Glucagon-like peptide 1 receptor agonists and thyroid cancer: is it the time to be concerned?

Author:

Lisco Giuseppe1ORCID,De Tullio Anna1,Disoteo Olga2,Piazzolla Giuseppina1,Guastamacchia Edoardo1,Sabbà Carlo1,De Geronimo Vincenzo3,Papini Enrico4,Triggiani Vincenzo1

Affiliation:

1. Interdisciplinary Department of Medicine, Section of Internal Medicine, Geriatrics, Endocrinology and Rare Diseases, School of Medicine, University of Bari “Aldo Moro”, Piazza Giulio Cesare, Bari, Italy

2. Diabetology Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy

3. Unit of Endocrinology, Policlinico Morgagni CCD, Catania, Italy

4. Department of Endocrinology and Metabolism, Regina Apostolorum Hospital, Rome, Italy

Abstract

Glucagon-like peptide 1 receptor agonists (GLP-1RAs) have changed considerably the management of type 2 diabetes (T2D). However, recently published data from retrospective cohort studies suggest that chronic exposure to GLP-1RAs in T2D may increase the risk of papillary and medullary thyroid cancer. In this perspective, the role of the incretin system in thyroid carcinogenesis has been reviewed and critically commented on, aiming to understand if the time has arrived to be concerned about the risk. Although evidence suggested, speculative hypotheses should be verified, and further studies are urgently needed to clarify the issue.

Publisher

Bioscientifica

Subject

Endocrinology,Endocrinology, Diabetes and Metabolism,Internal Medicine

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