GLP-1 Receptor Agonist Treatment in Morbid Obesity and Type 2 Diabetes Due to Pathogenic Homozygous Melanocortin-4 Receptor Mutation: A Case Report
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
GLP-1 Receptor Agonist Treatment in Morbid Obesity and Type 2 Diabetes Due to Pathogenic Homozygous Melanocortin-4 Receptor Mutation : A Case Report. / Iepsen, Eva W.; Have, Christian T; Veedfald, Simon; Madsbad, Sten; Holst, Jens J; Grarup, Niels; Pedersen, Oluf; Brandslund, Ivan; Holm, Jens-Christian; Hansen, Torben; Torekov, Signe S.
In: Cell Reports Medicine, Vol. 1, No. 1, 100006, 2020.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - GLP-1 Receptor Agonist Treatment in Morbid Obesity and Type 2 Diabetes Due to Pathogenic Homozygous Melanocortin-4 Receptor Mutation
T2 - A Case Report
AU - Iepsen, Eva W.
AU - Have, Christian T
AU - Veedfald, Simon
AU - Madsbad, Sten
AU - Holst, Jens J
AU - Grarup, Niels
AU - Pedersen, Oluf
AU - Brandslund, Ivan
AU - Holm, Jens-Christian
AU - Hansen, Torben
AU - Torekov, Signe S
PY - 2020
Y1 - 2020
N2 - Individuals with obesity due to pathogenic heterozygous melanocortin 4 receptor (MC4R) mutations can be treated efficiently with the glucagon-like peptide-1 receptor agonist (GLP-1 RA) liraglutide. Here, we report the effect of 16 weeks of liraglutide 3 mg/day treatment in a woman with morbid obesity and type 2 diabetes (T2D) due to homozygous pathogenic MC4R mutation. The body weight loss was 9.7 kg, similar to weight loss in heterozygous MC4R mutation carriers and common obesity. In addition, the treatment led to clinically relevant decreases in fasting glucose, triglycerides, systolic blood pressure, and normalization of glucose tolerance. We conclude that liraglutide reduces body weight and blood glucose levels in hetero- and homozygous MC4R mutation carriers. This serves as proof-of-concept that MC4Rs are not required for the body weight and glucose lowering effects of GLP-1 RAs and that liraglutide may be used as part of the treatment of obesity and T2D due to MC4R mutations.
AB - Individuals with obesity due to pathogenic heterozygous melanocortin 4 receptor (MC4R) mutations can be treated efficiently with the glucagon-like peptide-1 receptor agonist (GLP-1 RA) liraglutide. Here, we report the effect of 16 weeks of liraglutide 3 mg/day treatment in a woman with morbid obesity and type 2 diabetes (T2D) due to homozygous pathogenic MC4R mutation. The body weight loss was 9.7 kg, similar to weight loss in heterozygous MC4R mutation carriers and common obesity. In addition, the treatment led to clinically relevant decreases in fasting glucose, triglycerides, systolic blood pressure, and normalization of glucose tolerance. We conclude that liraglutide reduces body weight and blood glucose levels in hetero- and homozygous MC4R mutation carriers. This serves as proof-of-concept that MC4Rs are not required for the body weight and glucose lowering effects of GLP-1 RAs and that liraglutide may be used as part of the treatment of obesity and T2D due to MC4R mutations.
U2 - 10.1016/j.xcrm.2020.100006
DO - 10.1016/j.xcrm.2020.100006
M3 - Journal article
C2 - 33205056
VL - 1
JO - Cell Reports Medicine
JF - Cell Reports Medicine
SN - 2666-3791
IS - 1
M1 - 100006
ER -
ID: 258280146