CB1 and GLP-1 Receptors Cross Talk Provides New Therapies for Obesity
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CB1 and GLP-1 Receptors Cross Talk Provides New Therapies for Obesity. / Zizzari, Philippe; He, Rongjun; Falk, Sarah; Bellocchio, Luigi; Allard, Camille; Clark, Samantha; Lesté-Lasserre, Thierry; Marsicano, Giovanni; Clemmensen, Christoffer; Perez-Tilve, Diego; Finan, Brian; Cota, Daniela; Quarta, Carmelo.
In: Diabetes, Vol. 70, No. 2, 2021, p. 415-422.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - CB1 and GLP-1 Receptors Cross Talk Provides New Therapies for Obesity
AU - Zizzari, Philippe
AU - He, Rongjun
AU - Falk, Sarah
AU - Bellocchio, Luigi
AU - Allard, Camille
AU - Clark, Samantha
AU - Lesté-Lasserre, Thierry
AU - Marsicano, Giovanni
AU - Clemmensen, Christoffer
AU - Perez-Tilve, Diego
AU - Finan, Brian
AU - Cota, Daniela
AU - Quarta, Carmelo
PY - 2021
Y1 - 2021
N2 - Glucagon-like peptide 1 receptor (GLP-1R) agonists effectively improve glycemia and body weight in patients with type 2 diabetes and obesity but have limited weight-lowering efficacy and minimal insulin sensitizing action. In preclinical models, peripherally restricted cannabinoid receptor type 1 (CB1R) inhibitors, which are devoid of the neuropsychiatric adverse effects observed with brain-penetrant CB1R blockers, ameliorate obesity and its multiple metabolic complications. Using mouse models with genetic loss of CB1R or GLP-1R, we demonstrate that these two metabolic receptors modulate food intake and body weight via reciprocal functional interactions. In diet-induced obese mice, the coadministration of a peripheral CB1R inhibitor with long-acting GLP-1R agonists achieves greater reduction in body weight and fat mass than monotherapies by promoting negative energy balance. This cotreatment also results in larger improvements in systemic and hepatic insulin action, systemic dyslipidemia, and reduction of hepatic steatosis. Thus, peripheral CB1R blockade may allow safely potentiating the antiobesity and antidiabetic effects of currently available GLP-1R agonists.
AB - Glucagon-like peptide 1 receptor (GLP-1R) agonists effectively improve glycemia and body weight in patients with type 2 diabetes and obesity but have limited weight-lowering efficacy and minimal insulin sensitizing action. In preclinical models, peripherally restricted cannabinoid receptor type 1 (CB1R) inhibitors, which are devoid of the neuropsychiatric adverse effects observed with brain-penetrant CB1R blockers, ameliorate obesity and its multiple metabolic complications. Using mouse models with genetic loss of CB1R or GLP-1R, we demonstrate that these two metabolic receptors modulate food intake and body weight via reciprocal functional interactions. In diet-induced obese mice, the coadministration of a peripheral CB1R inhibitor with long-acting GLP-1R agonists achieves greater reduction in body weight and fat mass than monotherapies by promoting negative energy balance. This cotreatment also results in larger improvements in systemic and hepatic insulin action, systemic dyslipidemia, and reduction of hepatic steatosis. Thus, peripheral CB1R blockade may allow safely potentiating the antiobesity and antidiabetic effects of currently available GLP-1R agonists.
U2 - 10.2337/db20-0162
DO - 10.2337/db20-0162
M3 - Journal article
C2 - 33144338
AN - SCOPUS:85100280324
VL - 70
SP - 415
EP - 422
JO - Diabetes
JF - Diabetes
SN - 0012-1797
IS - 2
ER -
ID: 256516453