Department of Internal Medicine and Medical Specialties, University of Genoa, 16132 Genoa, Italy.
Int J Mol Sci. 2022 Oct 17;23(20):12428. doi: 10.3390/ijms232012428.
Glucagon-like peptide-1 (GLP-1) is an incretin hormone, mainly produced by enteroendocrine L cells, which participates in the regulation of glucose homeostasis, and in reduction in body weight by promoting satiety. Actions of GLP-1 are mediated by activation of its receptor GLP-1R, which is widely expressed in several tissues including the retina. The effects of GLP-1R activation are useful in the management of type 2 diabetes mellitus (T2DM). In addition, the activation of GLP-1R has anti-inflammatory effects in several organs, suggesting that it may be also useful in the treatment of inflammatory diseases. Inflammation is a common element in the pathogenesis of several ocular diseases, and the protective effects of treatment with GLP-1 emerged also in retinal diseases. In this review we highlight the anti-inflammatory effects of GLP-1R activation in the retina. Firstly, we summarized the pathogenic role of inflammation in ocular diseases. Then, we described the pleiotropic effects of GLP-1R activation on the cellular components of the retina which are mainly involved in the pathogenesis of inflammatory retinal diseases: the retinal ganglion cells, retinal pigment epithelial cells and endothelial cells.
胰高血糖素样肽-1(GLP-1)是一种肠促胰岛素激素,主要由肠内分泌 L 细胞产生,参与葡萄糖稳态的调节,并通过促进饱腹感来减轻体重。GLP-1 的作用是通过其受体 GLP-1R 的激活来介导的,GLP-1R 在包括视网膜在内的几种组织中广泛表达。GLP-1R 激活的作用在 2 型糖尿病(T2DM)的治疗中很有用。此外,GLP-1R 的激活在几种器官中具有抗炎作用,这表明它在治疗炎症性疾病方面也可能有用。炎症是几种眼部疾病发病机制中的一个共同因素,GLP-1 治疗的保护作用也出现在视网膜疾病中。在这篇综述中,我们强调了 GLP-1R 激活在视网膜中的抗炎作用。首先,我们总结了炎症在眼部疾病发病机制中的作用。然后,我们描述了 GLP-1R 激活对视网膜细胞成分的多种作用,这些作用主要涉及炎症性视网膜疾病的发病机制:视网膜神经节细胞、视网膜色素上皮细胞和内皮细胞。