Academy of Chinese Medical Sciences, Henan University of Chinese Medicine, Zhengzhou, 450046, Henan province, China.
Academy of Chinese Medical Sciences, Henan University of Chinese Medicine, Zhengzhou, 450046, Henan province, China; School of Basic Medical Sciences, Henan University of Chinese Medicine, Zhengzhou, 450046, Henan province, China.
Eur J Pharmacol. 2022 Jul 5;926:175029. doi: 10.1016/j.ejphar.2022.175029. Epub 2022 May 15.
Parkinson's disease (PD) is the second most common neurodegenerative disease, and no treatment is available to stop its progression. Studies have shown that the colonic pathology of PD precedes that of the brain. The 1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced PD mouse model and the human A53T α-synuclein (α-syn) transgenic PD mouse model show colonic pathology and intestinal dopaminergic neuronal damage, which is comparable to the intestinal pathology of PD. Cholecystokinin (CCK) and glucagon-like peptide-1 (GLP-1), which are brain-gut peptides, have neurotrophic and anti-inflammatory properties. Two GLP-1R agonists have already shown robust effects in phase II trials in PD patients. However, whether they have beneficial effects on colonic pathology in PD remains unclear. In this study, MPTP-treated mice and human A53T α-syn transgenic mice were intraperitoneally injected with a CCK analogue or Liraglutide, a GLP-1 analogue, once a day for 5 weeks. Levels of colonic epithelial tight junction proteins including occludin and zonula occludens-1 (ZO-1), inflammatory biomarkers including inducible nitric oxide synthase (iNOS) and tumor necrosis factor-alpha (TNF-α), brain-derived neurotrophic factor (BDNF), tyrosine hydroxylase (TH) and α-syn were analyzed. The results show that the CCK analogue and Liraglutide both restored the disruption of intestinal tight junction, reduced colonic inflammation, inhibited colonic dopaminergic neurons reduction and the accumulation of α-syn oligomers in the colon of both PD mice models. This study suggested that CCK or GLP-1 analogues could be beneficial to the improvement of leaky gut barrier, inflammation, dopaminergic neuron impairment and accumulation of α-syn in the colon of PD patients.
帕金森病(PD)是第二常见的神经退行性疾病,目前尚无治疗方法可以阻止其进展。研究表明,PD 的结肠病理学先于大脑。1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP)诱导的 PD 小鼠模型和人 A53T α-突触核蛋白(α-syn)转基因 PD 小鼠模型均显示出结肠病理学和肠道多巴胺能神经元损伤,与 PD 的肠道病理学相当。胆囊收缩素(CCK)和胰高血糖素样肽-1(GLP-1)是脑肠肽,具有神经营养和抗炎作用。两种 GLP-1R 激动剂在 PD 患者的 II 期临床试验中已显示出强大的效果。然而,它们对 PD 患者的结肠病理学是否有有益影响尚不清楚。在这项研究中,用 CCK 类似物或 GLP-1 类似物 Liraglutide 每天一次腹腔注射 MPTP 处理的小鼠和人 A53T α-syn 转基因小鼠,持续 5 周。分析了结肠上皮紧密连接蛋白(包括紧密连接蛋白和闭合蛋白-1(ZO-1))、炎症生物标志物(包括诱导型一氧化氮合酶(iNOS)和肿瘤坏死因子-α(TNF-α))、脑源性神经营养因子(BDNF)、酪氨酸羟化酶(TH)和 α-syn 的水平。结果表明,CCK 类似物和 Liraglutide 均恢复了肠道紧密连接的破坏,减少了结肠炎症,抑制了结肠多巴胺能神经元减少和 α-syn 寡聚物在两种 PD 小鼠模型结肠中的积累。这项研究表明,CCK 或 GLP-1 类似物可能有助于改善 PD 患者的肠道通透性、炎症、多巴胺能神经元损伤和 α-syn 积累。
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