GLP-1 receptor agonism in prostate cancer: insights and perspectives

GLP-1 receptor agonism in prostate cancer: insights and perspectives

S. La Vignera, R.A. Condorelli

 

Bioscientifica Ltd - Article - Sandro La Vignera - Rosita A. Condorelli

 

Metabolic context and clinical relevance

Men with prostate cancer frequently receive androgen deprivation therapy (ADT), which is associated with significant metabolic adverse effects, including insulin resistance, type 2 diabetes mellitus, and increased cardiovascular morbidity (2). In this clinical context, GLP-1 receptor agonists (GLP-1 RAs) – particularly semaglutide – have demonstrated robust cardiometabolic benefits in large randomised trials, independent of glycaemic status (3, 4). The question of whether GLP-1 RAs might exert direct antitumour activity in prostate tissue, independently of their systemic metabolic effects, is therefore highly relevant for the management of patients with prostate cancer who receive ADT or who progress to castration-resistant disease...