Sommario
Gli analoghi del GLP-1 (GLP-1Ras) rappresentano una valida opzione terapeutica per il trattamento dei pazienti con diabete mellito tipo 2, soprattutto per i vantaggi in termini di efficacia sul controllo glicemico e ridotto rischio di ipoglicemia. Dalla loro introduzione in commercio, vi è stato un crescente interesse verso i GLP-1RAs in ragione anche dei numerosi effetti extraglicemici, che vanno dalla riduzione del peso corporeo, della pressione arteriosa, dei livelli circolanti di lipidi e di marcatori dell’infiammazione, fino a specifici effetti cardiovascolari e renali. In particolare, gli studi di sicurezza cardiovascolare, condotti con alcune delle molecole di questa classe, hanno dimostrato la riduzione del rischio di eventi cardiovascolari maggiori e di nefropatia, i cui meccanismi sottostanti sono attualmente oggetto di estesa ricerca.
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Gli autori Giuseppina T. Russo, Annalisa Giandalia e Domenico Cucinotta dichiarano di non avere conflitti di interesse.
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Russo, G.T., Giandalia, A. & Cucinotta, D. GLP-1: soltanto la glicemia?. L'Endocrinologo 20, 66–71 (2019). https://doi.org/10.1007/s40619-019-00537-w
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DOI: https://doi.org/10.1007/s40619-019-00537-w