PMID- 37559236 OWN - NLM STAT- MEDLINE DCOM- 20240507 LR - 20240507 IS - 1875-6417 (Electronic) IS - 1573-3998 (Linking) VI - 20 IP - 6 DP - 2024 TI - Role of GLP-1 Receptor Agonist in Diabetic Cardio-renal Disorder: Recent Updates of Clinical and Pre-clinical Evidence. PG - e090823219597 LID - 10.2174/1573399820666230809152148 [doi] AB - Cardiovascular complications and renal disease is the growing cause of mortality in patients with diabetes. The subversive complications of diabetes such as hyperglycemia, hyperlipidemia and insulin resistance lead to an increase in the risk of myocardial infarction (MI), stroke, heart failure (HF) as well as chronic kidney disease (CKD). Among the commercially available anti-hyperglycemic agents, incretin-based medications appear to be safe and effective in the treatment of type 2 diabetes mellitus (T2DM) and associated cardiovascular and renal disease. Glucagon-like peptide 1 receptor agonists (GLP-1RAs) have been shown to be fruitful in reducing HbA1c, blood glucose, lipid profile, and body weight in diabetic patients. Several preclinical and clinical studies revealed the safety, efficacy, and preventive advantages of GLP-1RAs against diabetes- induced cardiovascular and kidney disease. Data from cardio-renal outcome trials had highlighted that GLP-1RAs protected people with established CKD from significant cardiovascular disease, lowered the likelihood of hospitalization for heart failure (HHF), and lowered all-cause mortality. They also had a positive effect on people with end-stage renal disease (ESRD) and CKD. Beside clinical outcomes, GLP-1RAs reduced oxidative stress, inflammation, fibrosis, and improved lipid profile pre-clinically in diabetic models of cardiomyopathy and nephropathy that demonstrated the cardio-protective and reno-protective effect of GLP-1RAs. In this review, we have focused on the recent clinical and preclinical outcomes of GLP-1RAs as cardio-protective and reno-protective agents as GLP-1RAs medications have been demonstrated to be more effective in treating T2DM and diabetes-induced cardiovascular and renal disease than currently available treatments in clinics, without inducing hypoglycemia or weight gain. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.net. FAU - Seksaria, Sanket AU - Seksaria S AD - Department of Pharmacology, ISF College of Pharmacy, GT Road, GhalKalan, Moga 142001, Punjab, India. AD - Department of Pharmacy, Sanaka Educational Trust's Group of Institutions, Malandighi, Durgapur 713212, India. FAU - Dutta, Bhaskar Jyoti AU - Dutta BJ AD - Department of Pharmacology, ISF College of Pharmacy, GT Road, GhalKalan, Moga 142001, Punjab, India. AD - Department of Pharmacology and Toxicology, National Institute of Pharmaceutical Education and Research, Hajipur 844102, Bihar, India. FAU - Kaur, Mandeep AU - Kaur M AD - Department of Pharmacology, ISF College of Pharmacy, GT Road, GhalKalan, Moga 142001, Punjab, India. FAU - Gupta, Ghanshyam Das AU - Gupta GD AD - Department of Pharmacology, ISF College of Pharmacy, GT Road, GhalKalan, Moga 142001, Punjab, India. FAU - Bodakhe, Surendra H AU - Bodakhe SH AD - Department of Pharmacy, Guru Ghasidas Vishwavidyalaya (A Central University), Bilaspur 495009, Chhattisgarh, India. FAU - Singh, Amrita AU - Singh A AD - Department of Pharmacology, ISF College of Pharmacy, GT Road, GhalKalan, Moga 142001, Punjab, India. LA - eng PT - Journal Article PT - Review PL - United Arab Emirates TA - Curr Diabetes Rev JT - Current diabetes reviews JID - 101253260 RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Hypoglycemic Agents) RN - 0 (Incretins) SB - IM MH - Humans MH - *Glucagon-Like Peptide-1 Receptor/agonists MH - *Diabetes Mellitus, Type 2/drug therapy/complications MH - *Hypoglycemic Agents/therapeutic use MH - *Diabetic Nephropathies/drug therapy MH - Animals MH - Cardiovascular Diseases/prevention & control/etiology MH - Diabetic Cardiomyopathies/prevention & control/drug therapy MH - Incretins/therapeutic use MH - Renal Insufficiency, Chronic/drug therapy/complications OTO - NOTNLM OT - GLP-1RAs OT - SIRT1 OT - TGF-beta OT - Type 2 diabetes mellitus OT - cardio-renal diseases OT - cardiovascular complications. EDAT- 2023/08/10 06:42 MHDA- 2024/05/07 06:43 CRDT- 2023/08/10 00:43 PHST- 2023/01/06 00:00 [received] PHST- 2023/06/08 00:00 [revised] PHST- 2023/06/30 00:00 [accepted] PHST- 2024/05/07 06:43 [medline] PHST- 2023/08/10 06:42 [pubmed] PHST- 2023/08/10 00:43 [entrez] AID - CDR-EPUB-133503 [pii] AID - 10.2174/1573399820666230809152148 [doi] PST - ppublish SO - Curr Diabetes Rev. 2024;20(6):e090823219597. doi: 10.2174/1573399820666230809152148.