《Cell》：全新口服药问世，控糖减脂又护肌，以创新机制冲击“司美类”地位

Core Insights - The article discusses the revolutionary impact of GLP-1 receptor agonists, particularly semaglutide, in the treatment of obesity and related metabolic disorders, highlighting their effectiveness in appetite suppression and calorie intake reduction [6] - A new oral candidate drug, ATR-258, shows promising results in preclinical studies, demonstrating similar glucose control and weight loss effects as GLP-1 injections without the common side effects associated with GLP-1 drugs [7][9] - ATR-258 is designed to selectively activate β2 adrenergic receptors, enhancing muscle metabolism while minimizing cardiac side effects, representing a significant advancement in obesity and type 2 diabetes treatment options [11][12] Group 1: GLP-1 Receptor Agonists - GLP-1 receptor agonists, such as semaglutide, require weekly injections and are effective in treating obesity, type 2 diabetes, cardiovascular diseases, and sleep apnea [6] - These drugs have transformed obesity treatment by effectively suppressing appetite and reducing caloric intake [6] Group 2: ATR-258 Development - ATR-258, a β2 adrenergic receptor partial agonist, has shown excellent pharmacokinetics and tolerability in phase 1 clinical trials involving healthy volunteers and type 2 diabetes patients [9] - The drug aims to achieve "healthy weight loss" by reducing fat without losing muscle mass, which is crucial for patients with type 2 diabetes and obesity [11] - Atrogi AB plans to conduct larger phase 2 clinical trials to validate the positive effects observed in animal models for type 2 diabetes and obesity patients [12]