PMID- 29778663 OWN - NLM STAT- MEDLINE DCOM- 20181211 LR - 20201216 IS - 0925-4439 (Print) IS - 0925-4439 (Linking) VI - 1864 IP - 9 Pt B DP - 2018 Sep TI - GLP-1 receptor agonists and reduction of cardiometabolic risk: Potential underlying mechanisms. PG - 2814-2821 LID - S0925-4439(18)30182-0 [pii] LID - 10.1016/j.bbadis.2018.05.012 [doi] AB - Type 2 diabetes mellitus (T2DM) is a metabolic condition with an elevated impact on cardiovascular (CV) risk. The innovative therapeutic approaches for T2DM - incretin-based therapies (IBTs), including glucagon-like peptide 1 (GLP-1) receptor agonists, have become popular and more widely used in recent years. The available scientific data from clinical studies and clinical practice highlights their beyond glucose-lowering effects, which is achieved without any increase in hypoglycaemia. The former effects include reduction in body weight, lipids, blood pressure, inflammatory markers, oxidative stress, endothelial dysfunction, and subclinical atherosclerosis, thus reducing and potentially preventing CV events. In fact, the introduction of IBTs is one of the key moments in the history of diabetes research and treatment. Such therapeutic strategies allow customization of antidiabetic treatment to each patient's need and therefore obtain better metabolic control with reduced CV risk. The aim of the present paper is to provide a comprehensive overview of the effects of GLP-1RA on various cardiometabolic markers and overall CV risk, with particular attention on recent CV outcome studies and potential mechanisms. In particular, the effects of liraglutide on formation and progression of atherosclerotic plaque and mechanisms explaining its cardioprotective effects are highlighted. CI - Copyright (c) 2018 Elsevier B.V. All rights reserved. FAU - Rizzo, Manfredi AU - Rizzo M AD - Biomedical Department of Internal Medicine and Medical Specialties, University of Palermo, 90127 Palermo, Italy; Division of Endocrinology, Diabetes and Metabolism, University of South Carolina School of Medicine, Columbia 29203, SC, USA. Electronic address: manfredi.rizzo@unipa.it. FAU - Nikolic, Dragana AU - Nikolic D AD - Biomedical Department of Internal Medicine and Medical Specialties, University of Palermo, 90127 Palermo, Italy. FAU - Patti, Angelo Maria AU - Patti AM AD - Biomedical Department of Internal Medicine and Medical Specialties, University of Palermo, 90127 Palermo, Italy. FAU - Mannina, Carlo AU - Mannina C AD - Biomedical Department of Internal Medicine and Medical Specialties, University of Palermo, 90127 Palermo, Italy. FAU - Montalto, Giuseppe AU - Montalto G AD - Biomedical Department of Internal Medicine and Medical Specialties, University of Palermo, 90127 Palermo, Italy. Electronic address: giuseppe.montalto@unipa.it. FAU - McAdams, Brooke S AU - McAdams BS AD - Division of Endocrinology, Diabetes and Metabolism, University of South Carolina School of Medicine, Columbia 29203, SC, USA. FAU - Rizvi, Ali A AU - Rizvi AA AD - Division of Endocrinology, Diabetes and Metabolism, University of South Carolina School of Medicine, Columbia 29203, SC, USA. Electronic address: ali.rizvi@uscmed.sc.edu. FAU - Cosentino, Francesco AU - Cosentino F AD - Unit of Cardiology, Department of Medicine, Karolinska Institute & Karolinska University Hospital Solna, S1:02 171 76 Stockholm, Sweden. Electronic address: francesco.cosentino@ki.se. LA - eng PT - Journal Article PT - Review DEP - 20180518 PL - Netherlands TA - Biochim Biophys Acta Mol Basis Dis JT - Biochimica et biophysica acta. Molecular basis of disease JID - 101731730 RN - 0 (Blood Glucose) RN - 0 (GLP1R protein, human) RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Hypoglycemic Agents) RN - 0 (Incretins) RN - 53AXN4NNHX (semaglutide) RN - 62340-29-8 (Glucagon-Like Peptides) RN - 839I73S42A (Liraglutide) SB - IM MH - Blood Glucose/drug effects/metabolism MH - Cardiovascular Diseases/blood/etiology/metabolism/*prevention & control MH - Diabetes Mellitus, Type 2/blood/complications/*drug therapy/metabolism MH - Glucagon-Like Peptide-1 Receptor/*agonists/metabolism MH - Glucagon-Like Peptides/pharmacology/therapeutic use MH - Humans MH - Hypoglycemic Agents/pharmacology/therapeutic use MH - Incretins/*pharmacology/therapeutic use MH - Liraglutide/pharmacology/therapeutic use MH - Plaque, Atherosclerotic/blood/*drug therapy/etiology/metabolism OTO - NOTNLM OT - Cardiometabolic parameters OT - Cardiovascular risk OT - Glucagon-like peptide 1 receptor agonists OT - Type 2 diabetes mellitus EDAT- 2018/05/21 06:00 MHDA- 2018/12/12 06:00 CRDT- 2018/05/21 06:00 PHST- 2018/02/12 00:00 [received] PHST- 2018/05/14 00:00 [revised] PHST- 2018/05/16 00:00 [accepted] PHST- 2018/05/21 06:00 [pubmed] PHST- 2018/12/12 06:00 [medline] PHST- 2018/05/21 06:00 [entrez] AID - S0925-4439(18)30182-0 [pii] AID - 10.1016/j.bbadis.2018.05.012 [doi] PST - ppublish SO - Biochim Biophys Acta Mol Basis Dis. 2018 Sep;1864(9 Pt B):2814-2821. doi: 10.1016/j.bbadis.2018.05.012. Epub 2018 May 18.