Department of Neurobiology, Shanxi Medical University, Taiyuan, Shanxi 030001, PR China.
Biomedical and Life Science, Faculty of Health and Medicine, Lancaster University, Lancaster LA1 4YQ, UK.
Eur J Pharmacol. 2018 May 15;827:215-226. doi: 10.1016/j.ejphar.2018.03.024. Epub 2018 Mar 15.
Alzheimer's disease (AD) is a progressive neurodegenerative disorder for which there is no cure. The early primary symptom of AD is the decline of memory ability, which gradually develops into complete dementia. Type 2 diabetes mellitus (T2DM) is an important risk factor of AD; and mimetics of the incretin hormone GLP-1 developed to treat diabetes are being tested as a novel therapeutic strategy for AD. In the present study, we reported for the first time the neuroprotective effects of a novel GLP-1/GIP dual agonist DA5-CH that activates the incretin hormone GLP-1 and GIP receptors in the APP/PS1 transgenic AD mouse model. We found that: (1) DA5-CH administration effectively improved working-memory and long-term spatial memory of 9-month-old AD mice in Y-maze and Morris water maze tests; (2) DA5-CH also reduced hippocampal amyloid senile plaques and phosphorylated tau protein levels; (3) DA5-CH basically reversed the deficits in hippocampal late-phase long-term potentiation; (4) DA5-CH up-regulated the levels of p-PI3K and p-AKT growth factor kinases and prevented excessive activation of p-GSK3β in the hippocampus of APP/PS1 mice. Therefore, the neuroprotection of DA5-CH in alleviating cognitive impairments and pathological damages might be associated with the improvement of hippocampal synaptic plasticity and activation of the PI3K/AKT signaling pathway. We propose that DA5-CH may be beneficial for the treatment of AD patients, especially those with T2DM or hyperglycemia.
阿尔茨海默病(AD)是一种进行性神经退行性疾病,目前尚无治愈方法。AD 的早期主要症状是记忆能力下降,逐渐发展为完全痴呆。2 型糖尿病(T2DM)是 AD 的重要危险因素;用于治疗糖尿病的肠促胰岛素激素 GLP-1 类似物正被作为 AD 的一种新的治疗策略进行测试。在本研究中,我们首次报道了一种新型 GLP-1/GIP 双重激动剂 DA5-CH 的神经保护作用,该激动剂可激活 APP/PS1 转基因 AD 小鼠模型中的肠促胰岛素激素 GLP-1 和 GIP 受体。我们发现:(1)DA5-CH 给药可有效改善 9 月龄 AD 小鼠在 Y 迷宫和 Morris 水迷宫测试中的工作记忆和长时空间记忆;(2)DA5-CH 还降低了海马淀粉样老年斑和磷酸化 tau 蛋白水平;(3)DA5-CH 基本逆转了 APP/PS1 小鼠海马晚期长时程增强的缺陷;(4)DA5-CH 上调了 p-PI3K 和 p-AKT 生长因子激酶的水平,并防止了 APP/PS1 小鼠海马中 p-GSK3β 的过度激活。因此,DA5-CH 缓解认知障碍和病理损伤的神经保护作用可能与改善海马突触可塑性和激活 PI3K/AKT 信号通路有关。我们提出,DA5-CH 可能有益于 AD 患者的治疗,尤其是那些患有 T2DM 或高血糖的患者。
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