OT - pre-diabetes OT - type 2 diabetes mellitus EDAT- 2014/09/28 06:00 MHDA- 2015/03/03 06:00 CRDT- 2014/09/28 06:00 PHST- 2014/09/28 06:00 [entrez] PHST- 2014/09/28 06:00 [pubmed] PHST- 2015/03/03 06:00 [medline] AID - 10.1517/14656566.2014.965678 [doi] PST - ppublish SO - Expert Opin Pharmacother. 2014 Dec;15(17):2487-500. doi: 10.1517/14656566.2014.965678. Epub 2014 Sep 26.