Indeed, the venom of the Brazilian pit viper inspired a class of drugs known as ACE inhibitors
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Eight major RCTs of GLP-1RAs have investigated the cardiovascular outcomes, including the ELIXA trial of lixisenatide (250), the EXSCEL trial of exenatide ER (251), the LEARDER trial of liraglutide (252), the SUSTAIN-6 trial of subcutaneous semaglutide (253), the HARMONY trial of albiglutide (228), the REWIND trial of dulaglutide (254), the PIONEER trial of oral semaglutide (255), and the SELECT trial of subcutaneous semaglutide (199)
Crucially, the gut microbiome is essential for priming this response, as germ-free mice do not develop P.g -specific Th17 cells or severe periodontitis upon challenge, a response that is restored upon microbiota recolonization (Nagao et al., 2022)
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