Semaglutide, a glucagon like peptide-1 receptor agonist with cardiovascular benefits for management of type 2 diabetes
Open accessAbstract
Semaglutide, a glucagon like peptide-1 (GLP-1) receptor agonist, is available as monotherapy in both subcutaneous as well as oral dosage form (first approved oral GLP-1 receptor agonist). It has been approved as a second line treatment option for better glycaemic control in type 2 diabetes and currently under scrutiny for anti-obesity purpose. Semaglutide has been proved to be safe in adults and elderly patients with renal or hepatic disorders demanding no dose modification. Cardiovascular (CV) outcome trials established that it can reduce various CV risk factors in patients with established CV disorders. Semaglutide is well tolerated with no risk of hypoglycaemia in monotherapy but suffers from gastrointestinal adverse effects. A large population affected with COVID-19 infection were diabetic; therefore use of semaglutide in diabetes as well as CV patients would be very much supportive in maintaining health care system during this pandemic situation. Hence, this peptidic drug can be truly considered as a quintessential of GLP-1 agonists for management of type 2 diabetes.
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Despite sharing a therapeutic class, individual GLP-1 RAs can exhibit diverse biological effects and safety profiles due to their distinct molecular structures and mechanisms of action.
“This approach is grounded in the understanding that despite sharing a therapeutic class, individual GLP-1 RAs can exhibit diverse biological effects and safety profiles due to their distinct molecular structures and mechanisms of action [1,4,5,6].”
From Assessment of Thyroid Carcinogenic Risk and Safety Profile of GLP1-RA Semaglutide (Ozempic) Therapy for Diabetes Mellitus and Obesity: A Systematic Literature Review (2024) · cites this paper as [4]
The Introduction distinguishes exendin-based GLP-1 receptor agonists from GLP-1 analogues, and the Development section describes semaglutide’s structural modifications and their effects on drug stability and duration. The Clinical pharmacology section reports different efficacy outcomes for semaglutide and other GLP-1 receptor agonists. The paper does not establish that differences in safety profiles arise from distinct molecular structures or mechanisms of action; the Introduction instead says these agents were designed to act in the same way as GLP-1. (LLM, conf=0.84)
Experimental — accuracy not yet measuredSemaglutide has demonstrated significant utility in managing type 2 diabetes and obesity as a GLP-1 receptor agonist.
“The drug has demonstrated significant utility in managing type 2 diabetes and obesity, thanks to its action as a glucagon-like peptide-1 (GLP-1) receptor agonist (RA) [4,5,6].”
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Cites
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Retracted
- Authors
- Mahapatra, M. K., Karuppasamy, M., & Sahoo, B. M.
- Affiliations
- Roland Institute of Pharmaceutical Sciences (IN)
- Corresponding author
- Mahapatra, Manoj Kumar
- Venue
- Reviews in Endocrine and Metabolic Disorders
- Published
- 2022-01-07
- Volume
- 23
- Issue
- 3
- Pages
- 521-539
- ISSN
- 1389-9155 (ISSN-L)
- 1573-2606
- PMC
- PMC8736331
- OpenAlex
- W4205983920
- Cited by
- 166
- References
- 20
- Citations by year
- 2026: 31 · 2025: 57 · 2024: 48 · 2023: 22 · 2022: 7
- FWCI
- 4.77
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Reviews in Endocrine and Metabolic Disorders (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Pharmacology › Pharmacology and Obesity Treatment
- Keywords
- semaglutide, GLP-1 receptor agonists, type 2 diabetes, cardiovascular risk reduction, oral GLP-1 receptor agonists, glycemic control, anti-obesity, drug safety, gastrointestinal adverse effects, COVID-19 pandemic, renal and hepatic impairment
- MeSH terms
- Glucagon-Like Peptide-1 Receptor, COVID-19 Drug Treatment, Glucagon-Like Peptide-1 Receptor Agonists, Semaglutide, Aged, Diabetes Mellitus, Type 2, Glucagon-Like Peptides, Humans, Hypoglycemic Agents, Glucagon-Like Peptide 1
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