[DOI] [PMC free article] [PubMed] [Google Scholar] 62.Gourdy P, Darmon P, Dievart F, Halimi JM, Guerci B
Similar to medications for chronic conditions, like asthma, diabetes or high blood pressure, GLP-1 medications only work for those who continue to take them
GLP-1 receptor agonists (semaglutide, dulaglutide, liraglutide) work by enhancing insulin secretion, suppressing glucagon, slowing gastric emptying, and reducing appetite
GLP-1RA can help maintain a balance of energy metabolism in cardiomyocytes through activating PI3K/Akt as well as p38 MAPK pathways as well as activating Nrf-2/heme oxygenase-1 (HO-1), contributing to augmented adenosine triphosphate formation and glucose ingestion by cardiomyocytes [153-155]
25,26 Effects on Epicardial Adipose Tissue GLP1-RAs decrease the volume of epicardial adipose tissue, which is often elevated in HFpEF and is a source of proinflammatory cytokines and adipokines