PMID- 30248550 OWN - NLM STAT- MEDLINE DCOM- 20191121 LR - 20191121 IS - 1879-1484 (Electronic) IS - 0021-9150 (Linking) VI - 278 DP - 2018 Nov TI - Incretin drugs as modulators of atherosclerosis. PG - 29-38 LID - S0021-9150(18)31373-X [pii] LID - 10.1016/j.atherosclerosis.2018.09.011 [doi] AB - Atherosclerosis is a major underlying cause of ischemic heart diseases, ischemic stroke, and peripheral artery disease. Atherosclerotic plaque progression is characterized by chronic progressive inflammation of the arterial wall, endothelial cell dysfunction, and subendothelial lipoprotein retention. Incretin drugs, glucagon-like peptide-1 receptor (GLP-1R) agonists, and dipeptidyl peptidase-IV (DPP-IV) inhibitors, are promising anti-hyperglycemic agents used for the treatment of type 2 diabetes mellitus (T2DM). In addition to glucose-lowering effects, emerging data suggest that incretin drugs have anti-atherogenic effects with the potential to stabilize atherosclerotic plaques and treat arterial inflammation. Clinical and preclinical studies have reported a plethora of therapeutic benefits of incretin drugs, including modulation of inflammatory response, reduction of intima-media thickening, improvement in lipid profiles, endothelial and smooth muscle cell modulation. Despite extensive research and widespread clinical use of incretin-based therapies, the research on the incretin hormones continues to expand. This review outlines clinical studies, molecular aspects, and potential therapeutic implications of incretin drugs in attenuation of atherosclerosis. CI - Copyright (c) 2018 Elsevier B.V. All rights reserved. FAU - Gallego-Colon, Enrique AU - Gallego-Colon E AD - Department of Biochemistry, Medical University of Silesia, School of Medicine in Katowice, Poland. Electronic address: enrique.gce@gmail.com. FAU - Wojakowski, Wojciech AU - Wojakowski W AD - Third Division of Cardiology, Medical University of Silesia, Katowice, Poland. FAU - Francuz, Tomasz AU - Francuz T AD - Department of Biochemistry, Medical University of Silesia, School of Medicine in Katowice, Poland. LA - eng PT - Journal Article PT - Review DEP - 20180914 PL - Ireland TA - Atherosclerosis JT - Atherosclerosis JID - 0242543 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Blood Glucose) RN - 0 (Dipeptidyl-Peptidase IV Inhibitors) RN - 0 (GLP1R protein, human) RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Incretins) RN - 0 (Lipids) RN - 0 (Peptides) SB - IM MH - Anti-Inflammatory Agents/therapeutic use MH - Atherosclerosis/*drug therapy MH - Blood Glucose/analysis MH - Blood Pressure MH - Cardiovascular Diseases/prevention & control MH - Carotid Intima-Media Thickness MH - Diabetes Complications/drug therapy MH - Diabetes Mellitus, Type 2/drug therapy MH - Dipeptidyl-Peptidase IV Inhibitors/pharmacology MH - Endothelium, Vascular/pathology MH - Glucagon-Like Peptide-1 Receptor/agonists MH - Homeostasis MH - Humans MH - Incretins/*therapeutic use MH - Inflammation MH - Lipids/blood MH - Peptides/chemistry OTO - NOTNLM OT - Atherosclerosis OT - Cardiovascular diseases OT - DPP-IV OT - Endothelial cell function OT - Exenatide OT - GLP-1 OT - Incretin OT - Incretin therapy OT - Sitagliptin OT - Vascular inflammation EDAT- 2018/09/25 06:00 MHDA- 2019/11/22 06:00 CRDT- 2018/09/25 06:00 PHST- 2018/02/07 00:00 [received] PHST- 2018/07/06 00:00 [revised] PHST- 2018/09/13 00:00 [accepted] PHST- 2018/09/25 06:00 [pubmed] PHST- 2019/11/22 06:00 [medline] PHST- 2018/09/25 06:00 [entrez] AID - S0021-9150(18)31373-X [pii] AID - 10.1016/j.atherosclerosis.2018.09.011 [doi] PST - ppublish SO - Atherosclerosis. 2018 Nov;278:29-38. doi: 10.1016/j.atherosclerosis.2018.09.011. Epub 2018 Sep 14.