PMID- 35620334 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 2228-5881 (Print) IS - 2251-7308 (Electronic) IS - 2228-5881 (Linking) VI - 12 IP - 2 DP - 2022 Mar TI - Exendin-4 as a Versatile Therapeutic Agent for the Amelioration of Diabetic Changes. PG - 237-247 LID - 10.34172/apb.2022.025 [doi] AB - Type 2 diabetes mellitus (T2DM) is a chronic metabolic abnormality leading to microvascular and macrovascular complications. Non-insulin Incretin mimic synthetic peptide exendin-4 was introduced as an anti-diabetic drug which helped diabetic patients with triggering insulin secretion; further researches have revealed an effective role of exendin-4 in treatment of T2DM related diseases. Exendin-4 is approximately similar to Glucagon-like peptide, thus it can bind to the glucagon-like peptide-1 receptor (GLP-1R) and activated different signaling pathways that are involved in various bioactivities such as apoptosis, insulin secretion and inactivation of microglial. In this review, we investigated the interesting role of exendin-4 in various kinds of T2DM related disorders through the activation of different signaling pathways. CI - (c)2022 The Authors. FAU - Rajabi, Hadi AU - Rajabi H AUID- ORCID: 0000-0001-6086-591X AD - Koc University Research Center for Translational Medicine (KUTTAM), Koc University School of Medicine, Istanbul, Turkey. FAU - Ahmadi, Mahdi AU - Ahmadi M AD - Tuberculosis and Lung Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Aslani, Somayeh AU - Aslani S AD - Department of Biochemistry and Clinical Laboratories, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Saberianpour, Shirin AU - Saberianpour S AD - Vascular and Endovascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Rahbarghazi, Reza AU - Rahbarghazi R AUID- ORCID: 0000-0003-3864-9166 AD - Stem Cell Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. AD - Department of Applied Cell Sciences, Faculty of Advanced Medical Sciences, Tabriz University of Medical Sciences, Tabriz, Iran. LA - eng PT - Journal Article PT - Review DEP - 20210131 PL - Iran TA - Adv Pharm Bull JT - Advanced pharmaceutical bulletin JID - 101578021 PMC - PMC9106955 OTO - NOTNLM OT - Diabetes complications OT - Exendin-4 OT - Signaling pathways EDAT- 2022/05/28 06:00 MHDA- 2022/05/28 06:01 PMCR- 2021/01/31 CRDT- 2022/05/27 02:27 PHST- 2020/06/02 00:00 [received] PHST- 2020/10/31 00:00 [revised] PHST- 2021/01/29 00:00 [accepted] PHST- 2022/05/27 02:27 [entrez] PHST- 2022/05/28 06:00 [pubmed] PHST- 2022/05/28 06:01 [medline] PHST- 2021/01/31 00:00 [pmc-release] AID - 10.34172/apb.2022.025 [doi] PST - ppublish SO - Adv Pharm Bull. 2022 Mar;12(2):237-247. doi: 10.34172/apb.2022.025. Epub 2021 Jan 31.