PMID- 35593668 OWN - NLM STAT- MEDLINE DCOM- 20220907 LR - 20220908 IS - 2299-8306 (Electronic) IS - 0423-104X (Linking) VI - 73 IP - 4 DP - 2022 TI - Tirzepatide - a dual GIP/GLP-1 receptor agonist - a new antidiabetic drug with potential metabolic activity in the treatment of type 2 diabetes. PG - 745-755 LID - 10.5603/EP.a2022.0029 [doi] AB - The incretin hormones glucagon-like peptide 1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP) are responsible for up to 65% of postprandial insulin secretion. Tirzepatide, developed by Eli Lilly, is a dual GIP/GLP-1 receptor agonist in the form of a synthetic linear peptide; its acylation technology allows it to bind to albumin, thus making it possible to dose the drug once a week. This review summarizes the key characteristics and pharmacokinetics of tirzepatide. The authors present the results of a phase 1, 2, and 3 clinical trial on the effects of tirzepatide on glycaemic and lipid control and the beneficial effects on body weight in a dose-dependent manner in patients with type 2 diabetes mellitus (T2DM). Tirzepatide has the ability to reduce glycaemic levels, improve insulin sensitivity, reduce body weight, and improve lipid metabolism, which is critically important in T2DM. Tirzepatide administered by weekly subcutaneous injections appears to be a promising drug for the treatment of T2DM as well as cardiometabolic disorders. The mechanism of action and safety profile of tirzepatide potentially fills important gaps in the current treatment of T2DM. FAU - Nowak, Mariusz AU - Nowak M AUID- ORCID: 0000-0003-1754-9959 AD - Pathophysiology Division, Department of Pathophysiology and Endocrinology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Poland. nowak-mar@wp.pl. FAU - Nowak, Wojciech AU - Nowak W AD - Science Students' Association, Pathophysiology Division, Department of Pathophysiology and Endocrinology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Poland., Poland. FAU - Grzeszczak, Wladyslaw AU - Grzeszczak W AUID- ORCID: 0000-0003-1947-3783 AD - Department of Internal Medicine, Diabetology and Nephrology, FMS in Zabrze, SUM 41-800 Zabrze , Poland. LA - eng PT - Journal Article PT - Review DEP - 20220520 PL - Poland TA - Endokrynol Pol JT - Endokrynologia Polska JID - 0370674 RN - 0 (Blood Glucose) RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Hypoglycemic Agents) RN - 59392-49-3 (Gastric Inhibitory Polypeptide) RN - OYN3CCI6QE (tirzepatide) SB - IM MH - Blood Glucose/metabolism MH - Body Weight MH - *Diabetes Mellitus, Type 2/drug therapy/metabolism MH - Gastric Inhibitory Polypeptide MH - Glucagon-Like Peptide-1 Receptor/agonists/therapeutic use MH - Humans MH - *Hypoglycemic Agents/pharmacology/therapeutic use OTO - NOTNLM OT - glucagon-like peptide-1 (GLP-1) OT - glucose-dependent insulinotropic polypeptide (GIP) OT - tirzepatide OT - type 2 diabetes EDAT- 2022/05/21 06:00 MHDA- 2022/09/08 06:00 CRDT- 2022/05/20 09:32 PHST- 2022/01/09 00:00 [received] PHST- 2022/01/17 00:00 [accepted] PHST- 2022/01/17 00:00 [revised] PHST- 2022/05/21 06:00 [pubmed] PHST- 2022/09/08 06:00 [medline] PHST- 2022/05/20 09:32 [entrez] AID - VM/OJS/J/87859 [pii] AID - 10.5603/EP.a2022.0029 [doi] PST - ppublish SO - Endokrynol Pol. 2022;73(4):745-755. doi: 10.5603/EP.a2022.0029. Epub 2022 May 20.