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Beta-blockers may blunt GLP-1's heart rate reduction benefit, but combined use is safe with monitoring

Feinle, C

Its probable mechanism includes activation of renal AGE-RAGE signaling pathways, decreasing levels of monocyte chemotactic protein-1 (MCP-1) and PKC-A, which consequently reduces the production of slit diaphragm proteins such as nephrin and podocin, thereby mitigating the impact of AGE-mediated DN pathogenesis (Muthenna et al., 2014)

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In rats, GLP-1 (7-36amide) and, perhaps paradoxically, the GLP-1R antagonist exendin (939), dose-dependently cause relaxation of the aorta, potentially via elevation of cAMP formation and activation of K ATP channels [624]

Apply firm but comfortable pressure