Table 2.3. Cardiovascular actions of GLP-1-based therapeutics.
GLP-1R agonist | Experimental/clinical setting | Effect of GLP-1R agonist | Refs. |
---|---|---|---|
Exenatide | TG9 mice (murine DCM model) | Improvement of glucose tolerance; increase 2-deoxyglucose uptake and GLUT4 expression in myocardium | 232 |
GLP-1 | Dogs with pacing-induced DCM | Increase insulin sensitivity, basal and insulin-stimulated glucose extraction, and uptake in myocardium, and decrease plasma glucagon | 233 |
GLP-1 GLP-1 (9–36) |
Dogs with pacing-induced DCM | Both peptides increase insulin sensitivity and basal and insulin-stimulated glucose uptake in myocardium, and decrease plasma glucagon | 234 |
Exenatide | Diabetic (STZ-induced) rats | Increase myocardial glucose uptake | 235 |
Vildagliptin | Model of murine heart failure | Increase plasma GLP-1, improvement of glucose tolerance | 236 |
Liraglutide | Mice on HFD | Decrease insulin resistance | 237 |
GLP-1 | Patients before, during, and after CABG | Decrease pre- and perioperative plasma glucose, decrease postoperative plasma glucagon, decrease postoperative insulin infusion required, decrease pharmacological or mechanical support to achieve hemodynamic stability in postoperative period | 238 |
GLP-1 | T2DM patients after CABG | Decrease postoperative insulin infusion required Decrease dobutamine infusion required |
239 |
GLP-1 | T1D patients | Decrease hyperglycemia- or hypoglycemia-induced oxidative stress, inflammation, and endothelial dysfunction | 240 |
DCM, dilated cardiomyopathy; STZ, streptozotocin; HFD, high-fat diet; CABG, coronary artery bypass grafting.