PMID- 19164583 OWN - NLM STAT- MEDLINE DCOM- 20090213 LR - 20220408 IS - 1091-6490 (Electronic) IS - 0027-8424 (Print) IS - 0027-8424 (Linking) VI - 106 IP - 4 DP - 2009 Jan 27 TI - GLP-1 receptor stimulation preserves primary cortical and dopaminergic neurons in cellular and rodent models of stroke and Parkinsonism. PG - 1285-90 LID - 10.1073/pnas.0806720106 [doi] AB - Glucagon-like peptide-1 (GLP-1) is an endogenous insulinotropic peptide secreted from the gastrointestinal tract in response to food intake. It enhances pancreatic islet beta-cell proliferation and glucose-dependent insulin secretion, and lowers blood glucose and food intake in patients with type 2 diabetes mellitus (T2DM). A long-acting GLP-1 receptor (GLP-1R) agonist, exendin-4 (Ex-4), is the first of this new class of antihyperglycemia drugs approved to treat T2DM. GLP-1Rs are coupled to the cAMP second messenger pathway and, along with pancreatic cells, are expressed within the nervous system of rodents and humans, where receptor activation elicits neurotrophic actions. We detected GLP-1R mRNA expression in both cultured embryonic primary cerebral cortical and ventral mesencephalic (dopaminergic) neurons. These cells are vulnerable to hypoxia- and 6-hydroxydopamine-induced cell death, respectively. We found that GLP-1 and Ex-4 conferred protection in these cells, but not in cells from Glp1r knockout (-/-) mice. Administration of Ex-4 reduced brain damage and improved functional outcome in a transient middle cerebral artery occlusion stroke model. Ex-4 treatment also protected dopaminergic neurons against degeneration, preserved dopamine levels, and improved motor function in the 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) mouse model of Parkinson's disease (PD). Our findings demonstrate that Ex-4 can protect neurons against metabolic and oxidative insults, and they provide preclinical support for the therapeutic potential for Ex-4 in the treatment of stroke and PD. FAU - Li, Yazhou AU - Li Y AD - Laboratory of Neurosciences, Intramural Research Program, National Institute on Aging, Baltimore, MD 21224, USA. FAU - Perry, TracyAnn AU - Perry T FAU - Kindy, Mark S AU - Kindy MS FAU - Harvey, Brandon K AU - Harvey BK FAU - Tweedie, David AU - Tweedie D FAU - Holloway, Harold W AU - Holloway HW FAU - Powers, Kathleen AU - Powers K FAU - Shen, Hui AU - Shen H FAU - Egan, Josephine M AU - Egan JM FAU - Sambamurti, Kumar AU - Sambamurti K FAU - Brossi, Arnold AU - Brossi A FAU - Lahiri, Debomoy K AU - Lahiri DK FAU - Mattson, Mark P AU - Mattson MP FAU - Hoffer, Barry J AU - Hoffer BJ FAU - Wang, Yun AU - Wang Y FAU - Greig, Nigel H AU - Greig NH LA - eng GR - Intramural NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Intramural DEP - 20090121 PL - United States TA - Proc Natl Acad Sci U S A JT - Proceedings of the National Academy of Sciences of the United States of America JID - 7505876 RN - 0 (GLP1R protein, human) RN - 0 (Glp1r protein, mouse) RN - 0 (Glp1r protein, rat) RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Peptides) RN - 0 (Receptors, Glucagon) RN - 0 (Venoms) RN - 9P1872D4OL (Exenatide) RN - 9P21XSP91P (1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine) RN - VTD58H1Z2X (Dopamine) SB - IM MH - 1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine MH - Animals MH - Brain Infarction/drug therapy/pathology MH - Cell Death/drug effects MH - Cell Hypoxia/drug effects MH - Cells, Cultured MH - Cerebral Cortex/cytology MH - *Cytoprotection/drug effects MH - Disease Models, Animal MH - Dopamine/*metabolism MH - Embryo, Mammalian/cytology MH - Exenatide MH - Gene Expression Regulation/drug effects MH - Glucagon-Like Peptide-1 Receptor MH - Humans MH - Mesencephalon/cytology MH - Mice MH - Neurons/drug effects/*pathology MH - Parkinson Disease/drug therapy/metabolism/*pathology MH - Peptides/pharmacology/therapeutic use MH - Rats MH - Receptors, Glucagon/genetics/*metabolism MH - Stroke/drug therapy/metabolism/*pathology MH - Treatment Outcome MH - Venoms/pharmacology/therapeutic use PMC - PMC2633544 COIS- The authors declare no conflict of interest. EDAT- 2009/01/24 09:00 MHDA- 2009/02/14 09:00 PMCR- 2009/07/27 CRDT- 2009/01/24 09:00 PHST- 2009/01/24 09:00 [entrez] PHST- 2009/01/24 09:00 [pubmed] PHST- 2009/02/14 09:00 [medline] PHST- 2009/07/27 00:00 [pmc-release] AID - 0806720106 [pii] AID - 6439 [pii] AID - 10.1073/pnas.0806720106 [doi] PST - ppublish SO - Proc Natl Acad Sci U S A. 2009 Jan 27;106(4):1285-90. doi: 10.1073/pnas.0806720106. Epub 2009 Jan 21.