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基于雷帕霉素靶蛋白通路的胰高血糖素样肽-1 治疗阿尔茨海默病的分子机制。

The Molecular Mechanism of Glucagon-Like Peptide-1 Therapy in Alzheimer's Disease, Based on a Mechanistic Target of Rapamycin Pathway.

机构信息

Key Laboratory of Cellular Physiology, Shanxi Medical University, Taiyuan, Shanxi, China.

出版信息

CNS Drugs. 2017 Jul;31(7):535-549. doi: 10.1007/s40263-017-0431-2.

DOI:10.1007/s40263-017-0431-2
PMID:28540646
Abstract

The mechanistic target of rapamycin (mTOR) is an important molecule that connects aging, lifespan, energy balance, glucose and lipid metabolism, and neurodegeneration. Rapamycin exerts effects in numerous biological activities via its target protein, playing a key role in energy balance, regulation of autophagy, extension of lifespan, immunosuppression, and protection against neurodegeneration. There are many similar pathophysiological processes and molecular pathways between Alzheimer's disease (AD) and type 2 diabetes mellitus (T2DM), and pharmacologic agents used to treat T2DM, including glucagon-like peptide-1 (GLP-1) analogs, seem to be beneficial for AD. mTOR mediates the effects of GLP-1 analogs in the treatment of T2DM; hence, I hypothesize that mTOR is a key molecule for mediating the protective effects of GLP-1 for AD.

摘要

雷帕霉素靶蛋白(mTOR)是一个重要的分子,它连接着衰老、寿命、能量平衡、葡萄糖和脂质代谢以及神经退行性变。雷帕霉素通过其靶蛋白发挥多种生物活性作用,在能量平衡、自噬调节、寿命延长、免疫抑制和神经退行性变保护中发挥关键作用。阿尔茨海默病(AD)和 2 型糖尿病(T2DM)之间存在许多相似的病理生理过程和分子途径,用于治疗 T2DM 的药物,包括胰高血糖素样肽-1(GLP-1)类似物,似乎对 AD 有益。mTOR 介导 GLP-1 类似物在治疗 T2DM 中的作用;因此,我假设 mTOR 是介导 GLP-1 对 AD 保护作用的关键分子。

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本文引用的文献

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Corrigendum: Glucagon-like peptide-1 prevents methylglyoxal-induced apoptosis of beta cells through improving mitochondrial function and suppressing prolonged AMPK activation.勘误:胰高血糖素样肽-1通过改善线粒体功能和抑制AMPK的持续激活来预防甲基乙二醛诱导的β细胞凋亡。
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Type 2 Diabetes as a Risk Factor for Dementia in Women Compared With Men: A Pooled Analysis of 2.3 Million People Comprising More Than 100,000 Cases of Dementia.与男性相比,2型糖尿病作为女性痴呆症的危险因素:对230万人进行的汇总分析,其中包括超过10万例痴呆症病例。
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司美格鲁肽通过增强自噬和抑制氧化应激来预防6-羟基多巴胺毒性。
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Behav Brain Funct. 2022 Jan 29;18(1):3. doi: 10.1186/s12993-022-00187-3.
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Mammalian/mechanistic target of rapamycin (mTOR) complexes in neurodegeneration.哺乳动物/雷帕霉素靶蛋白(mTOR)复合物在神经退行性变中的作用。
Mol Neurodegener. 2021 Jul 2;16(1):44. doi: 10.1186/s13024-021-00428-5.
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Dysregulation of metabolic flexibility: The impact of mTOR on autophagy in neurodegenerative disease.代谢灵活性失调:mTOR 对神经退行性疾病中自噬的影响。
Int Rev Neurobiol. 2020;155:1-35. doi: 10.1016/bs.irn.2020.01.009. Epub 2020 Aug 11.
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Front Biosci (Landmark Ed). 2020 Jun 1;25(11):1925-1973. doi: 10.2741/4886.
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