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Research library — page 120

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RPEP-13730 · 2025

Gastric bypass improves beta-cell function but not through increased incretin sensitivity—other mechanisms drive recovery

Post-RYGB: GLP-1 and GIP potentiated insulin during hyperglycemia. BUT relative potentiating effects reduced postoperatively: GIP (1st phase) and GLP-1 (1st + 2nd phase). Improved β-cell function driven by: ↑glucose sensitivity + exaggerated postprandial GLP-1 secretion, NOT ↑incretin sensitivity.

Svane, Maria S; Hindsø, Morten; Martinussen, Christoffer; Dirksen, Carsten; Jørgensen, Nils B; Hedbäck, Nora; Hartmann, Bolette; Kristiansen, Viggo B; Holst, Jens J; Bojsen-Møller, Kirstine N; Madsbad, Sten ·

RPEP-13732 · 2025

Real-world US study: one-third of semaglutide patients continue monotherapy through first year of treatment

15,588 patients. 1st LOT: semaglutide monotherapy most common. 36.5% maintained 1st LOT throughout follow-up. 2nd LOT: 42.2% included semaglutide. 3rd LOT: 45.8% included semaglutide. Persistence: 52.1% (2nd LOT) and 72.0% (3rd LOT) continued to end.

Swift, Caroline; Frazer, Monica; Sargent, Andrew; Leszko, Michael; Buysman, Erin; Gronroos, Noelle N; Alvarez, Sara; Dunn, Tyler J; Noone, Josh ·

RPEP-13734 · 2025

Obestatin: the mysterious preproghrelin peptide that modulates appetite, growth hormone, and reproductive axes differently across species

Appetite: inconsistent in rodents, significant orexigenic gene changes in sheep. GH axis: no effect in rodents, ↑GHRH/somatostatin mRNA, ↑GH synthesis/secretion in sheep. Reproductive: present in Leydig/pituitary cells, modulates GnRH/LH/FSH in vitro. Species variation is major.

Szlis, Michał; Wójcik-Gładysz, Anna; Gajewska, Alina; Przybyl, Bartosz Jaroslaw ·

RPEP-13739 · 2025

Real-world Danish study confirms GLP-1 drugs reduce cardiovascular death and MACE over 3.5 years versus DPP-4i

3P-MACE: -2.5% (95% CI 0.8-4.1%). CV mortality: -2.3% (1.4-3.1%). All-cause mortality: -2.5% (0.7-4.3%). HF: -0.9% (0.01-1.8%). Angina: -0.7% (0.01-1.3%). MI, stroke, revasc: NS. 6,681 GLP-1RA + 19,072 DPP-4i.

Sørensen, Kathrine Kold; Yazdanfard, Puriya Daniel Würtz; Zareini, Bochra; Pedersen-Bjergaard, Ulrik; Kosjerina, Vanja; Andersen, Mikkel Porsborg; Munch, Anders; Ohlendorff, Johan Sebastian; Schmid, Stefanie; Lanzinger, Stefanie; Choudhary, Pratik; Gillies, Clare; Gharibzadeh, Safoora; Lind, Marcus; Tasselius, Viktor; Michelsen, Jens; Gerds, Thomas Alexander; Torp-Pedersen, Christian ·

RPEP-13746 · 2025

Autoantibodies against GLP-1 and GIP hormones are elevated in diabetic patients and predict worse outcomes

First incretin autoantibody study. GIP and GLP-1 antibodies: both significantly elevated in diabetes (p<0.01). GIP antibody positive: significantly worse 5-year prognosis (p=0.0072). GLP-1 antibody positive: trend toward worse prognosis (p=0.06). 274 patients, 109 controls, 4.9-year follow-up.

Takemoto, Minoru; Zhang, Bo-Shi; Hayashi, Aiko; Yamagata, Hiroki; Yoshida, Yoich; Koshizaka, Masaya; Onishi, Shunichiro; Yamaga, Masaya; Yoshida, Tomohiko; Hashimoto, Takahide; Ohtake, Naoki; Ishikawa, Takahiro; Takizawa, Hirotaka; Hiwasa, Takaki ·

RPEP-13747 · 2025

Anti-CGRP drugs show high initial persistence in Japan but only 36.5% of migraine patients continue at 12 months

CGRP mAb persistence: 85.6% (3m) → 36.5% (12m). OMPM persistence: 49.7% (3m) → 21.7% (12m). Antiepileptics: highest OMPM persistence (27.0%). Switching: 22.9% OMPM, 19.7% CGRP mAb at 12m. Only 20% OMPM switchers → CGRP mAb. Comorbidities: ~50% non-migraine headache, 26-31% mental health, 29% sleep.

Takeshima, Takao; Ahmadyar, Gina; Duan, Molly; Yamazaki, Toru; Inoue, Shoko; Nishimura, Chiori ·

RPEP-13748 · 2025

GLP-1 drugs effectively manage pasireotide-induced hyperglycemia in acromegaly patients

Case 1: rapid postprandial hyperglycemia → managed with dulaglutide + CGM. Case 2: long-term dose-dependent glycemia → controlled by sequential GLP-1RAs including semaglutide. CGM: essential for early detection. GLP-1RAs: effective for SSTR5-mediated hyperglycemia.

Taki, Yuki; Kono, Takashi; Matsuda, Tatsuma; Kozu, Ryunosuke; Fujimoto, Masanori; Sakuma, Ikki; Hashimoto, Naoko; Horiguchi, Kentaro; Higuchi, Yoshinori; Tanaka, Tomoaki ·

RPEP-13750 · 2025

GLP-1 drugs cut heart failure events by 60% in obese HFpEF but do not reduce mortality in meta-analysis

HF events: RR 0.40 (p=0.003). CV mortality: RR 0.79 (NS). All-cause mortality: RR 0.98 (NS). KCCQ-CSS: +7.23 points. Weight: -9.76 kg. 6MWD: +16.54 m. GI AE discontinuation: RR 4.01. SAEs: RR 0.66 (NS). 3 RCTs, 1,876 patients.

Talavera, Armando; Teixeira, Larissa; Klein, Benjamin; Lopes, Rodolfo A; Urina-Jassir, Daniela; Navalha, Denilsa D P; Bettinotti, Branco G M; Fernandez, Nicole; Urina-Triana, Miguel; Welty, Francine K; Mihos, Christos G; Elajami, Tarec K ·

RPEP-13754 · 2025

CGRP supplementation prevents cognitive decline by rescuing microvascular constriction in chronic brain hypoperfusion

Vasoactive neuropeptide dysregulation = primary VCI driver. Microvascular constriction: earliest event, precedes amyloid. CGRP depletion: key driver. CGRP supplementation: prevented vasoconstriction + improved cognition. Capillary constriction precedes and drives amyloid accumulation.

Tambo, Willians; Powell, Keren; Wadolowski, Steven; Unadkat, Prashin; Chang, Eric H; LeDoux, Christopher; Sciubba, Daniel; Wang, Ping; Huerta, Patricio; Li, Chunyan ·

RPEP-13755 · 2025

Dual GLP-1/GIP drugs reduce liver fat 2x more than GLP-1-only drugs in MAFLD meta-analysis

GLP-1RA liver fat: -3.37% (p significant). Dual GLP-1/GIP: -7.15% (p significant). Dual > mono for liver fat (p significant). ↓ALT, AST, glycemic markers. >48 weeks needed for optimal results. 26 RCTs, 3,453 patients. GRADE evaluated.

Tamilwanan, Surtika; Aziz, Zoriah; Rong, Lim Yan; Bitar, Ahmad Naoras; Zarzour, Raghdaa Hamdan Al; Alshehade, Salah A ·

RPEP-13758 · 2025

GLP-1 drugs help patients who regain weight or do not lose enough after bariatric surgery

All GLP-1RAs: significant weight/BMI reduction proportional to treatment duration. Hierarchy: tirzepatide > semaglutide > liraglutide. Semaglutide > liraglutide for ≥10% and ≥15% weight loss. Cardiometabolic improvements: glucose, BP, cholesterol, liver. Adverse effects: mild GI. 19 studies.

Tan, Yee Wen; Shang, Mengge; Davis, Sean; Gananadha, Sivakumar ·

RPEP-13761 · 2025

Over half of migraine patients freely choose to continue CGRP antibodies at 2 years, with 77% resuming after breaks

Continuation: 93.2% (3m), 80.2% (6m), 68.9% (9m), 58.8% (12m), 55.4% (18m), 51.7% (24m). Resumption: 76.8%. Permanent withdrawal: 20.7%. HIT-6 and MSQ significantly improved at all points. No predictors of resumption vs withdrawal. 146 patients, patient-directed treatment choice.

Tanei, Takafumi; Yamashita, Satoshi; Maesawa, Satoshi; Nishimura, Yusuke; Ishizaki, Tomotaka; Nagashima, Yoshitaka; Suzuki, Takahiro; Hamasaki, Hajime; Yamamoto, Shun; Wakabayashi, Toshihiko; Saito, Ryuta ·

RPEP-13762 · 2025

GLP-1 drugs reduce heart attacks with NNT of 207, MACE at NNT of 67, in largest cardiovascular meta-analysis

MI: RR 0.86 (p<0.01), NNT 207. CV mortality: RR 0.87 (p<0.01), NNT 170. MACE: RR 0.87 (p<0.01), NNT 67. Stroke: RR 0.88 (p<0.01), NNT 335. Higher BMI → greater MI reduction (β=-0.09, p=0.03). GI AEs: RR 1.55, NNTH 9. 25 studies, 109,846 patients, 3.48 years.

Tang, Ansel Shao Pin; Hsu, Jovan Teng Yuan; Chong, Sheena Kar Shuan; Quek, Jingxuan; Shek, Genevieve; Sulaimi, Farisah; Chan, Kai En; Anand, Vickram Vijay; Chong, Bryan; Mehta, Anurag; Toh, Sue-Anne; Muthiah, Mark; Dimitriadis, Georgios K; le Roux, Carel W; Chan, Mark Yan-Yee; Mamas, Mamas Andreas; Chin, Yip Han; Chew, Nicholas W S ·

RPEP-13765 · 2025

GLP-1 drugs reduce CV events 24%, kidney events 36%, and mortality 51% in obese non-diabetic adults—largest study to date

MACE HR 0.76 (0.72-0.81). MAKE HR 0.64 (0.55-0.74). Mortality HR 0.49 (0.42-0.57). Depression HR 0.63. Suicidal ideation HR 0.42. Substance use HR 0.58. No increased: pancreatitis (HR 1.17 NS), hypoglycemia (HR 1.08 NS), GI symptoms (HR 0.99 NS). 140,169 matched pairs.

Tang, Huilin; Lu, Yiwen; Zhang, Bingyu; Zhou, Ting; Zhang, Dazheng; Chen, Jiajie; Chen, Yong; Asch, David A; Chen, Yong ·

RPEP-13766 · 2025

Neuropeptide Y levels predict mortality risk in patients with drug-refractory ventricular electrical storm

Refractory ES: significantly higher NPY vs controls. NPY threshold: 44.4 pg/mL (sensitivity 0.91, specificity 0.90). High NPY: significantly worse survival (Kaplan-Meier). Cox: NPY independently associated with mortality (95% CI 0.89-0.99). 95 patients (62 control, 33 refractory).

Tang, Jianjun; Liu, Chengfeng; Wang, Zhuo; Zhu, Tongjian; Zhong, Min; Li, Yasai; Chen, Mingxian ·

RPEP-13769 · 2025

Snake cathelicidin fragment without antimicrobial activity reverses antibiotic resistance by trapping drugs inside bacteria

FP-CATH9: 9 amino acids, no antibacterial activity alone. Reverses minocycline resistance in MDR gram-negative bacteria (E. coli, K. pneumoniae, A. baumannii, P. aeruginosa). Mechanism: inhibits efflux → ↑intracellular minocycline. Low hemolysis + cytotoxicity. In vivo: 80% larval survival with combination.

Tang, Yingqi; Liu, Jiye; Yan, Jiani; Xie, Zhixiong; Zhong, Lipeng ·

RPEP-13770 · 2025

GLP-1 drugs show promise for alcohol use disorder by modifying brain reward pathways: review of preclinical and clinical evidence

Animal: GLP-1R activation ↓alcohol intake, ↓relapse. Mechanism: brain reward pathway modulation (mesolimbic dopamine). Clinical: some reduction in heavy drinking days (especially with comorbid obesity). Gaps: extended studies, diverse trials, pharmacogenomics needed.

Tanguturi Yella, Sree Sudha; Kota Sesha Brahma Sree, Krishna Sasanka; Mahato, Sumit Kumar ·

RPEP-13771 · 2025

SGLT2 + GLP-1 combination provides synergistic cardiometabolic protection without new safety signals in systematic review

GLP-1RA reduced MACE/HFH regardless of SGLT2i background. SGLT2i benefits maintained with GLP-1RA. Combination: superior HbA1c, weight, SBP reduction. No new safety signals. Manageable GI and genital infection risks. 9 RCTs (2020-2025).

Tantawy, Dalia; Musa Rabih, Maram Rabih; Ibrahim Mohamed, Razan Seifeldin; Abdelrahman Ali, Malaz Omer; Mohammed Saad Aldeen, Rayan Saad Aldeen; Ahmed Abdelkarim, Ali Omer; Awadalkreem Mohamedzain, Tawasul Greeballah ·

RPEP-13772 · 2025

Gut microbiota-enteric nervous system crosstalk drives diabetic GI dysfunction through GLP-1, ghrelin, and VIP pathways

DGE driven by ENS impairment (not just vagus). Microbiota-ENS axis: SCFAs, bile acids, tryptophan. Peptide mediators: GLP-1, ghrelin, VIP, acetylcholine, NO. Microbiome therapies (probiotics, prebiotics, FMT): repair ENS + alleviate DGE. >50% of diabetics have GI symptoms.

Tao, Wang; Yu, Yunfeng; Tan, Danni; Huang, Xiangning; Huang, Jiawang; Lin, Chuanquan; Yu, Rong ·

RPEP-13773 · 2025

Semaglutide treatment does not increase surgical complications after cervical spine fusion in diabetic patients

Surgical complications: OR 1.26 (0.83-1.93, NS). 30-day readmission: OR 0.83 (NS). 90-day readmission: OR 0.89 (NS). 298 matched pairs. PearlDiver Database 2010-2021.

Tao, Xu; Ranganathan, Sruthi; Van Halm-Lutterodt, Nicholas; Garcia-Vargas, Julia; Wu, Andrew; Karnati, Janesh; Shankar, Sachin; Agyeman, Nana; Ashraf, Ahmed; Barve, Parikshit; Childress, Kelly; Adogwa, Owoicho ·

RPEP-13774 · 2025

GLP-1 drugs increase retained gastric content 6-fold before endoscopy but do not significantly increase aspiration risk

RGC: OR 6.30 (5.30-7.49, I²=0%). Aborted: OR 5.50 (3.25-9.32, I²=0%). Repeated: OR 2.19 (1.42-3.38, I²=0%). Aspiration: OR 1.26 (0.86-1.87, NS, I²=34%). Tirzepatide: highest RGC (18.9%). Colonoscopy prep: ↓RGC (OR 0.26). 32,144 GLP-1 + 73,273 controls.

Tarar, Zahid Ijaz; Farooq, Umer; Chaudhry, Ahtshamullah; Gandhi, Mustafa; El Alayli, Abdallah; Ayoub, Mark; Singh, Baltej; Daglilar, Ebubekir; Thosani, Nirav ·

RPEP-13776 · 2025

GLP-1 drugs halve all-cause death but slightly increase acute pancreatitis risk in 1.5 million users

All-cause death: HR 0.554 (0.542-0.566). Composite pancreatitis: HR 1.062 (1.023-1.102). Acute pancreatitis: HR 1.058 (1.015-1.103), mainly first 6 months. Chronic pancreatitis: NS. Pancreatic cancer: NS. <65: greater mortality benefit. 1.56M GLP-1 users vs 18.65M non-users.

Tartaglia, Enrico; Bucci, Tommaso; Rossi, Michele; Rigutini, Andrea Galeazzo; Askarinejad, Amir; Alam, Uazman; Nabrdalik, Katarzyna; Boriani, Giuseppe; Lip, Gregory Y H ·