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While studies in mice indicate the potential direct benefits of GLP-1 on the skeletal muscle and bone, human data supporting this hypothesis are absent owing to the absence of GLP-1 receptors in the human skeletal muscle, implying that any effects on muscles are likely indirect [114]
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In vitro , the GLP-1 agonist exendin-4, inhibits NHE3 through modulation of protein kinase A and cyclic adenosine monophosphate, culminating in downstream phosphorylation of the NHE3 transporter without changes in the surface expression within renal tubular cells [71]
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