Emerging role of GLP-1 agonists in cardio-metabolic therapy - Focus on Semaglutide

Semaglutide, a GLP-1 receptor agonist, has emerged as a promising agent in cardiovascular disease management, particularly for patients with obesity and diabetes. Recent studies have demonstrated significant benefits of Semaglutide beyond glycemic control, including reduced major adverse cardiovascu...

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Main Authors: Celestine Odigwe, Rajasekhar Mulyala, Haijra Malik, Brent Ruiz, Mariam Riad, Mohammad As Sayiadeh, Sanchitha Honganur, Alexis Parks, Mustafeez Ur Rahman, Nasser Lakkis
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:American Heart Journal Plus
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666602225000217
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author Celestine Odigwe
Rajasekhar Mulyala
Haijra Malik
Brent Ruiz
Mariam Riad
Mohammad As Sayiadeh
Sanchitha Honganur
Alexis Parks
Mustafeez Ur Rahman
Nasser Lakkis
author_facet Celestine Odigwe
Rajasekhar Mulyala
Haijra Malik
Brent Ruiz
Mariam Riad
Mohammad As Sayiadeh
Sanchitha Honganur
Alexis Parks
Mustafeez Ur Rahman
Nasser Lakkis
author_sort Celestine Odigwe
collection DOAJ
description Semaglutide, a GLP-1 receptor agonist, has emerged as a promising agent in cardiovascular disease management, particularly for patients with obesity and diabetes. Recent studies have demonstrated significant benefits of Semaglutide beyond glycemic control, including reduced major adverse cardiovascular events (MACE), improvements in heart failure symptoms, and weight reduction. Notably, the STEP-HFpEF trial highlighted improved exercise capacity and a reduction in NT-proBNP levels, offering a novel therapeutic pathway for heart failure management. Additionally, Semaglutide has shown anti-inflammatory effects, reducing C-reactive protein (CRP) and tumor necrosis factor-alpha (TNF-α), thereby mitigating atherosclerotic risks. Moreover, the SELECT trial demonstrated Semaglutide's cardiovascular benefits in non-diabetic, obese patients, suggesting that its effects extend beyond weight loss. These findings represent a potential paradigm shift in cardiovascular risk management, although access and affordability remain key challenges.
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issn 2666-6022
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publishDate 2025-04-01
publisher Elsevier
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series American Heart Journal Plus
spelling doaj-art-b812d40c8b1e411e81c00f8e9adb8c912025-08-20T02:56:06ZengElsevierAmerican Heart Journal Plus2666-60222025-04-015210051810.1016/j.ahjo.2025.100518Emerging role of GLP-1 agonists in cardio-metabolic therapy - Focus on SemaglutideCelestine Odigwe0Rajasekhar Mulyala1Haijra Malik2Brent Ruiz3Mariam Riad4Mohammad As Sayiadeh5Sanchitha Honganur6Alexis Parks7Mustafeez Ur Rahman8Nasser Lakkis9Division of Cardiovascular Disease, Department of Medicine, University of South Alabama, United States of AmericaDivision of Cardiovascular Disease, Department of Medicine, University of South Alabama, United States of AmericaDivision of Cardiovascular Disease, Department of Medicine, University of South Alabama, United States of AmericaDivision of Cardiovascular Disease, Department of Medicine, University of South Alabama, United States of AmericaDivision of Cardiovascular Disease, Department of Medicine, University of South Alabama, United States of AmericaDivision of Cardiovascular Disease, Department of Medicine, University of South Alabama, United States of AmericaDivision of Cardiovascular Disease, Department of Medicine, University of South Alabama, United States of AmericaDivision of Cardiovascular Disease, Department of Medicine, University of South Alabama, United States of AmericaDivision of Cardiovascular Disease, Department of Medicine, University of South Alabama, United States of AmericaCorresponding author at: Division of Cardiovascular Disease, Department of Medicine, University of South Alabama, 2451 University Hospital Drive, Mastin 400A, Mobile, AL 36617, United States of America.; Division of Cardiovascular Disease, Department of Medicine, University of South Alabama, United States of AmericaSemaglutide, a GLP-1 receptor agonist, has emerged as a promising agent in cardiovascular disease management, particularly for patients with obesity and diabetes. Recent studies have demonstrated significant benefits of Semaglutide beyond glycemic control, including reduced major adverse cardiovascular events (MACE), improvements in heart failure symptoms, and weight reduction. Notably, the STEP-HFpEF trial highlighted improved exercise capacity and a reduction in NT-proBNP levels, offering a novel therapeutic pathway for heart failure management. Additionally, Semaglutide has shown anti-inflammatory effects, reducing C-reactive protein (CRP) and tumor necrosis factor-alpha (TNF-α), thereby mitigating atherosclerotic risks. Moreover, the SELECT trial demonstrated Semaglutide's cardiovascular benefits in non-diabetic, obese patients, suggesting that its effects extend beyond weight loss. These findings represent a potential paradigm shift in cardiovascular risk management, although access and affordability remain key challenges.http://www.sciencedirect.com/science/article/pii/S2666602225000217Glucagon-like peptide-1SemaglutideAtherosclerotic riskHeart failureInflammation
spellingShingle Celestine Odigwe
Rajasekhar Mulyala
Haijra Malik
Brent Ruiz
Mariam Riad
Mohammad As Sayiadeh
Sanchitha Honganur
Alexis Parks
Mustafeez Ur Rahman
Nasser Lakkis
Emerging role of GLP-1 agonists in cardio-metabolic therapy - Focus on Semaglutide
American Heart Journal Plus
Glucagon-like peptide-1
Semaglutide
Atherosclerotic risk
Heart failure
Inflammation
title Emerging role of GLP-1 agonists in cardio-metabolic therapy - Focus on Semaglutide
title_full Emerging role of GLP-1 agonists in cardio-metabolic therapy - Focus on Semaglutide
title_fullStr Emerging role of GLP-1 agonists in cardio-metabolic therapy - Focus on Semaglutide
title_full_unstemmed Emerging role of GLP-1 agonists in cardio-metabolic therapy - Focus on Semaglutide
title_short Emerging role of GLP-1 agonists in cardio-metabolic therapy - Focus on Semaglutide
title_sort emerging role of glp 1 agonists in cardio metabolic therapy focus on semaglutide
topic Glucagon-like peptide-1
Semaglutide
Atherosclerotic risk
Heart failure
Inflammation
url http://www.sciencedirect.com/science/article/pii/S2666602225000217
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