Orchestrating Metabolic Homeostasis: The Role of Gut Hormones in Next-Generation Therapies for Metabolic Syndrome

Metabolic disorders, including obesity and type 2 diabetes, have reached epidemic proportions globally, necessitating novel therapeutic approaches. The gut-brain axis, particularly gut hormones, plays a crucial role in metabolic regulation, offering promising targets for intervention. This review ai...

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Main Author: Tamer A. Addissouky
Format: Article
Language:English
Published: Shahid Sadoughi University of Medical Sciences 2025-05-01
Series:Iranian Journal of Diabetes and Obesity
Subjects:
Online Access:http://ijdo.ssu.ac.ir/article-1-955-en.pdf
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author Tamer A. Addissouky
author_facet Tamer A. Addissouky
author_sort Tamer A. Addissouky
collection DOAJ
description Metabolic disorders, including obesity and type 2 diabetes, have reached epidemic proportions globally, necessitating novel therapeutic approaches. The gut-brain axis, particularly gut hormones, plays a crucial role in metabolic regulation, offering promising targets for intervention. This review aims to synthesize current knowledge on gut hormone-based therapies for metabolic disorders, focusing on their mechanisms of action and therapeutic potential. Gut hormones, including GLP-1, GIP, PYY, ghrelin, and oxyntomodulin, orchestrate complex physiological responses to nutrient intake, influencing insulin secretion, appetite, and energy expenditure. Recent advancements in incretin-based therapies, particularly GLP-1 receptor agonists and dual GLP-1/GIP agonists, have shown remarkable efficacy in improving glycemic control and promoting weight loss. These therapies exploit the synergistic actions of multiple gut hormones, offering a more comprehensive approach to metabolic regulation. Emerging research on PYY analogs and ghrelin antagonists further expands the therapeutic landscape. However, challenges remain in optimizing delivery methods, ensuring long-term efficacy, and mitigating potential side effects. Gut hormone-based therapies represent a paradigm shift in the management of metabolic disorders. By harnessing the intricate signaling networks of the gut-brain axis, these innovative approaches offer the potential for more effective and targeted interventions in obesity and type 2 diabetes, paving the way for personalized treatment strategies in metabolic medicine.
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spelling doaj-art-8e6815fcb0db4e0b8c5e2071ca09bdcc2025-08-20T03:25:11ZengShahid Sadoughi University of Medical SciencesIranian Journal of Diabetes and Obesity2008-67922345-22502025-05-01172130140Orchestrating Metabolic Homeostasis: The Role of Gut Hormones in Next-Generation Therapies for Metabolic SyndromeTamer A. Addissouky0 Department of Biochemistry, Science Faculty, AL-Mustaqbal University, 51001, Hillah, Babylon, Iraq. New burg El-Arab Hospital, Ministry of Health, Alexandria, Egypt. Department of Chemistry, Science Faculty, Menoufia University, Menoufia, Egypt. American Society for Clinical Pathology (ASCP), Chicago, USA. Metabolic disorders, including obesity and type 2 diabetes, have reached epidemic proportions globally, necessitating novel therapeutic approaches. The gut-brain axis, particularly gut hormones, plays a crucial role in metabolic regulation, offering promising targets for intervention. This review aims to synthesize current knowledge on gut hormone-based therapies for metabolic disorders, focusing on their mechanisms of action and therapeutic potential. Gut hormones, including GLP-1, GIP, PYY, ghrelin, and oxyntomodulin, orchestrate complex physiological responses to nutrient intake, influencing insulin secretion, appetite, and energy expenditure. Recent advancements in incretin-based therapies, particularly GLP-1 receptor agonists and dual GLP-1/GIP agonists, have shown remarkable efficacy in improving glycemic control and promoting weight loss. These therapies exploit the synergistic actions of multiple gut hormones, offering a more comprehensive approach to metabolic regulation. Emerging research on PYY analogs and ghrelin antagonists further expands the therapeutic landscape. However, challenges remain in optimizing delivery methods, ensuring long-term efficacy, and mitigating potential side effects. Gut hormone-based therapies represent a paradigm shift in the management of metabolic disorders. By harnessing the intricate signaling networks of the gut-brain axis, these innovative approaches offer the potential for more effective and targeted interventions in obesity and type 2 diabetes, paving the way for personalized treatment strategies in metabolic medicine.http://ijdo.ssu.ac.ir/article-1-955-en.pdfgut-brain axisincretin mimeticsmetabolic syndromeglp-1/gip co-agonistsenteroendocrine signaling
spellingShingle Tamer A. Addissouky
Orchestrating Metabolic Homeostasis: The Role of Gut Hormones in Next-Generation Therapies for Metabolic Syndrome
Iranian Journal of Diabetes and Obesity
gut-brain axis
incretin mimetics
metabolic syndrome
glp-1/gip co-agonists
enteroendocrine signaling
title Orchestrating Metabolic Homeostasis: The Role of Gut Hormones in Next-Generation Therapies for Metabolic Syndrome
title_full Orchestrating Metabolic Homeostasis: The Role of Gut Hormones in Next-Generation Therapies for Metabolic Syndrome
title_fullStr Orchestrating Metabolic Homeostasis: The Role of Gut Hormones in Next-Generation Therapies for Metabolic Syndrome
title_full_unstemmed Orchestrating Metabolic Homeostasis: The Role of Gut Hormones in Next-Generation Therapies for Metabolic Syndrome
title_short Orchestrating Metabolic Homeostasis: The Role of Gut Hormones in Next-Generation Therapies for Metabolic Syndrome
title_sort orchestrating metabolic homeostasis the role of gut hormones in next generation therapies for metabolic syndrome
topic gut-brain axis
incretin mimetics
metabolic syndrome
glp-1/gip co-agonists
enteroendocrine signaling
url http://ijdo.ssu.ac.ir/article-1-955-en.pdf
work_keys_str_mv AT tameraaddissouky orchestratingmetabolichomeostasistheroleofguthormonesinnextgenerationtherapiesformetabolicsyndrome