PMID- 34003475 OWN - NLM STAT- MEDLINE DCOM- 20220118 LR - 20220218 IS - 2299-5684 (Electronic) IS - 1734-1140 (Print) IS - 1734-1140 (Linking) VI - 73 IP - 4 DP - 2021 Aug TI - Insights into a possible role of glucagon-like peptide-1 receptor agonists in the treatment of depression. PG - 1020-1032 LID - 10.1007/s43440-021-00274-8 [doi] AB - Depression is a highly prevalent mood disorder and one of the major health concerns in modern society. Moreover, it is characterized by a high prevalence of coexistence with many other diseases including metabolic disorders such as type 2 diabetes mellitus (T2DM) and obesity. Currently used antidepressant drugs, which mostly target brain monoaminergic neurotransmission, have limited clinical efficacy. Although the etiology of depression has not been fully elucidated, current scientific data emphasize the role of neurotrophic factors deficiencies, disturbed homeostasis between the nervous system and the immune and endocrine systems, as well as disturbances in brain energy metabolism and dysfunctions in the gut-brain axis as important factors in the pathogenesis of this neuropsychiatric disorder. Therefore, therapeutic options that could work in a way other than classic antidepressants are being sought to increase the effectiveness of the treatment. Interestingly, glucagon-like peptide-1 receptor agonists (GLP-1RAs), used in the treatment of T2DM and obesity, are known to show pro-cognitive and neuroprotective properties, and exert modulatory effects on immune, endocrine and metabolic processes in the central nervous system. This review article discusses the potential antidepressant effects of GLP-1RAs, especially in the context of their action on the processes related to neuroprotection, inflammation, stress response, energy metabolism, gut-brain crosstalk and the stability of the gut microbiota. CI - (c) 2021. The Author(s). FAU - Detka, Jan AU - Detka J AUID- ORCID: 0000-0002-9866-5777 AD - Laboratory of Immunoendocrinology, Department of Experimental Neuroendocrinology, Polish Academy of Sciences, Maj Institute of Pharmacology, 12 Smetna Street, 31-343, Cracow, Poland. detka@if-pan.krakow.pl. FAU - Glombik, Katarzyna AU - Glombik K AD - Laboratory of Immunoendocrinology, Department of Experimental Neuroendocrinology, Polish Academy of Sciences, Maj Institute of Pharmacology, 12 Smetna Street, 31-343, Cracow, Poland. LA - eng GR - Statutory Funds/Instytut Farmakologii, Polskiej Akademii Nauk/ PT - Journal Article PT - Review DEP - 20210518 PL - Switzerland TA - Pharmacol Rep JT - Pharmacological reports : PR JID - 101234999 RN - 0 (Antidepressive Agents) RN - 0 (Glucagon-Like Peptide-1 Receptor) SB - IM MH - Animals MH - Antidepressive Agents/*pharmacology MH - Depression/*drug therapy/metabolism MH - Energy Metabolism/drug effects MH - Gastrointestinal Microbiome/drug effects MH - Glucagon-Like Peptide-1 Receptor/*agonists MH - Humans MH - Inflammation/drug therapy/metabolism MH - Neuroprotection/drug effects PMC - PMC8413152 OTO - NOTNLM OT - Depression OT - Exendin-4 OT - GLP-1 OT - Gut-brain axis OT - HPA axis OT - Liraglutide COIS- The authors declare no conflict of interests. EDAT- 2021/05/19 06:00 MHDA- 2022/01/19 06:00 PMCR- 2021/05/18 CRDT- 2021/05/18 12:26 PHST- 2021/01/31 00:00 [received] PHST- 2021/05/06 00:00 [accepted] PHST- 2021/05/04 00:00 [revised] PHST- 2021/05/19 06:00 [pubmed] PHST- 2022/01/19 06:00 [medline] PHST- 2021/05/18 12:26 [entrez] PHST- 2021/05/18 00:00 [pmc-release] AID - 10.1007/s43440-021-00274-8 [pii] AID - 274 [pii] AID - 10.1007/s43440-021-00274-8 [doi] PST - ppublish SO - Pharmacol Rep. 2021 Aug;73(4):1020-1032. doi: 10.1007/s43440-021-00274-8. Epub 2021 May 18.