Molecular mechanisms of semaglutide and liraglutide as a therapeutic option for obesity
- PMID: 38742021
- PMCID: PMC11090168
- DOI: 10.3389/fnut.2024.1398059
Molecular mechanisms of semaglutide and liraglutide as a therapeutic option for obesity
Abstract
Obesity, a chronic global health problem, is associated with an increase in various comorbidities, such as cardiovascular disease, type 2 diabetes mellitus, hypertension, and certain types of cancer. The increasing global prevalence of obesity requires research into new therapeutic strategies. Glucagon-like peptide-1 receptor agonists, specifically semaglutide and liraglutide, designed for type 2 diabetes mellitus treatment, have been explored as drugs for the treatment of obesity. This minireview describes the molecular mechanisms of semaglutide and liraglutide in different metabolic pathways, and its mechanism of action in processes such as appetite regulation, insulin secretion, glucose homeostasis, energy expenditure, and lipid metabolism. Finally, several clinical trial outcomes are described to show the safety and efficacy of these drugs in obesity management.
Keywords: liraglutide; molecular mechanism; obesity; semaglutide; weight loss.
Copyright © 2024 Tamayo-Trujillo, Ruiz-Pozo, Cadena-Ullauri, Guevara-Ramírez, Paz-Cruz, Zambrano-Villacres, Simancas-Racines and Zambrano.
Conflict of interest statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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References
-
- World Health Organization (WHO) . Controlling the global obesity epidemic. [cited 2024 Mar 5]. (2021). Available from: https://www.who.int/activities/controlling-the-global-obesity-epidemic
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