Frontiers in Bioscience-Landmark,
Journal Year:
2024,
Volume and Issue:
29(7)
Published: July 24, 2024
Background:
Acute
and
chronic
brain
damage
in
type
2
diabetes
mellitus
(DM)
determines
the
need
to
investigate
neuroprotective
potential
of
glucose-lowering
drugs.
The
purpose
was
directly
compare
effects
glucagon-like
peptide-1
receptor
agonists
(GLP-1RAs)
with
different
duration
action
sodium-glucose
cotransporter-2
inhibitors
(SGLT-2i)
diabetic
rats
without
stroke.
Methods:
DM
modelled
using
high-fat
diet
nicotinamide+streptozotocin
protocol.
following
groups
(n
=
15
each)
were
formed:
treatment,
treatment
liraglutide,
dulaglutide,
canagliflozin
as
well
control
group
treatment.
After
8
weeks,
10
from
each
underwent
middle
cerebral
artery
occlusion.
In
reperfusion
period
neurological
deficit,
neuroglial
markers
necrosis
evaluated.
Brain
slices
remaining
5
animals
histologically
examined
for
microglial
activation
neuronal
damage.
Results:
similar
“DM”
“Control”
(17.53
[14.23;
26.58]
15.87
[13.40;
22.68]
%
total
volume,
respectively).
All
study
drugs
diminished
volume
comparing
whereas
“DM+Liraglutide”
smaller
than
“DM+Canagliflozin”
did
not
significantly
differ
“DM+Dulaglutide”
(2.9
[1.83;
4.71],
6.17
[3.88;
8.88]
4.57
[3.27;
7.90]
%).
deficit
more
prominent
“Control”,
while
all
demonstrated
positive
effect.
Neurofilament
light
chains
(NLC)
between
“Control”.
Dulaglutide
caused
a
marked
decrease
NLC.
Protein
S100BB
level
Liraglutide
largest
decrease,
influence
it.
ischaemia,
increased
number
normal
neurons,
but
GLP-1RAs
had
pronounced
accompanied
by
activated
cells
Cornu
Ammonis
(CA)1
hippocampal
region.
Both
reduced
Iba-1-positive
cells,
dulaglutide
being
effective
affect
this
parameter.
Conclusions:
SGLT-2i
have
properties
against
acute
rats,
although
infarct-limiting
effect
may
be
pronounced.
exert
their
protective
influencing
survival,
also
microglia.
Expert Review of Endocrinology & Metabolism,
Journal Year:
2023,
Volume and Issue:
18(3), P. 231 - 240
Published: April 20, 2023
To
date,
the
21st
Century
has
witnessed
key
developments
in
management
of
diabesity
(a
conflation
obesity
and
Type
2
Diabetes
Mellitus
[T2D]),
including
Glucagon
Like
Peptide
1
(GLP1)
receptor
agonist
therapies,
recently
'designer'
GLP1
Poly-agonist
Peptides
(GLP1PPs).A
PubMed
search
published
data
on
GLP1PP
class
therapies
was
conducted.
The
gut-brain
axis
forms
complex
multi-directional
interlinks
that
include
autonomic
nervous
signaling,
components
gut
microbiota
(including
metabolic
by-products
gram-negative
cell
wall
[e.g.
endotoxinaemia]),
incretin
hormones
are
secreted
from
response
to
ingestion
nutrients.
development
dual-incretin
includes
combinations
peptide
with
Glucose-dependent
Insulinotropic
Polypeptide
(GIP),
(Gcg),
Cholecystokinin
(CCK),
YY
(PYY),
Glucagon-Like
(GLP2).
Triple
also
under
development.At
dawn
a
new
era
therapeutic
diabesity,
designer
holds
great
promise,
each
novel
combination
building
preexisting
palimpsest
clinical
insights.
Future
innovations
will
likely
enable
medically
induced
weight
loss
glycemic
control
rival
or
even
out-perform
those
resulting
bariatric
surgery.