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胰高血糖素样肽-1受体激动剂——青光眼治疗中潜在的变革者?

Glucagon-Like Peptide 1 Receptor Agonists - Potential Game Changers in the Treatment of Glaucoma?

作者信息

Mouhammad Zaynab Ahmad, Vohra Rupali, Horwitz Anna, Thein Anna-Sophie, Rovelt Jens, Cvenkel Barbara, Williams Pete A, Azuara-Blanco Augusto, Kolko Miriam

机构信息

Department of Drug Design and Pharmacology, University of Copenhagen, Copenhagen, Denmark.

Department of Veterinary and Animal Sciences, University of Copenhagen, Copenhagen, Denmark.

出版信息

Front Neurosci. 2022 Feb 21;16:824054. doi: 10.3389/fnins.2022.824054. eCollection 2022.

Abstract

Glaucoma is a common ocular neurodegenerative disease characterized by the progressive loss of retinal ganglion cells and their axons. It is the most common cause of irreversible blindness. With an increasing number of glaucoma patients and disease progression despite treatment, it is paramount to develop new and effective therapeutics. Emerging new candidates are the receptor agonists of the incretin hormone glucagon-like-peptide-1 (GLP-1), originally used for the treatment of diabetes. GLP-1 receptor (GLP-1R) agonists have shown neuroprotective effects in preclinical and clinical studies on neurodegenerative diseases in both the brain (e.g., Alzheimer's disease, Parkinson's disease, stroke and diabetic neuropathy) and the eye (e.g., diabetic retinopathy and AMD). However, there are currently very few studies investigating the protective effects of GLP-1R agonists in the treatment of specifically glaucoma. Based on a literature search on PubMed, the Cochrane Library, and ClinicalTrials.gov, this review aims to summarize current clinical literature on GLP-1 receptor agonists in the treatment of neurodegenerative diseases to elucidate their potential in future anti-glaucomatous treatment strategies.

摘要

青光眼是一种常见的眼部神经退行性疾病,其特征是视网膜神经节细胞及其轴突逐渐丧失。它是不可逆失明的最常见原因。随着青光眼患者数量的增加以及尽管接受治疗但疾病仍在进展,开发新的有效治疗方法至关重要。新兴的候选药物是肠促胰岛素激素胰高血糖素样肽-1(GLP-1)的受体激动剂,最初用于治疗糖尿病。GLP-1受体(GLP-1R)激动剂在针对大脑(如阿尔茨海默病、帕金森病、中风和糖尿病性神经病变)和眼睛(如糖尿病性视网膜病变和年龄相关性黄斑变性)的神经退行性疾病的临床前和临床研究中已显示出神经保护作用。然而,目前很少有研究调查GLP-1R激动剂在专门治疗青光眼中的保护作用。基于对PubMed、考克兰图书馆和ClinicalTrials.gov的文献检索,本综述旨在总结目前关于GLP-1受体激动剂治疗神经退行性疾病的临床文献,以阐明其在未来抗青光眼治疗策略中的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb63/8899005/b649327eae29/fnins-16-824054-g001.jpg

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