PMID- 21747826 OWN - NLM STAT- MEDLINE DCOM- 20111202 LR - 20220321 IS - 1687-5303 (Electronic) IS - 1687-5214 (Print) IS - 1687-5214 (Linking) VI - 2011 DP - 2011 TI - Glucagon-like peptide-1, diabetes, and cognitive decline: possible pathophysiological links and therapeutic opportunities. PG - 281674 LID - 10.1155/2011/281674 [doi] LID - 281674 AB - Metabolic and neurodegenerative disorders have a growing prevalence in Western countries. Available epidemiologic and neurobiological evidences support the existence of a pathophysiological link between these conditions. Glucagon-like peptide 1 (GLP-1), whose activity is reduced in insulin resistance, has been implicated in central nervous system function, including cognition, synaptic plasticity, and neurogenesis. We review the experimental researches suggesting that GLP-1 dysfunction might be a mediating factor between Type 2 diabetes mellitus (T2DM) and neurodegeneration. Drug treatments enhancing GLP-1 activity hold out hope for treatment and prevention of Alzheimer's disease (AD) and cognitive decline. FAU - Mossello, Enrico AU - Mossello E AD - Unit of Gerontology and Geriatric Medicine, Department of Critical Care Medicine and Surgery, University of Florence and Careggi Teaching Hospital, 50121 Florence, Italy. enrico.mossello@unifi.it FAU - Ballini, Elena AU - Ballini E FAU - Boncinelli, Marta AU - Boncinelli M FAU - Monami, Matteo AU - Monami M FAU - Lonetto, Giuseppe AU - Lonetto G FAU - Mello, Anna Maria AU - Mello AM FAU - Tarantini, Francesca AU - Tarantini F FAU - Baldasseroni, Samuele AU - Baldasseroni S FAU - Mannucci, Edoardo AU - Mannucci E FAU - Marchionni, Niccolo AU - Marchionni N LA - eng PT - Journal Article PT - Review DEP - 20110601 PL - United States TA - Exp Diabetes Res JT - Experimental diabetes research JID - 101274844 RN - 89750-14-1 (Glucagon-Like Peptide 1) SB - IM MH - Animals MH - Cognition Disorders/*etiology/metabolism/physiopathology/prevention & control MH - Diabetes Mellitus, Type 2/*complications/*drug therapy/metabolism/*physiopathology MH - Endocrinology/methods/trends MH - Glucagon-Like Peptide 1/deficiency/metabolism/*physiology/therapeutic use MH - Humans MH - Insulin Resistance/physiology MH - Nerve Degeneration/drug therapy/etiology/metabolism MH - Therapies, Investigational/methods/trends PMC - PMC3124026 EDAT- 2011/07/13 06:00 MHDA- 2011/12/13 00:00 PMCR- 2011/06/01 CRDT- 2011/07/13 06:00 PHST- 2011/02/25 00:00 [received] PHST- 2011/04/05 00:00 [accepted] PHST- 2011/07/13 06:00 [entrez] PHST- 2011/07/13 06:00 [pubmed] PHST- 2011/12/13 00:00 [medline] PHST- 2011/06/01 00:00 [pmc-release] AID - 10.1155/2011/281674 [doi] PST - ppublish SO - Exp Diabetes Res. 2011;2011:281674. doi: 10.1155/2011/281674. Epub 2011 Jun 1.