The therapeutic administration of pharmaceutical agents that mimic the action of Glucagon-like Peptide-1 (GLP-1), an incretin hormone, to manage metabolic dysfunction, primarily type 2 diabetes and obesity. These agents bind to and activate the GLP-1 receptor, leading to glucose-dependent insulin secretion, slowed gastric emptying, and a significant reduction in appetite and body weight. Their clinical application is a cornerstone of modern metabolic health management.
Origin
The origin lies in the discovery of incretin hormones in the gastrointestinal tract, which modulate glucose metabolism following a meal. GLP-1 agonists were initially developed for diabetes treatment, but their profound effect on satiety and weight loss quickly expanded their clinical utility into the broader metabolic and longevity space. The term ‘Agonist’ refers to a substance that initiates a physiological response when combined with a receptor.
Mechanism
The primary mechanism involves binding to the GLP-1 receptors found on pancreatic beta cells, stimulating the release of insulin only when blood glucose levels are elevated, thereby minimizing hypoglycemia risk. Additionally, GLP-1 receptors in the brain, particularly the hypothalamus, are activated, which increases satiety and reduces food intake. These actions collectively lead to improved glycemic control, reduced visceral adiposity, and potential cardioprotective and neuroprotective benefits, making them a longevity-relevant tool.
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