Evidence map›Paper›PMID 42878985›Full record

ReviewCurrent atherosclerosis reports2026

GLP-1 Receptor Agonists and Lipoprotein (a): Insights, Gaps and Clinical Implications in Cardiovascular Diseases.

Fady G Mikhael, Chadi Ayoub, Eleftherios Teperikidis, Giuseppe Biondi-Zoccai, George W Booz, Fouad A Zouein, Nisrine N Makarem

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current atherosclerosis reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Fady G MikhaelDepartment of Pharmacology and Toxicology, Faculty of Medicine, American University of Beirut, Beirut, Lebanon.
Chadi AyoubDepartment of Cardiovascular Medicine, Mayo Clinic Arizona, Phoenix, AZ, USA.
Eleftherios TeperikidisSynthesa, Inc, New York, NY, 10010, USA.
Giuseppe Biondi-ZoccaiDepartment of Medical-Surgical Sciences and Biotechnologies, Sapienza University, Latina, Italy.
George W BoozDepartment of Pharmacology and Toxicology, School of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
Fouad A ZoueinDepartment of Pharmacology and Toxicology, Faculty of Medicine, American University of Beirut, Beirut, Lebanon. fz15@aub.edu.lb.
Nisrine N MakaremDepartment of Family Medicine, American University of Beirut Medical Center, Beirut, 1107 2020, Lebanon. nm68@aub.edu.lb.

Funding

Faculty of Medicine, American University of Beirut Scholarly Concentration TrackFaculty of Medicine, American University of Beirut University Research Board (URB)-103949; URB-104262; URB-104115; URB-104524; Medical Practice Plan (MPP)-320145
6 · The paper itself

Abstract

purpose of reviewLipoprotein(a) [Lp(a)], a predominantly genetically determined biomarker that remains relatively stable throughout life, is a well-established and independent risk factor for cardiovascular disease. Glucagon-like peptide-1 receptor agonists (GLP-1RAs) have demonstrated broad cardiometabolic benefits, yet their potential influence on Lp(a) remains unclear. This review synthesizes the most recent evidence at the intersection of GLP-1RAs, Lp(a), and cardiovascular disease, with particular emphasis on underlying mechanistic pathways and their potential implications for cardiovascular risk stratification and clinical outcomes. RECENT

findingsBeyond glycemic control, the multisystem effects of GLP-1RAs suggest a plausible influence on Lp(a) metabolism through multiple mechanistic pathways, including modulation of hepatic and intestinal lipoprotein synthesis and secretion, anti-inflammatory and endothelial-protective actions, attenuation of adipokine signaling, and broader metabolic outcomes. Preclinical and early clinical studies suggest modest but significant reductions in Lp(a) with GLP-1RA therapy, and ongoing large-scale studies aim to clarify the magnitude and clinical relevance of this effect. GLP-1RAs may offer a novel approach to addressing residual cardiovascular risk in patients with elevated Lp(a), although their direct effects on Lp(a) remain uncertain and warrant further investigation. Emerging evidence suggests a promising link between GLP-1RA therapy and Lp(a)-related pathways.

Indexed as

Cardiovascular DiseasesGlucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsLipoprotein(a)AnimalsBiomarkersHumansBiomarkersGlucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsLipoprotein(a)Cardiometabolic diseasesCardiovascular diseasesGLP-1RAsGlucagon-like peptide-1 receptor agonistsLipoprotein(a)Lp(a)

Identifiers

PMID42878985

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.