Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2017 Oct;60(10):1851-1861.
doi: 10.1007/s00125-017-4354-8. Epub 2017 Jul 21.

GLP-1/glucagon receptor co-agonism for treatment of obesity

Affiliations
Review

GLP-1/glucagon receptor co-agonism for treatment of obesity

Miguel A Sánchez-Garrido et al. Diabetologia. 2017 Oct.

Abstract

Over a relatively short period, obesity and type 2 diabetes have come to represent a large medical and economic burden to global societies. The epidemic rise in the prevalence of obesity has metabolic consequences and is paralleled by an increased occurrence of other diseases, such as diabetes, cancer and cardiovascular complications. Together, obesity and type 2 diabetes constitute one of the more preventable causes of premature death and the identification of novel, safe and effective anti-obesity drugs is of utmost importance. Pharmacological attempts to treat obesity have had limited success, with notable adverse effects, rendering bariatric surgery as the only current therapy for substantially improving body weight. Novel unimolecular, multifunctional peptides have emerged as one of the most promising medicinal approaches to enhance metabolic efficacy and restore normal body weight. In this review, we will mainly focus on the discovery and translational relevance of dual agonists that pharmacologically function at the receptors for glucagon and glucagon-like peptide-1. Such peptides have advanced to clinical evaluation and inspired the pursuit of multiple related approaches to achieving polypharmacy within single molecules.

Keywords: Co-agonism; Dual agonism; GLP-1; Glucagon; Multi-agonist; Obesity; Pharmacology; Review; Translational; Type 2 diabetes.

PubMed Disclaimer

Conflict of interest statement

Duality of interest

The authors declare that there is no duality of interest associated with this manuscript.

Contribution statement

All authors were responsible for drafting the article and for critically revising it for substantial intellectual content. All authors approved the version to be published.

Figures

Fig. 1
Fig. 1
Metabolic actions of GLP-1R agonists and GcgR agonists on key organs (brain, BAT, adipose tissue, muscle, liver, pancreas and circulation) regulating energy and glucose homeostasis and changes in metabolic variables. FAO, fatty acid oxidation; GSIS, glucose-stimulated insulin secretion

References

    1. Obesity and overweight fact sheet. Available from www.who.int/mediacentre/factsheets/fs311/en/. Accessed June 2016
    1. Bray GA. Medical consequences of obesity. J Clin Endocrinol Metab. 2004;89:2583–2589. doi: 10.1210/jc.2004-0535. - DOI - PubMed
    1. Thompson D, Edelsberg J, Colditz GA, Bird AP, Oster G. Lifetime health and economic consequences of obesity. Arch Intern Med. 1999;159:2177–2183. doi: 10.1001/archinte.159.18.2177. - DOI - PubMed
    1. Roglic G, World Health Organization . Global report on diabetes. Geneva: World Health Organization; 2016.
    1. Guariguata L, Whiting DR, Hambleton I, Beagley J, Linnenkamp U, Shaw JE. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract. 2014;103:137–149. doi: 10.1016/j.diabres.2013.11.002. - DOI - PubMed

Publication types

MeSH terms

Substances