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Frontiers | Glucagon-like peptide-1 receptor agonists: a review from a cardiovascular perspective

Furthermore, treatment of Zucker diabetic fatty (ZDF) rats with the DPP-IV inhibitor alogliptin raised the expression of CREB target genes and decreased blood glucose in the hippocampus, thus dampening the neuroinflammatory response (244)

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1).29,32 With respect to the vascular system, rGLP-1 activation induces modest decreases in blood pressure,33,34 it has a vasodilator effect, improves arterial stiffness, and prevents atherosclerotic plaque formation-and has plaque stabilizing effects-through its anti-inflammatory and antiapoptotic effects as demonstrated in animal models.29,32,35–38 Despite controversies about rGLP-1 expression in vascular smooth muscle and endothelial cells, studies have shown that arGLP-1 has antiproliferative effects on these cells,39 reduces oxidative stress, improves endothelial function, and increases nitric oxide production in experimental models.35–40 In the heart they produce a discrete increase in heart rate (2–4 beats/min), although this does not seem to be associated with an increase in arrhythmias or cardiovascular events