Glucagon-like peptide-1 receptor agonists for major neurocognitive disorders DOI
Riccardo De Giorgi, Ana Ghenciulescu,

Courtney Yotter

и другие.

Journal of Neurology Neurosurgery & Psychiatry, Год журнала: 2025, Номер unknown, С. jnnp - 335593

Опубликована: Апрель 10, 2025

Disease-modifying treatments for major neurocognitive disorders, including Alzheimer’s disease, Parkinson’s disease and other cognitive deficits, are among the main unmet needs in modern medicine. Glucagon-like peptide-1 receptor agonists (GLP-1RAs), currently licensed treatment of type 2 diabetes mellitus obesity, offer a novel, multilayered mechanism intervention neurodegeneration through intermediate, aetiology-agnostic pathways, likely involving metabolic, inflammatory several relevant neurobiological processes. In vitro animal studies have revealed promising signals neuroprotection, with preliminary supportive evidence emerging from recent pharmacoepidemiological investigations clinical trials. this article, we comprehensively review that investigate impact GLP-1RAs on various aetiologies impairment dementia syndromes. Focusing human studies, highlight how brain energy homeostasis, neurogenesis, synaptic functioning, neuroinflammation cellular stress responses, pathological protein aggregates, proteostasis, cerebrovascular system blood-brain barrier dynamics may underlie GLP-1RA putative neuroprotective effects. We then report appraise observational investigations, trials pooled analyses. Finally, discuss current challenges perspectives ahead research implementation care people their individual penetrance potential, need response biomarkers stage-based indications, possible non-specific effects health, profile terms adverse events unwanted effects, lack long-term data efficacy safety, issues surrounding cost availability treatment.

Язык: Английский

Effects of 17,18-Epoxyeicosatetraenoic Acid and Epoxydocosapentaenoic Acid Combined with Soluble Epoxide Hydrolase Inhibitor t-TUCB on Brown Adipogenesis and Mitochondrial Respiration DOI Open Access

Yang Yang,

Haoying Wu, Xinyun Xu

и другие.

Nutrients, Год журнала: 2025, Номер 17(6), С. 936 - 936

Опубликована: Март 7, 2025

Background/Objectives: 17,18-epoxyeicosatetraenoic acid (17,18-EEQ) and 19,20-epoxydocosapentaenoic (19,20-EDP) are bioactive metabolites produced from eicosapentaenoic (EPA) docosahexaenoic (DHA), respectively, by CYP450s. These unstable quickly metabolized auto-oxidation, esterification, β-oxidation, or hydrolysis soluble epoxide hydrolase (sEH). 17,18-EEQ 19,20-EDP combined with a potent sEH inhibitor t-TUCB differentially activated brown adipose tissue in diet-induced obesity. In the current study, we investigated whether these n-3 epoxy fatty acids directly promote adipocyte differentiation their thermogenic capacities. Methods: Murine preadipocytes were treated during post differentiation. Brown marker protein expression mitochondrial respiration measured. addition, activation of PPARγ suppression NFκB reporter alone assessed, roles evaluated knockdown GW9662. Results: promoted adipogenesis uncoupling. Moreover, t-TUCB, both epoxides improved respiration, but only significantly increased uncoupling (and heat production) differentiated adipocytes. may be required for effects on not function Conclusions: The results demonstrate that, also promotes thermogenesis Together, suggest potentials tested epoxides, especially t-TUCB. Translational studies human functions warranted.

Язык: Английский

Процитировано

0

Inkretine als Grundlage der Adipositastherapie DOI

Ines Freibothe,

Timo D. Müller

Deleted Journal, Год журнала: 2025, Номер unknown

Опубликована: Апрель 10, 2025

Obesity represents an immense challenge for patients and physicians due to its numerous comorbidities complications. For a long time, safe effective pharmacological treatment remained wishful thinking. Bariatric surgery was considered the only option sustained weight loss; however, with advent of incretin-based treatment, initially introduced as highly component anti-diabetic research began focus on complex gastroenteropancreatic endocrine system, including central hunger satiety regulation. This shift driven by discovery remarkable side effect: placebo-controlled reduction. Subsequent groundbreaking developments based long-acting peptides, administration which could be reduced from twice daily in earlier forms once weekly, now enables significant reduction over 20%, tolerable safety profile. article provides illustrative overview corresponding associations highlights this milestone obesity treatment.

Язык: Английский

Процитировано

0

Glucagon-like peptide-1 receptor agonists for major neurocognitive disorders DOI
Riccardo De Giorgi, Ana Ghenciulescu,

Courtney Yotter

и другие.

Journal of Neurology Neurosurgery & Psychiatry, Год журнала: 2025, Номер unknown, С. jnnp - 335593

Опубликована: Апрель 10, 2025

Disease-modifying treatments for major neurocognitive disorders, including Alzheimer’s disease, Parkinson’s disease and other cognitive deficits, are among the main unmet needs in modern medicine. Glucagon-like peptide-1 receptor agonists (GLP-1RAs), currently licensed treatment of type 2 diabetes mellitus obesity, offer a novel, multilayered mechanism intervention neurodegeneration through intermediate, aetiology-agnostic pathways, likely involving metabolic, inflammatory several relevant neurobiological processes. In vitro animal studies have revealed promising signals neuroprotection, with preliminary supportive evidence emerging from recent pharmacoepidemiological investigations clinical trials. this article, we comprehensively review that investigate impact GLP-1RAs on various aetiologies impairment dementia syndromes. Focusing human studies, highlight how brain energy homeostasis, neurogenesis, synaptic functioning, neuroinflammation cellular stress responses, pathological protein aggregates, proteostasis, cerebrovascular system blood-brain barrier dynamics may underlie GLP-1RA putative neuroprotective effects. We then report appraise observational investigations, trials pooled analyses. Finally, discuss current challenges perspectives ahead research implementation care people their individual penetrance potential, need response biomarkers stage-based indications, possible non-specific effects health, profile terms adverse events unwanted effects, lack long-term data efficacy safety, issues surrounding cost availability treatment.

Язык: Английский

Процитировано

0