Activation of AMPK by GLP-1R agonists mitigates Alzheimer-related phenotypes in transgenic mice.

作者信息

Zhang Yun, Chen Huaqiu, Feng Yijia, Liu Mingjing, Lu Zhi, Hu Bolang, Chen Lifen, Zhang Yang, Liu Jiawen, Cai Fang, Zhao Yifan, Pan Wenhao, Liao Xinxin, Pan Sipei, Bestard-Lorigados Isabel, Wu Yili, Song Weihong

机构信息

Department of Neurology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.

National Clinical Research Center for Geriatric Disease, Xuanwu Hospital, Capital Medical University, Beijing, China.

出版信息

Nat Aging. 2025 May 20. doi: 10.1038/s43587-025-00869-3.

Abstract

Individuals with type 2 diabetes mellitus have an increased risk of developing Alzheimer's disease (AD). GLP-1 receptor agonists (GLP-1RAs) are used for glycemic control in diabetes and show potential neuroprotective properties, but their effects on AD and the underlying mechanisms are not well understood. Here we demonstrate that GLP-1RAs can alleviate AD-related phenotypes by activating 5' AMP-activated protein kinase (AMPK) signaling. We found that plasma GLP-1 levels were decreased in AD model mice and negatively correlated with amyloid-beta (Aβ) load in patients with AD. Enhancing GLP-1 signaling through GLP-1RAs increased CaMKK2-AMPK signaling, which subsequently reduced BACE1-mediated cleavage of amyloid precursor protein (APP) and Aβ generation. GLP-1RAs also increased AMPK activity in microglia, inhibiting neuroinflammation and promoting Aβ phagocytosis. Consequently, GLP-1RAs inhibited plaque formation and improved memory deficits in AD model mice. Our findings indicate that AMPK activation mediates the effects of GLP-1RAs on AD, highlighting the therapeutic potential of GLP-1RAs for the treatment of AD.

摘要

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