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Types and Mechanisms of GLP-1 Receptor Agonists

At present, the GLP-1 receptor agonists that have been listed in China mainly include exenatide, liraglutide, exenatide long-acting preparations, dulaglutide, lisenatide, benraglutide, and polyethylene glycol losenatide. According to the duration of action, it can be divided into short-term and long-term GLP-1 receptor agonists. Short acting GLP-1 receptor agonists require multiple subcutaneous injections per day, while long acting GLP-1 receptor agonists can be injected subcutaneously once a day or once a week. When the human glucose concentration increases, GLP-1 receptor agonists can stimulate insulin secretion. When glucose concentration decreases and approaches normal, insulin secretion decreases. Therefore, GLP-1 receptor agonists stimulate insulin secretion in a glucose dependent manner. Meanwhile, GLP-1 receptor agonists reduce glucagon secretion in a glucose dependent manner. In addition, GLP-1 receptor agonists exert hypoglycemic effects through various mechanisms such as slowing gastric emptying, central appetite inhibition, and reducing food intake.

References

1. Ji Linong, Zou Dajin, Hong Tianpei, etc Expert Guidance on Clinical Application of GLP-1 Receptor Agonist [J], Chinese Journal of diabetes, 2018, 26 (5): 353-361.2

2. Du Xiaoxiao, Jin Jing, Shang Qian, etc Research progress on marketed glucagon like peptide-1 receptor agonists, drug evaluation research, 2020, 43 (3): 559-564

3.FDA Press Announcements: FDA Approves New Drug Treatment for Chronic Weight Management, First Since 2014.

https://www.fda.gov/news-events/press-announcements/fda-approves-new-drug-treatment-chronic-weight-management-first-2014