The role of glucagon-like peptide-1 receptor agonists and sodium-glucose cotransporter-2 inhibitors in Chronic obstructive pulmonary disease

Feb 5, 2026Expert review of clinical immunology

How diabetes drugs that affect blood sugar and digestion may relate to chronic lung disease

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Abstract

Observational studies indicate that glucagon-like peptide-1 receptor agonists (GLP-1RAs) and sodium-glucose cotransporter-2 (SGLT2) inhibitors may reduce exacerbations in patients with chronic obstructive pulmonary disease (COPD).

  • COPD is often associated with type 2 diabetes mellitus, obesity, and cardiovascular disease, which can worsen patient outcomes.
  • GLP-1RAs and SGLT2 inhibitors, originally developed for diabetes and obesity, may also be beneficial for COPD management.
  • Common inflammatory pathways among COPD, diabetes, and obesity include macrophage dysfunction and inflammasome activation.
  • Potential mechanisms for GLP-1RAs and SGLT2 inhibitors in COPD treatment could involve modulation of inflammation and metabolic control.
  • Further randomized controlled trials and mechanistic studies are necessary to validate these findings and clarify how these treatments work.

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