Alzheimer s Research & Therapy,
Journal Year:
2024,
Volume and Issue:
16(1)
Published: Aug. 1, 2024
Abstract
Targeting
brain
insulin
resistance
(BIR)
has
become
an
attractive
alternative
to
traditional
therapeutic
treatments
for
Alzheimer’s
disease
(AD).
Incretin
receptor
agonists
(IRAs),
targeting
either
or
both
of
the
glucagon-like
peptide
1
(GLP-1)
and
glucose-dependent
insulinotropic
polypeptide
(GIP)
receptors,
have
proven
reverse
BIR
improve
cognition
in
mouse
models
AD.
We
previously
showed
that
many,
but
not
all,
IRAs
can
cross
blood-brain
barrier
(BBB)
after
intravenous
(IV)
delivery.
Here
we
determined
if
widespread
uptake
could
be
achieved
by
circumventing
BBB
using
intranasal
(IN)
delivery,
which
added
advantage
minimizing
adverse
gastrointestinal
effects
systemically
delivered
IRAs.
Of
5
radiolabeled
tested
(exenatide,
dulaglutide,
semaglutide,
DA4-JC,
DA5-CH)
CD-1
mice,
exenatide,
DA4-JC
were
successfully
distributed
throughout
following
IN
observed
significant
sex
differences
DA4-JC.
Dulaglutide
exhibited
high
hippocampus
multiple
neocortical
areas.
further
found
presence
AD-associated
Aβ
pathology
minimally
affected
dulaglutide
IRAs,
are
best
capable
accessing
regions
most
vulnerable
AD
(neocortex
hippocampus)
administration.
Future
studies
will
need
performed
determine
IRA
delivery
reduce
animal
disorder.
Biomolecules,
Journal Year:
2024,
Volume and Issue:
14(7), P. 872 - 872
Published: July 19, 2024
Glucagon-like
peptide-1
(GLP-1)-based
drugs
have
been
approved
by
the
United
States
Food
and
Drug
Administration
(FDA)
are
widely
used
to
treat
type
2
diabetes
mellitus
(T2DM)
obesity.
More
recent
developments
of
unimolecular
peptides
targeting
multiple
incretin-related
receptors
("multi-agonists"),
including
glucose-dependent
insulinotropic
polypeptide
(GIP)
receptor
(GIPR)
glucagon
(Gcg)
(GcgR),
emerged
with
aim
enhancing
drug
benefits.
In
this
study,
we
utilized
human
mouse
microglial
cell
lines,
HMC3
IMG,
respectively,
together
neuroblastoma
SH-SY5Y
line
as
cellular
models
neurodegeneration.
Using
these
studied
neuroprotective
anti-inflammatory
capacity
several
multi-agonists
in
comparison
a
single
GLP-1
(GLP-1R)
agonist,
exendin-4.
Our
data
demonstrate
that
two
selected
GLP-1R/GIPR
dual
agonists
GLP-1R/GIPR/GcgR
triple
agonist
not
only
neurotrophic
effects
but
also
anti-neuroinflammatory
properties,
indicated
decreased
cyclooxygenase
(COX2)
expression,
nitrite
production,
pro-inflammatory
cytokine
release.
addition,
our
results
indicate
potential
outperform
commercially
available
GLP-1R
neurodegenerative
disease
treatment.
Expert Opinion on Investigational Drugs,
Journal Year:
2024,
Volume and Issue:
33(8), P. 757 - 773
Published: July 10, 2024
One
billion
people
live
with
obesity.
The
most
promising
medications
for
its
treatment
are
incretin-based
therapies,
based
on
enteroendocrine
peptides
released
in
response
to
oral
nutrients,
specifically
glucagon-like
peptide-1
(GLP-1)
and
glucose-dependent
insulinotropic
peptide
(GIP).
mechanisms
by
which
GLP-1
receptor
agonism
cause
weight
reduction
becoming
increasingly
understood.
However,
the
GIP
receptor-modulating
loss
remain
be
clarified.
Alzheimer s Research & Therapy,
Journal Year:
2024,
Volume and Issue:
16(1)
Published: Aug. 1, 2024
Abstract
Targeting
brain
insulin
resistance
(BIR)
has
become
an
attractive
alternative
to
traditional
therapeutic
treatments
for
Alzheimer’s
disease
(AD).
Incretin
receptor
agonists
(IRAs),
targeting
either
or
both
of
the
glucagon-like
peptide
1
(GLP-1)
and
glucose-dependent
insulinotropic
polypeptide
(GIP)
receptors,
have
proven
reverse
BIR
improve
cognition
in
mouse
models
AD.
We
previously
showed
that
many,
but
not
all,
IRAs
can
cross
blood-brain
barrier
(BBB)
after
intravenous
(IV)
delivery.
Here
we
determined
if
widespread
uptake
could
be
achieved
by
circumventing
BBB
using
intranasal
(IN)
delivery,
which
added
advantage
minimizing
adverse
gastrointestinal
effects
systemically
delivered
IRAs.
Of
5
radiolabeled
tested
(exenatide,
dulaglutide,
semaglutide,
DA4-JC,
DA5-CH)
CD-1
mice,
exenatide,
DA4-JC
were
successfully
distributed
throughout
following
IN
observed
significant
sex
differences
DA4-JC.
Dulaglutide
exhibited
high
hippocampus
multiple
neocortical
areas.
further
found
presence
AD-associated
Aβ
pathology
minimally
affected
dulaglutide
IRAs,
are
best
capable
accessing
regions
most
vulnerable
AD
(neocortex
hippocampus)
administration.
Future
studies
will
need
performed
determine
IRA
delivery
reduce
animal
disorder.