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中国临床药理学与治疗学 ›› 2022, Vol. 27 ›› Issue (11): 1315-1320.doi: 10.12092/j.issn.1009-2501.2022.11.015

• 综述与讲座 • 上一篇    下一篇

不同胰高血糖素样肽-1受体激动剂对骨代谢影响的研究进展

李玲玲1,2,张洋洋1,2,白 佳1,2,杨 虹1,2,杨 莹1,2,吕海宏2   

  1. 1兰州大学第一临床医学院,兰州 730000,甘肃;2兰州大学第一医院内分泌科,兰州 730000,甘肃
  • 收稿日期:2022-07-01 修回日期:2022-11-18 出版日期:2022-11-26 发布日期:2022-12-12
  • 通讯作者: 吕海宏,男,博士,主任医师,博士研究生导师,研究方向:糖尿病性骨质疏松。 E-mail: haihonglv@126.com
  • 作者简介:李玲玲,女,博士在读,研究方向:骨质疏松发病机制。 E-mail: lilingling2530@126.com
  • 基金资助:
    甘肃省自然科学基金(21JR1RA080)

Progress in research on the effects of different glucagon-like peptide-1 receptor agonists on bone metabolism

LI Lingling1,2, ZHANG Yangyang1,2, BAI Jia1,2, YANG Hong1,2, YANG Ying1,2, LV Haihong2   

  1. 1The First Clinical Medical College of Lanzhou University, Lanzhou 730000, Gansu, China; 2Department of Endocrinology, the First Hospital of Lanzhou University, Lanzhou 730000, Gansu, China
  • Received:2022-07-01 Revised:2022-11-18 Online:2022-11-26 Published:2022-12-12

摘要: 骨质疏松是2型糖尿病(type 2 diabetes mellitus, T2DM)常见并发症之一,近期研究表明T2DM治疗药物胰高血糖素样肽-1受体激动剂(glucagon-like peptide-1 receptor agonists, GLP-1RAs)可以促进骨形成抑制骨吸收,提示这类降糖药物可能使合并骨质疏松和高骨折风险的T2DM患者获益,但其潜在机制尚不完全清楚,并且不同的GLP-1RAs表现出不同的骨骼效应及分子机制。本文将对几种不同GLP-1RAs对骨代谢的影响进行综述。

关键词: 胰高血糖素样肽-1受体激动剂, 糖尿病, 骨代谢, 骨折风险

Abstract: Osteoporosis is one of the common complications of type 2 diabetes mellitus (T2DM). Recent studies have shown that glucagon-like peptide-1 receptor agonists (GLP-1RAs) can promote bone formation and inhibit bone resorption, suggesting that this hypoglycemic drugs may benefit T2DM patients with osteoporosis and high fracture risk, but its underlying mechanism is not fully understood, and different GLP-1RAs exhibit different skeletal effects and molecular mechanisms. In this paper, the effects of several GLP-1RAs on bone metabolism are reviewed.

Key words: glucagon-like peptide-1 receptor agonists, diabetes, bone metabolism, fracture risk

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