Glucagon-like peptide-1 receptor agonists (GLP-1RAs) and cardiometabolic protection: historical development and future challenges

Abstract Glucagon-like peptide-1 receptor agonists (GLP-1RAs) have revolutionized the treatment of cardiometabolic diseases, extending their therapeutic applications far beyond glycemic control in type 2 diabetes (T2D) and obesity. This editorial synthesizes key milestones, from the discovery of glu...

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Main Authors: Francisco Westermeier, Enrique Z. Fisman
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Cardiovascular Diabetology
Subjects:
Online Access:https://doi.org/10.1186/s12933-025-02608-9
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author Francisco Westermeier
Enrique Z. Fisman
author_facet Francisco Westermeier
Enrique Z. Fisman
author_sort Francisco Westermeier
collection DOAJ
description Abstract Glucagon-like peptide-1 receptor agonists (GLP-1RAs) have revolutionized the treatment of cardiometabolic diseases, extending their therapeutic applications far beyond glycemic control in type 2 diabetes (T2D) and obesity. This editorial synthesizes key milestones, from the discovery of glucagon-like peptide-1 (GLP-1) to recent clinical trials highlighting the pleiotropic effects of GLP-1RAs in addressing the interconnected spectrum of cardiometabolic conditions, with a focus on cardiovascular, renal, and hepatic benefits. In addition, as GLP-1RAs continue to reshape the management of cardiometabolic disease and global public health, we discuss future challenges to better elucidate their mechanisms of cardiometabolic protection and maximize their therapeutic potential. Graphical abstract
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series Cardiovascular Diabetology
spelling doaj-art-fa92694878fc446cb61139eb51b0b8d82025-08-20T02:56:06ZengBMCCardiovascular Diabetology1475-28402025-01-012411810.1186/s12933-025-02608-9Glucagon-like peptide-1 receptor agonists (GLP-1RAs) and cardiometabolic protection: historical development and future challengesFrancisco Westermeier0Enrique Z. Fisman1Institute of Biomedical Science, Department of Health Studies, FH Joanneum University of Applied SciencesFaculty of Medicine, Tel Aviv UniversityAbstract Glucagon-like peptide-1 receptor agonists (GLP-1RAs) have revolutionized the treatment of cardiometabolic diseases, extending their therapeutic applications far beyond glycemic control in type 2 diabetes (T2D) and obesity. This editorial synthesizes key milestones, from the discovery of glucagon-like peptide-1 (GLP-1) to recent clinical trials highlighting the pleiotropic effects of GLP-1RAs in addressing the interconnected spectrum of cardiometabolic conditions, with a focus on cardiovascular, renal, and hepatic benefits. In addition, as GLP-1RAs continue to reshape the management of cardiometabolic disease and global public health, we discuss future challenges to better elucidate their mechanisms of cardiometabolic protection and maximize their therapeutic potential. Graphical abstracthttps://doi.org/10.1186/s12933-025-02608-9Glucagon-like peptide-1 receptor agonistsGLP-1Cardiometabolic diseasesType 2 diabetesObesityChronic kidney disease
spellingShingle Francisco Westermeier
Enrique Z. Fisman
Glucagon-like peptide-1 receptor agonists (GLP-1RAs) and cardiometabolic protection: historical development and future challenges
Cardiovascular Diabetology
Glucagon-like peptide-1 receptor agonists
GLP-1
Cardiometabolic diseases
Type 2 diabetes
Obesity
Chronic kidney disease
title Glucagon-like peptide-1 receptor agonists (GLP-1RAs) and cardiometabolic protection: historical development and future challenges
title_full Glucagon-like peptide-1 receptor agonists (GLP-1RAs) and cardiometabolic protection: historical development and future challenges
title_fullStr Glucagon-like peptide-1 receptor agonists (GLP-1RAs) and cardiometabolic protection: historical development and future challenges
title_full_unstemmed Glucagon-like peptide-1 receptor agonists (GLP-1RAs) and cardiometabolic protection: historical development and future challenges
title_short Glucagon-like peptide-1 receptor agonists (GLP-1RAs) and cardiometabolic protection: historical development and future challenges
title_sort glucagon like peptide 1 receptor agonists glp 1ras and cardiometabolic protection historical development and future challenges
topic Glucagon-like peptide-1 receptor agonists
GLP-1
Cardiometabolic diseases
Type 2 diabetes
Obesity
Chronic kidney disease
url https://doi.org/10.1186/s12933-025-02608-9
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