New Frontiers in Obesity Treatment: GLP-1 and Nascent Nutrient-Stimulated Hormone-Based Therapeutics

Annu Rev Med. 2023 Jan 27:74:125-139. doi: 10.1146/annurev-med-043021-014919.

Abstract

Nearly half of Americans are projected to have obesity by 2030, underscoring the pressing need for effective treatments. Glucagon-like peptide 1 receptor agonists (GLP-1 RAs) represent the first agents in a rapidly evolving, highly promising landscape of nascent hormone-based obesity therapeutics. With the understanding of the neurobiology of obesity rapidly expanding, these emerging entero-endocrine and endo-pancreatic agents combined or coformulated with GLP-1 RAs herald a new era of targeted, mechanism-based treatment of obesity. This article reviews GLP-1 RAs in the treatment of obesity and previews the imminent future of nutrient-stimulated hormone-based anti-obesity therapeutics.

Keywords: GLP-1 receptor agonists; NuSH-based therapies; antiobesity medications; dual receptor agonists; nutrient-stimulated hormone-based therapies; triple receptor agonists.

Publication types

  • Review
  • Research Support, N.I.H., Extramural

MeSH terms

  • Diabetes Mellitus, Type 2*
  • Glucagon-Like Peptide 1* / agonists
  • Humans
  • Hypoglycemic Agents
  • Obesity / drug therapy
  • Treatment Outcome

Substances

  • Glucagon-Like Peptide 1
  • Hypoglycemic Agents