Title:Effect of Mirabegron on the Body's Exercise Capacity: A Review
Volume: 20
Issue: 9
Author(s): Kamil Leis, Ewelina Mazur, Mariusz Racinowski, Wojciech Świerczyński, Aleksandra Baska*Przemysław Gałązka
Affiliation:
- Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Faculty of Medicine, Bydgoszcz,Poland
Keywords:
Mirabegron, β3-agonist, insulin sensitivity, lipolysis, exercise, drug.
Abstract: Mirabegron is a β3-agonist drug approved by the FDA for use in 2012 and administered in
overactive bladder. Activating of adrenergic receptors leads to the relaxation of the detrusor muscle.
According to the latest research and reports, it also has lipolytic activity, affecting the reduction of
mainly brown adipose tissue (BAT) but also of white adipose tissue (WAT). This results in a decrease
in body weight and triglyceride concentration and an increase in lipoprotein lipase activity, as well as
in the level of free fatty acids or adipokines in the plasma. The drug indirectly participates in the regulation
of carbohydrate metabolism, influencing the increase in insulin sensitivity, supporting cellular
uptake of glucose. However, due to the elevation of blood pressure and pulse, as a supplement, the
drug should be taken with care to avoid cardiovascular complications. In our review, below, we present
a description and discussion of available studies in terms of mirabegron action on the exercise capacity
of the body in the context of its potential use as a doping agent.