PMID- 36530219 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221222 IS - 2589-9368 (Electronic) IS - 2589-9368 (Linking) VI - 16 DP - 2022 Dec TI - The catcher in the gut: Tirzepatide, a dual incretin analog for the treatment of type 2 diabetes mellitus and obesity. PG - 100220 LID - 10.1016/j.metop.2022.100220 [doi] LID - 100220 AB - The ever-increasing burden of obesity, type 2 diabetes mellitus (T2DM) and related comorbidities is demanding a better pathophysiological understanding as well as new treatment options. Incretin based therapies are already available while the recent Food and Drug Administration (FDA) approval of the dual glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP) receptor agonist tirzepatide appears to revolutionize the treatment of T2DM and obesity. GLP-1 and GIP exert pleiotropic physiological actions, including enhancement of insulin secretion, glycemic and appetite control, cardioprotection, and adipose tissue improved function among others. Evidence from recent clinical trials has shown that tirzepatide is at least or more effective compared to classic metabolic therapeutic agents, including insulin, when it comes to glycemic control in T2DM. Of importance, it also exerts remarkable weight-lowering actions, emerging as an alternative to bariatric surgery for obesity treatment. Overall, current data show that tirzepatide is a highly effective therapeutic option for T2DM. Numerous ongoing randomized controlled clinical trials are further examining its potential as a treatment for obesity. CI - (c) 2022 The Authors. Published by Elsevier Inc. FAU - Lempesis, Ioannis G AU - Lempesis IG AD - Institute of Metabolism and Systems Research (IMSR), College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom. AD - Department of Human Biology, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre, Maastricht, The Netherlands, Maastricht, the Netherlands. FAU - Liu, Junli AU - Liu J AD - Shanghai Jiao Tong University School of Medicine, Shanghai Jiao Tong University Affiliated 6th People's Hospital, Shanghai Diabetes Institute, Shanghai, China. FAU - Dalamaga, Maria AU - Dalamaga M AD - Department of Biologic Chemistry, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece. LA - eng PT - Journal Article PT - Review DEP - 20221205 PL - England TA - Metabol Open JT - Metabolism open JID - 101767753 PMC - PMC9747662 OTO - NOTNLM OT - Clinical trials OT - Diabetes OT - GIP OT - GLP-1 OT - Gut hormone OT - Incretin OT - Obesity OT - Treatment COIS- None. EDAT- 2022/12/20 06:00 MHDA- 2022/12/20 06:01 PMCR- 2022/12/05 CRDT- 2022/12/19 03:25 PHST- 2022/12/01 00:00 [received] PHST- 2022/12/04 00:00 [accepted] PHST- 2022/12/19 03:25 [entrez] PHST- 2022/12/20 06:00 [pubmed] PHST- 2022/12/20 06:01 [medline] PHST- 2022/12/05 00:00 [pmc-release] AID - S2589-9368(22)00058-5 [pii] AID - 100220 [pii] AID - 10.1016/j.metop.2022.100220 [doi] PST - epublish SO - Metabol Open. 2022 Dec 5;16:100220. doi: 10.1016/j.metop.2022.100220. eCollection 2022 Dec.