PMID- 33409802 OWN - NLM STAT- MEDLINE DCOM- 20211028 LR - 20211028 IS - 1179-1993 (Electronic) IS - 1178-2595 (Linking) VI - 35 IP - 1 DP - 2021 Jan TI - Repurposing GLP-1 Receptor Agonists for Parkinson's Disease: Current Evidence and Future Opportunities. PG - 11-19 LID - 10.1007/s40290-020-00374-5 [doi] AB - The global burden of chronic disorders such as Parkinson's disease (PD) has rapidly increased over recent decades. Despite an increasing understanding of PD pathophysiology, there are no effective therapies capable of stopping or slowing the progression of this neurological condition. It has been suggested that type 2 diabetes mellitus (T2DM) may be a risk factor for PD and comorbid T2DM may worsen PD symptoms, as well as accelerate neurodegeneration. In fact, the similar pathological mechanisms shared by PD and T2DM have inspired several studies on the therapeutic potential of T2DM drugs against PD, among which glucagon-like peptide-1 receptor (GLP-1R) agonists are promising candidates. Here, we highlight the mechanisms linking T2DM and PD, as well as the links between insulin resistance (IR) and PD patients' risk of developing cognitive deficits. We also briefly review the effects of GLP-1R agonists on PD and discuss how the successful use of these substances in preclinical models of PD has paved the way for PD clinical trials. We further discuss how recent evidence on the beneficial effects of dulaglutide on cognitive function of T2DM patients may have important implications for PD drug repurposing. FAU - Victorino, Daniella Balduino AU - Victorino DB AUID- ORCID: 0000-0002-2518-3902 AD - Discipline of Neuroscience, Department of Neurology and Neurosurgery, Paulista Medical School, Federal University of Sao Paulo, Pedro de Toledo 669, 1st Floor, Sao Paulo, SP, 04039-032, Brazil. dani_balduino@hotmail.com. FAU - Nejm, Mariana AU - Nejm M AD - Discipline of Neuroscience, Department of Neurology and Neurosurgery, Paulista Medical School, Federal University of Sao Paulo, Pedro de Toledo 669, 1st Floor, Sao Paulo, SP, 04039-032, Brazil. FAU - Guimaraes-Marques, Marcia AU - Guimaraes-Marques M AD - Discipline of Neuroscience, Department of Neurology and Neurosurgery, Paulista Medical School, Federal University of Sao Paulo, Pedro de Toledo 669, 1st Floor, Sao Paulo, SP, 04039-032, Brazil. FAU - Scorza, Fulvio Alexandre AU - Scorza FA AD - Discipline of Neuroscience, Department of Neurology and Neurosurgery, Paulista Medical School, Federal University of Sao Paulo, Pedro de Toledo 669, 1st Floor, Sao Paulo, SP, 04039-032, Brazil. FAU - Scorza, Carla Alessandra AU - Scorza CA AD - Discipline of Neuroscience, Department of Neurology and Neurosurgery, Paulista Medical School, Federal University of Sao Paulo, Pedro de Toledo 669, 1st Floor, Sao Paulo, SP, 04039-032, Brazil. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210107 PL - New Zealand TA - Pharmaceut Med JT - Pharmaceutical medicine JID - 101471195 RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Hypoglycemic Agents) RN - 0 (Pharmaceutical Preparations) SB - IM MH - *Diabetes Mellitus, Type 2/complications/drug therapy/epidemiology MH - Drug Repositioning MH - Glucagon-Like Peptide-1 Receptor MH - Humans MH - Hypoglycemic Agents/therapeutic use MH - *Parkinson Disease/complications/drug therapy/epidemiology MH - *Pharmaceutical Preparations EDAT- 2021/01/08 06:00 MHDA- 2021/10/29 06:00 CRDT- 2021/01/07 06:12 PHST- 2020/12/15 00:00 [accepted] PHST- 2021/01/08 06:00 [pubmed] PHST- 2021/10/29 06:00 [medline] PHST- 2021/01/07 06:12 [entrez] AID - 10.1007/s40290-020-00374-5 [pii] AID - 10.1007/s40290-020-00374-5 [doi] PST - ppublish SO - Pharmaceut Med. 2021 Jan;35(1):11-19. doi: 10.1007/s40290-020-00374-5. Epub 2021 Jan 7.