Duarte Ana I, Candeias Emanuel, Alves Inês N, Mena Débora, Silva Daniela F, Machado Nuno J, Campos Elisa J, Santos Maria S, Oliveira Catarina R, Moreira Paula I
CNC-Center for Neuroscience and Cell Biology, Rua Larga, Faculty of Medicine (Pólo 1, 1st Floor), University of Coimbra, 3004-504 Coimbra, Portugal.
Institute for Interdisciplinary Research (IIIUC), University of Coimbra, Casa Costa Alemão-Pólo II, Rua D. Francisco de Lemos, 3030-789 Coimbra, Portugal.
Int J Mol Sci. 2020 Mar 4;21(5):1746. doi: 10.3390/ijms21051746.
Alzheimer's disease (AD) is the most common form of dementia worldwide, being characterized by the deposition of senile plaques, neurofibrillary tangles (enriched in the amyloid beta (Aβ) peptide and hyperphosphorylated tau (p-tau), respectively) and memory loss. Aging, type 2 diabetes (T2D) and female sex (especially after menopause) are risk factors for AD, but their crosslinking mechanisms remain unclear. Most clinical trials targeting AD neuropathology failed and it remains incurable. However, evidence suggests that effective anti-T2D drugs, such as the GLP-1 mimetic and neuroprotector liraglutide, can be also efficient against AD. Thus, we aimed to study the benefits of a peripheral liraglutide treatment in AD female mice. We used blood and brain cortical lysates from 10-month-old 3xTg-AD female mice, treated for 28 days with liraglutide (0.2 mg/kg, once/day) to evaluate parameters affected in AD (e.g., Aβ and p-tau, motor and cognitive function, glucose metabolism, inflammation and oxidative/nitrosative stress). Despite the limited signs of cognitive changes in mature female mice, liraglutide only reduced their cortical Aβ levels. Liraglutide partially attenuated brain estradiol and GLP-1 and activated PKA levels, oxidative/nitrosative stress and inflammation in these AD female mice. Our results support the earlier use of liraglutide as a potential preventive/therapeutic agent against the accumulation of the first neuropathological features of AD in females.
阿尔茨海默病(AD)是全球最常见的痴呆形式,其特征为老年斑沉积、神经原纤维缠结(分别富含β淀粉样蛋白(Aβ)肽和过度磷酸化的tau蛋白(p-tau))以及记忆丧失。衰老、2型糖尿病(T2D)和女性性别(尤其是绝经后)是AD的危险因素,但其相互关联机制仍不清楚。大多数针对AD神经病理学的临床试验均告失败,该病仍然无法治愈。然而,有证据表明,有效的抗T2D药物,如GLP-1类似物和神经保护剂利拉鲁肽,对AD也可能有效。因此,我们旨在研究外周给予利拉鲁肽对AD雌性小鼠的益处。我们使用了10月龄3xTg-AD雌性小鼠的血液和脑皮质裂解物,用利拉鲁肽(0.2mg/kg,每日一次)治疗28天,以评估AD中受影响的参数(如Aβ和p-tau、运动和认知功能、葡萄糖代谢、炎症以及氧化/亚硝化应激)。尽管成熟雌性小鼠的认知变化迹象有限,但利拉鲁肽仅降低了它们的皮质Aβ水平。利拉鲁肽部分减弱了这些AD雌性小鼠脑中的雌二醇和GLP-1水平,并激活了PKA水平、氧化/亚硝化应激和炎症。我们的结果支持早期使用利拉鲁肽作为一种潜在的预防/治疗药物,以对抗AD女性患者中AD首个神经病理学特征的积累。