遗传 ›› 2024, Vol. 46 ›› Issue (12): 1017-1027.doi: 10.16288/j.yczz.24-178

• 综述 • 上一篇    下一篇

GLP-1受体激动剂治疗阿尔茨海默症的机制及相关研究进展

朱肖诚(), 王依文, 周红文()   

  1. 南京医科大学第一附属医院内分泌科,南京 210029
  • 收稿日期:2024-06-17 修回日期:2024-08-29 出版日期:2024-12-20 发布日期:2024-09-06
  • 通讯作者: 周红文,博士,主任医师,教授,研究方向:内分泌及代谢病学。E-mail: drhongwenzhou@njmu.edu.cn
  • 作者简介:朱肖诚,硕士研究生,专业方向:内科学(内分泌及代谢病学)。E-mail: duanpingluchen@163.com
  • 基金资助:
    国家重点研发计划项目(2018YFA0506904)

The mechanism and related research progress of GLP-1 receptor agonists in treating Alzheimer’s disease

Xiaocheng Zhu(), Yiwen Wang, Hongwen Zhou()   

  1. Department of Endocrinology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
  • Received:2024-06-17 Revised:2024-08-29 Published:2024-12-20 Online:2024-09-06
  • Supported by:
    National Key Research and Development Program of China(2018YFA0506904)

摘要:

GLP-1受体激动剂在临床上主要用于2型糖尿病的降糖治疗,并具有潜在的减重作用,而目前也开始尝试应用于治疗高血压、非酒精性肝病、抑郁症及神经退行性疾病等病症。尤其在阿尔茨海默症的治疗方面,大量的动物模型及一些临床研究已经展现了GLP-1受体激动剂潜在的疗效,它有很大可能成为治疗阿尔茨海默症药物谱的新秀。目前关于GLP-1受体激动剂治疗阿尔茨海默症的机制的研究,主要基于深入剖析阿尔茨海默症的致病机理,以及探索其与糖尿病的共病机制等方面展开。本文主要综述了GLP-1受体激动剂在治疗阿尔茨海默症的机制方面的最新进展,并介绍了目前在动物研究及临床研究中的最新成果,以期为后续GLP-1受体激动剂治疗阿尔茨海默症的基础研究和临床应用提供参考。

关键词: GLP-1受体激动剂, 阿尔茨海默症, 药理学

Abstract:

GLP-1 receptor agonists are primarily used clinically for the treatment of type 2 diabetes and have the potential for weight loss, while they are currently expanding their horizons in the treatment of hypertension, non-alcoholic liver disease, depression, and neurodegenerative diseases. In particular, in the treatment of Alzheimer's disease, a large number of animal models and a handful of clinical studies have demonstrated the potential efficacy of GLP-1 receptor agonists, making it highly probable that they will become a new entrant in the drug list for Alzheimer's disease. At present, the research on the mechanism of GLP-1 receptor agonist in the treatment of Alzheimer's disease is mainly based on in-depth analysis of the pathogenesis of Alzheimer's disease and exploration of the mechanism of its comorbidity with diabetes. This article mainly reviews the latest advances in the mechanism of GLP-1 receptor agonists in the treatment of Alzheimer's disease, introduces the latest achievements in animal studies and clinical studies, and aims to provide reference for the subsequent relevant basic research and clinical application.

Key words: GLP-1 receptor agonists, Alzheimer’s disease, pharmacology