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Research progress on the mechanism of depression and anxiety of antihyperglycemics |
ZHOU Zijing YAN Shuang |
Department of Endocrinology, the Fourth Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150001, China |
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Abstract Depression is one of the risk factors for type 2 diabetes mellitus (T2DM), and the incidence of depression in T2DM patients is significantly higher than that in non-T2DM population. Depression is often accompanied by severe anxiety symptoms. There are few systematic studies on the relationship between T2DM and depression and anxiety state. There are overlapping biological effects in the pathogenesis and treatment mechanism of both. Existing studies have found that Metformin, Thiazolidinedione, GLP-1 receptor agonists, DPP-4 inhibitors, insulin and other antihyperglycemics may relieve depression and anxiety state through neurobiochemical, neuroendocrine, neuroimmune and other mechanisms. Therefore, it is of great clinical significance to explore the biological mechanism of antihyperglycemics in relieving depression and anxiety state.
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