Instead of being broken down in the stomach, it travels to where it is needed most
When c-Met signaling is chronically overactive, it drives tumor cells to grow, invade, and spread, which is why a whole class of cancer drugs exists specifically to block it
4-PBA group (rats were injected intraperitoneally with MTX on day 7 plus 4-PBA (150 mg/kg) by intraperitoneal injection every other day (days 2, 4, 6, 8, and 10) (Soliman et al., 2019)
The anti-inflammatory pathways modulated by GLP-1 receptor activation (NF-kB suppression, macrophage polarization, Treg enhancement) are largely distinct from the pathways targeted by: Methotrexate: Folate metabolism disruption, different anti-inflammatory pathway TNF inhibitors (adalimumab, etanercept): Direct TNF blockade, whereas GLP-1 reduces TNF production upstream IL-6 inhibitors (tocilizumab): Receptor-level blockade, while GLP-1 reduces IL-6 production JAK inhibitors (tofacitinib, baricitinib): Different signaling pathway entirely Corticosteroids: Broad immunosuppression, while GLP-1 is immunomodulatory This pathway complementarity is why additive benefit is biologically plausible
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