Table 2.
The impact of incretin-based medications on lipid metabolism.
Lipid metabolism | Effects of incretin-based therapy | Ref. | Clinical evidence |
---|---|---|---|
Lipogenesis and lipolysis | Reduces lipogenesis mainly thru an AMPK-dependent pathway | [57–61, 63, 74] | [63, 70, 107, 108] |
Lipid peroxidation | Inhibits lipid peroxidation and reduces lipotoxicity | [21, 80–82, 84] | [88] |
Fatty acid oxidation | Induces and promotes fatty acid oxidation | [49, 95] | [93] |
Cholesterol synthesis | Inhibits HMG-CoA reductase and cholesterol biosynthesis, reduces atheroma plaque formation | [98, 100, 101] | [102] |
Lipid absorption | Commonly reduces intestinal lipid absorption | [103, 104] | [105] |