PMID- 35805109 OWN - NLM STAT- MEDLINE DCOM- 20220712 LR - 20221002 IS - 2073-4409 (Electronic) IS - 2073-4409 (Linking) VI - 11 IP - 13 DP - 2022 Jun 25 TI - GLP-1 Receptor Agonists in Neurodegeneration: Neurovascular Unit in the Spotlight. LID - 10.3390/cells11132023 [doi] LID - 2023 AB - Defects in brain energy metabolism and proteopathic stress are implicated in age-related degenerative neuronopathies, exemplified by Alzheimer's disease (AD) and Parkinson's disease (PD). As the currently available drug regimens largely aim to mitigate cognitive decline and/or motor symptoms, there is a dire need for mechanism-based therapies that can be used to improve neuronal function and potentially slow down the underlying disease processes. In this context, a new class of pharmacological agents that achieve improved glycaemic control via the glucagon-like peptide 1 (GLP-1) receptor has attracted significant attention as putative neuroprotective agents. The experimental evidence supporting their potential therapeutic value, mainly derived from cellular and animal models of AD and PD, has been discussed in several research reports and review opinions recently. In this review article, we discuss the pathological relevance of derangements in the neurovascular unit and the significance of neuron-glia metabolic coupling in AD and PD. With this context, we also discuss some unresolved questions with regard to the potential benefits of GLP-1 agonists on the neurovascular unit (NVU), and provide examples of novel experimental paradigms that could be useful in improving our understanding regarding the neuroprotective mode of action associated with these agents. FAU - Monti, Giulia AU - Monti G AUID- ORCID: 0000-0001-9404-1273 AD - Department of Biomedicine, Aarhus University, Hoegh-Guldbergs Gade 10, DK-8000 Aarhus, Denmark. FAU - Gomes Moreira, Diana AU - Gomes Moreira D AUID- ORCID: 0000-0003-2937-1772 AD - VIB-KU Leuven Center for Brain & Disease Research, Herestraat 49, 3000 Leuven, Belgium. FAU - Richner, Mette AU - Richner M AD - Department of Biomedicine, Aarhus University, Hoegh-Guldbergs Gade 10, DK-8000 Aarhus, Denmark. FAU - Mutsaers, Henricus Antonius Maria AU - Mutsaers HAM AD - Department of Clinical Medicine, Aarhus University, Palle Juul-Jensens Boulevard 82, DK-8200 Aarhus, Denmark. FAU - Ferreira, Nelson AU - Ferreira N AUID- ORCID: 0000-0002-0305-9097 AD - Department of Biomedicine, Aarhus University, Hoegh-Guldbergs Gade 10, DK-8000 Aarhus, Denmark. FAU - Jan, Asad AU - Jan A AUID- ORCID: 0000-0002-3636-0070 AD - Department of Biomedicine, Aarhus University, Hoegh-Guldbergs Gade 10, DK-8000 Aarhus, Denmark. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20220625 PL - Switzerland TA - Cells JT - Cells JID - 101600052 RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Neuroprotective Agents) RN - 89750-14-1 (Glucagon-Like Peptide 1) SB - IM MH - *Alzheimer Disease/drug therapy/metabolism MH - Animals MH - Glucagon-Like Peptide 1/metabolism MH - Glucagon-Like Peptide-1 Receptor/metabolism MH - *Neuroprotective Agents/pharmacology/therapeutic use MH - *Parkinson Disease/metabolism PMC - PMC9265397 OTO - NOTNLM OT - Alzheimer's disease OT - Parkinson's disease OT - glucagon-like peptide-1 (GLP-1) OT - neurodegeneration OT - neurovascular unit COIS- The authors declare no conflict of interest. EDAT- 2022/07/10 06:00 MHDA- 2022/07/14 06:00 PMCR- 2022/06/25 CRDT- 2022/07/09 01:05 PHST- 2022/06/05 00:00 [received] PHST- 2022/06/21 00:00 [revised] PHST- 2022/06/23 00:00 [accepted] PHST- 2022/07/09 01:05 [entrez] PHST- 2022/07/10 06:00 [pubmed] PHST- 2022/07/14 06:00 [medline] PHST- 2022/06/25 00:00 [pmc-release] AID - cells11132023 [pii] AID - cells-11-02023 [pii] AID - 10.3390/cells11132023 [doi] PST - epublish SO - Cells. 2022 Jun 25;11(13):2023. doi: 10.3390/cells11132023.