Cardiovascular Protection with a Long-Acting GLP-1 Receptor Agonist Liraglutide: An Experimental Update

Molecules. 2023 Feb 1;28(3):1369. doi: 10.3390/molecules28031369.

Abstract

Angiotensin II (Ang II), a peptide hormone generated as part of the renin-angiotensin system, has been implicated in the pathophysiology of many cardiovascular diseases such as peripheral artery disease, heart failure, hypertension, coronary artery disease and other conditions. Liraglutide, known as an incretin mimetic, is one of the glucagon-like peptide-1 (GLP-1) receptor agonists, and has been proven to be effective in the treatment of cardiovascular disorders beyond adequate glycemic control. The objective of this review is to compile our recent experimental outcomes-based studies, and provide an overview the cardiovascular protection from liraglutide against Ang II- and pressure overload-mediated deleterious effects on the heart. In particular, the mechanisms of action underlying the inhibition of oxidative stress, vascular endothelial dysfunction, hypertension, cardiac fibrosis, left ventricular hypertrophy and heart failure with liraglutide are addressed. Thus, we support the notion that liraglutide continues to be a useful add-on therapy for the management of cardiovascular diseases.

Keywords: angiotensin II; glucagon-like peptide 1; heart failure; hypertension; liraglutide; myocardial fibrosis.

Publication types

  • Review

MeSH terms

  • Angiotensin II
  • Cardiovascular Diseases* / drug therapy
  • Diabetes Mellitus, Type 2*
  • Glucagon-Like Peptide-1 Receptor / agonists
  • Heart Failure* / drug therapy
  • Humans
  • Hypertension*
  • Hypoglycemic Agents / pharmacology
  • Hypoglycemic Agents / therapeutic use
  • Liraglutide / pharmacology
  • Liraglutide / therapeutic use

Substances

  • Liraglutide
  • Glucagon-Like Peptide-1 Receptor
  • Angiotensin II
  • Hypoglycemic Agents

Grants and funding

These studies were supported by the NSFC (81170145, 81470436), Medcen Community Health Foundation of Georgia and Seed grants from Mercer University School of Medicine.