Potential Use of GLP-1 and GIP/GLP-1 Receptor Agonists for Respiratory Disorders: Where Are We at?

Medicina (Kaunas). 2024 Dec 9;60(12):2030. doi: 10.3390/medicina60122030.

Abstract

Chronic respiratory disorders are the third leading cause of mortality globally. Consequently, there is a continuous pursuit of effective therapies beyond those currently available. The therapeutic potential of the glucagon-like peptide-1 (GLP-1) and the glucose-dependent insulinotropic polypeptide/GLP-1 (GIP/GLP-1) receptor agonists extends beyond the regulation of glycemia, including glucometabolic, cardiovascular, and renal effects, rendering them viable candidates, due to their mechanisms of action, for the possible treatment of respiratory disorders. This manuscript aims to provide a comprehensive evaluation of the evidence on potential direct (cellular) and indirect (metabolic) actions of GLP-1 and GIP/GLP-1 receptor agonists within the pulmonary systems. In addition, it examines their efficacy in addressing prevalent respiratory disorders, specifically chronic obstructive pulmonary disease (COPD), asthma, pneumonia, obstructive sleep apnea, pulmonary hypertension, lung cancer, and lung transplantation. Finally, the manuscript seeks to identify potential avenues for further focused research in this field.

Keywords: COPD; GIP/GLP-1 receptor agonists; GLP-1 receptor agonists; asthma; respiratory disorders.

Publication types

  • Review

MeSH terms

  • Asthma / drug therapy
  • Gastric Inhibitory Polypeptide / therapeutic use
  • Glucagon-Like Peptide 1* / agonists
  • Glucagon-Like Peptide 1* / therapeutic use
  • Glucagon-Like Peptide-1 Receptor Agonists
  • Glucagon-Like Peptide-1 Receptor* / agonists
  • Humans
  • Hypertension, Pulmonary / drug therapy
  • Lung Neoplasms / drug therapy
  • Lung Transplantation
  • Pulmonary Disease, Chronic Obstructive* / drug therapy
  • Receptors, Gastrointestinal Hormone / agonists
  • Sleep Apnea, Obstructive / drug therapy

Substances

  • Glucagon-Like Peptide-1 Receptor
  • Glucagon-Like Peptide 1
  • Receptors, Gastrointestinal Hormone
  • gastric inhibitory polypeptide receptor
  • Gastric Inhibitory Polypeptide
  • Glucagon-Like Peptide-1 Receptor Agonists