GLP-1RA and SGLT2i Medications for Type 2 Diabetes and Alzheimer Disease and Related Dementias
JAMA Neurology,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 7, 2025
Importance
The
association
between
glucagon-like
peptide-1
receptor
agonists
(GLP-1RAs)
and
sodium-glucose
cotransporter-2
inhibitors
(SGLT2is)
risk
of
Alzheimer
disease
related
dementias
(ADRD)
remains
to
be
confirmed.
Objective
To
assess
the
ADRD
associated
with
GLP-1RAs
SGLT2is
in
people
type
2
diabetes
(T2D).
Design,
Setting,
Participants
This
target
trial
emulation
study
used
electronic
health
record
data
from
OneFlorida+
Clinical
Research
Consortium
January
2014
June
2023.
Patients
were
50
years
or
older
T2D
no
prior
diagnosis
antidementia
treatment.
Among
396
963
eligible
patients
T2D,
33
858
included
GLP-1RA
vs
other
glucose-lowering
drug
(GLD)
cohort,
34
185
SGLT2i
GLD
24
117
cohort.
Exposures
Initiation
treatment
a
GLP-1RA,
SGLT2i,
second-line
GLD.
Main
Outcomes
Measures
was
identified
using
clinical
codes.
Hazard
ratios
(HRs)
95%
CIs
estimated
Cox
proportional
hazard
regression
models
inverse
probability
weighting
(IPTW)
adjust
for
potential
confounders.
Results
cohort
(mean
age,
65
years;
53.1%
female),
65.8
49.3%
63.8
51.7%
female).
In
IPTW-weighted
cohorts,
incidence
rate
lower
initiators
compared
(rate
difference
[RD],
−2.26
per
1000
person-years
[95%
CI,
−2.88
−1.64]),
yielding
an
HR
0.67
(95%
0.47-0.96).
had
than
(RD,
−3.05
−3.68
−2.42]),
0.57
0.43-0.75).
There
SGLT2is,
RD
−0.09
−0.80
0.63)
0.97
0.72-1.32).
Conclusion
Relevance
both
statistically
significantly
decreased
GLDs,
observed
drugs.
Language: Английский
Alzheimer’s Disease as Type 3 Diabetes: Understanding the Link and Implications
International Journal of Molecular Sciences,
Journal Year:
2024,
Volume and Issue:
25(22), P. 11955 - 11955
Published: Nov. 7, 2024
Alzheimer's
disease
(AD)
and
type
2
diabetes
mellitus
(T2DM)
are
two
prevalent
conditions
that
present
considerable
public
health
issue
in
aging
populations
worldwide.
Recent
research
has
proposed
a
novel
conceptualization
of
AD
as
"type
3
diabetes",
highlighting
the
critical
roles
insulin
resistance
impaired
glucose
metabolism
pathogenesis
disease.
This
article
examines
implications
this
association,
exploring
potential
new
avenues
for
treatment
preventive
strategies
AD.
Key
evidence
linking
to
emphasizes
metabolic
processes
contribute
neurodegeneration,
including
inflammation,
oxidative
stress,
alterations
signaling
pathways.
By
framing
within
context,
we
can
enhance
our
understanding
its
etiology,
which
turn
may
influence
early
diagnosis,
plans,
measures.
Understanding
manifestation
opens
up
possibility
employing
therapeutic
incorporate
lifestyle
modifications
use
antidiabetic
medications
mitigate
cognitive
decline.
integrated
approach
improve
patient
outcomes
deepen
comprehension
intricate
relationship
between
neurodegenerative
diseases
disorders.
Language: Английский
Low-grade Chronic Inflammation: A Shared Mechanism for Chronic Diseases
Physiology,
Journal Year:
2024,
Volume and Issue:
40(1), P. 000 - 000
Published: July 30, 2024
Inflammation
is
an
important
physiological
response
of
the
organism
to
restore
homeostasis
upon
pathogenic
or
damaging
stimuli.
However,
persistence
harmful
trigger
a
deficient
resolution
process
can
evolve
into
state
low-grade,
chronic
inflammation.
This
condition
strongly
associated
with
development
several
increasingly
prevalent
and
serious
conditions,
such
as
obesity,
cancer,
cardiovascular
diseases,
elevating
overall
morbidity
mortality
worldwide.
The
current
pandemic
diseases
underscores
need
address
inflammation,
its
mechanisms,
potential
preventive
measures
limit
widespread
impact.
present
review
discusses
knowledge
research
gaps
regarding
association
between
low-grade
inflammation
focusing
on
digestive
cancer.
We
examine
art
in
selected
aspects
topic
propose
future
directions
approaches
for
field.
Language: Английский
IUPHAR review: Drug Repurposing in Schizophrenia – An Updated Review of Clinical Trials
Jihan K. Zaki,
No information about this author
Jakub Tomasik,
No information about this author
Sabine Bahn
No information about this author
et al.
Pharmacological Research,
Journal Year:
2025,
Volume and Issue:
unknown, P. 107633 - 107633
Published: Jan. 1, 2025
There
is
an
urgent
need
for
mechanistically
novel
and
more
efficacious
treatments
schizophrenia,
especially
those
targeting
negative
cognitive
symptoms
with
a
favorable
side-effect
profile.
Drug
repurposing-the
process
of
identifying
new
therapeutic
uses
already
approved
compounds-offers
promising
approach
to
overcoming
the
lengthy,
costly,
high-risk
traditional
CNS
drug
discovery.
This
review
aims
update
our
previous
findings
on
clinical
repurposing
pipeline
in
schizophrenia.
We
examined
studies
conducted
between
2018
2024,
61
trials
evaluating
40
unique
repurposed
candidates.
These
encompassed
broad
range
pharmacological
mechanisms,
including
immunomodulation,
enhancement,
hormonal,
metabolic,
neurotransmitter
modulation.
A
notable
development
combination
muscarinic
modulators
xanomeline,
compound
antipsychotic
properties,
trospium,
included
mitigate
peripheral
side
effects,
now
by
FDA
as
first
decades
fundamentally
mechanism
action.
Moving
beyond
dopaminergic
paradigm
such
highlight
opportunities
improve
treatment-resistant
alleviate
adverse
effects.
Overall,
evolving
landscape
illustrates
significant
shift
rationale
schizophrenia
development,
highlighting
potential
silico
strategies,
biomarker-based
patient
stratification,
personalized
that
align
underlying
pathophysiological
processes.
Language: Английский
Unlocking the Potential: Semaglutide’s Impact on Alzheimer’s and Parkinson’s Disease in Animal Models
Current Issues in Molecular Biology,
Journal Year:
2024,
Volume and Issue:
46(6), P. 5929 - 5949
Published: June 13, 2024
Semaglutide
(SEM),
a
glucagon-like
peptide-1
receptor
agonist,
has
garnered
increasing
interest
for
its
potential
therapeutic
effects
in
neurodegenerative
disorders
such
as
Alzheimer’s
disease
(AD)
and
Parkinson’s
(PD).
This
review
provides
comprehensive
description
of
SEM’s
mechanism
action
preclinical
studies
these
debilitating
conditions.
In
animal
models
AD,
SEM
proved
beneficial
on
multiple
pathological
hallmarks
the
disease.
administration
been
associated
with
reductions
amyloid-beta
plaque
deposition
mitigation
neuroinflammation.
Moreover,
treatment
shown
to
ameliorate
behavioral
deficits
related
anxiety
social
interaction.
SEM-treated
animals
exhibit
improvements
spatial
learning
memory
retention
tasks,
evidenced
by
enhanced
performance
maze
navigation
tests
novel
object
recognition
assays.
Similarly,
PD,
demonstrated
promising
neuroprotective
through
various
mechanisms.
These
include
modulation
neuroinflammation,
enhancement
mitochondrial
function,
promotion
neurogenesis.
Additionally,
improve
motor
function
dopaminergic
neuronal
loss,
offering
disease-modifying
strategies.
Overall,
accumulating
evidence
from
suggests
that
holds
promise
approach
AD
PD.
Further
research
is
warranted
elucidate
underlying
mechanisms
translate
findings
into
clinical
applications
devastating
disorders.
Language: Английский
Echoes of Dormancy: Anomic Aphasia Unveils Neurocysticercosis Reactivation in a Patient on Semaglutide
Marcos Osorio Borjas,
No information about this author
Robert J. Hernandez,
No information about this author
Angelo Lopez-Lacayo
No information about this author
et al.
NeuroSci,
Journal Year:
2025,
Volume and Issue:
6(2), P. 40 - 40
Published: May 5, 2025
Neurocysticercosis
(NCC),
a
parasitic
infection
caused
by
Taenia
solium
larvae,
remains
leading
cause
of
acquired
epilepsy
worldwide,
particularly
in
regions
with
inadequate
sanitation
and
healthcare
access.
We
present
case
NCC
reactivation
64-year-old
female
who
developed
anomic
aphasia—a
rare
manifestation
NCC—decades
after
her
initial
diagnosis.
The
patient’s
clinical
course
was
complicated
potential
trigger
semaglutide,
which
potentially
attenuated
the
protective
inflammatory
response
maintained
astrocytes
microglia,
to
dormant
cysts.
Brain
imaging
confirmed
localized
cystic
changes,
treatment
antiparasitic
agents
corticosteroids
led
marked
improvement.
This
highlights
complexity
reactivation,
highlighting
interplay
metabolic,
immune,
factors.
It
emphasizes
need
for
vigilance
managing
patients
infections
investigating
risks
associated
novel
therapeutic
like
GLP-1
receptor
agonists.
Further
research
is
essential
unravel
mechanisms
linking
metabolic
modulation
offering
insights
into
prevention
strategies.
Language: Английский
Liraglutide Inhibits Autophagy to Ameliorate Post-Cardiac Arrest Brain Injury and Ferroptosis in Rats
Chengjun Xing,
No information about this author
Xin Fan,
No information about this author
Meiqiu Liu
No information about this author
et al.
Neurochemical Research,
Journal Year:
2025,
Volume and Issue:
50(3)
Published: May 11, 2025
Language: Английский
Can we target insulin signalling for cognition therapeutics?
Expert Opinion on Therapeutic Targets,
Journal Year:
2024,
Volume and Issue:
28(9), P. 713 - 717
Published: Sept. 1, 2024
Language: Английский
Exploring the Impact of Semaglutide on Cognitive Function and Anxiety-Related Behaviors in a Murine Model of Alzheimer’s Disease
Biomedicines,
Journal Year:
2024,
Volume and Issue:
12(12), P. 2689 - 2689
Published: Nov. 25, 2024
Alzheimer's
disease
(AD),
the
most
prevalent
form
of
dementia,
is
characterized
by
progressive
cognitive
decline
and
behavioral
disturbances,
with
an
increasing
incidence
as
global
population
ages.
This
study
investigates
effects
semaglutide
(SEM),
a
glucagon-like
peptide-1
analog,
on
function
anxiety-like
behavior
in
transgenic
murine
model
AD.
20
mice
were
randomly
distributed
into
following
groups
(
Post-treatment,
SEM
significantly
reduced
blood
glucose
levels
AD
mice,
aligning
them
those
wild-type
controls.
Cognitive
assessments
indicated
improvement
investigation
index
for
SEM-treated
compared
to
receiving
vehicle,
suggesting
benefits.
Although
did
not
enhance
motor
exploratory
activities,
it
displayed
potential
anxiolytic
effect,
particularly
evident
combined
anxiety
index,
notable
differences
observed
before
after
treatment
group.
The
findings
this
pilot
suggest
that
may
play
dual
role
managing
improving
glycemic
control
potentially
enhancing
function.
As
landscape
evolves,
comprehensive
approach
utilizing
could
pave
way
innovative
interventions
targeting
complex
interplay
metabolic
dysfunctions
challenging
neurodegenerative
disorder.
Language: Английский