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Cardiovascular effects of sitagliptin – An anti‐diabetes medicine
Authors:Yi Zhou  Zhiying Guo  Wenjing Yan  Wen Wang
Affiliation:1. Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Capital Medical University, Beijing, China;2. Department of Pathophysiology, School of Basic Medicine, Jining Medical University, Shandong, China;3. Beijing Key Laboratory of Metabolic Disorders Related Cardiovascular Diseases, Beijing, China
Abstract:
Dipeptidyl‐peptidase‐4 (DPP‐4) inhibitors, as the most recent available anti‐diabetic agents, were generally used in clinical treatment of type 2 diabetes (T2DM). In addition to anti‐diabetic effects, the five most widely used DPP‐4 inhibitors (sitagliptin, vildagliptin, saxagliptin, linagliptin and alogliptin) also exert cardiovascular protective effects. In recent years, increasing studies suggest that sitagliptin shows pleiotropic impacts towards the cardiovascular system either with or without diabetes. In this review, we summarized the recent reports to provide an update discussion about cardiovascular protective effects of sitagliptin and the corresponding mechanisms. Sitagliptin has positive effects towards ischaemic cardiovascular diseases, atherosclerosis and hypertension. These effects are mainly conducted through DPP‐4 inhibitions. In addition, sitagliptin exerts anti‐inflammation, anti‐oxidative stress, anti‐apoptosis, mediation on lipid accumulation and so on, which also contribute to its cardiovascular effects.
Keywords:cardiovascular effects  diabetes  dipeptidyl‐peptidase‐4 inhibitor  sitagliptin
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