Association of dipeptidyl peptidase-4 with Alzheimer's disease: A new therapeutic prospect.

IF 3.1 3区 医学 Q2 NEUROSCIENCES Journal of Alzheimer's Disease Pub Date : 2025-01-01 Epub Date: 2025-01-08 DOI:10.1177/13872877241304673
Xinyi Wang, Li Chen, Weijian Li, Zhi He, Haiying Jiang
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Abstract

Alzheimer's disease (AD) is the most common disease associated with cognitive dysfunction, which is closely associated with type 2 diabetes mellitus (T2DM) in clinical manifestations, pathological changes and prevention. Inhibition of dipeptidyl peptidase 4 (DPP-4) can lower blood glucose levels by stimulating insulin secretion. Besides, it can affect cognitive function through the neuroprotective effect of DPP-4 substrates, such as glucose-dependent insulin peptide and glucagon-like peptide-1, the proteolytic effect on amyloid-β and the protective effect on neuronal structure. This review discusses the relationship between cognitive impairment in T2DM and in AD, summarizes the effect of DPP-4 inhibitor (DPP-4i) on improving cognitive impairment in these two diseases based on the current studies. Given the lack of clinical randomized trials that evaluate the effect of DPP-4i on AD, this review is expected to provide preclinical evidence for DPP-4i as a potential therapy for the treatment and prevention of AD.

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二肽基肽酶-4与阿尔茨海默病的关联:一种新的治疗前景。
阿尔茨海默病(Alzheimer's disease, AD)是最常见的与认知功能障碍相关的疾病,在临床表现、病理改变和预防上都与2型糖尿病(T2DM)密切相关。抑制二肽基肽酶4 (DPP-4)可以通过刺激胰岛素分泌来降低血糖水平。此外,它还可以通过DPP-4底物如葡萄糖依赖性胰岛素肽和胰高血糖素样肽-1的神经保护作用,对淀粉样蛋白-β的蛋白水解作用和对神经元结构的保护作用来影响认知功能。本文综述了T2DM与AD认知功能障碍的关系,并结合目前的研究总结了DPP-4抑制剂(DPP-4i)改善这两种疾病认知功能障碍的作用。鉴于缺乏评估DPP-4i对AD影响的临床随机试验,本综述有望为DPP-4i作为治疗和预防AD的潜在疗法提供临床前证据。
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来源期刊
Journal of Alzheimer's Disease
Journal of Alzheimer's Disease 医学-神经科学
CiteScore
6.40
自引率
7.50%
发文量
1327
审稿时长
2 months
期刊介绍: The Journal of Alzheimer''s Disease (JAD) is an international multidisciplinary journal to facilitate progress in understanding the etiology, pathogenesis, epidemiology, genetics, behavior, treatment and psychology of Alzheimer''s disease. The journal publishes research reports, reviews, short communications, hypotheses, ethics reviews, book reviews, and letters-to-the-editor. The journal is dedicated to providing an open forum for original research that will expedite our fundamental understanding of Alzheimer''s disease.
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