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The down-regulation of NAD + levels in the heart is most significant

Once bound to GLP-1 receptor (a 7-transmembrane protein that belongs to the class B1 G-protein-coupled receptor family) (180), GLP-1 RAs (as GLP-1) initiate a signaling cascade that activates adenylyl cyclase (AC), increasing cAMP levels (in a dose-dependent manner) which, in turn, interacts with several downstream molecules, such as mitogen-activated protein kinase (MAPK), protein kinase A (PKA) and PI3K (181, 182)

Figures 4(a) and (b))

However, direct DEXA-based comparisons between the two compounds are needed