Effects of GLP-1 receptor agonists on mitochondrial function, inflammatory markers and leukocyte-endothelium

Clara Luna-Marco1, Arantxa M de Marañon2, Alberto Hermo-Argibay1

  • 1Service of Endocrinology and Nutrition, Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), University Hospital Doctor Peset, Valencia, Spain.

Redox Biology
|August 17, 2023
PubMed
Abstract

Insights

Glucagon-like peptide-1 receptor agonists (GLP-1 RA) improve mitochondrial function and reduce inflammation in type 2 diabetes (T2D). This treatment also lowers markers of atherosclerosis and cardiovascular disease risk in T2D patients.

Area of Science:

  • Cardiovascular Medicine
  • Endocrinology
  • Metabolic Research

Background:

  • Type 2 diabetes (T2D) is associated with metabolic dysfunction, mitochondrial impairment, inflammation, and increased risk of atherosclerosis and cardiovascular diseases (CVDs).
  • Oxidative stress and altered leukocyte-endothelial interactions are key contributors to T2D complications.

Purpose of the Study:

  • To evaluate the therapeutic effects of Glucagon-like peptide-1 receptor agonists (GLP-1 RA) in type 2 diabetic patients.
  • To assess the impact of GLP-1 RA on oxidative stress, mitochondrial function, leukocyte-endothelial interactions, inflammation, and carotid intima-media thickness (CIMT).

Main Methods:

  • Recruited 255 T2D patients and 175 controls, divided into GLP-1 RA treated (59) and untreated (196) groups.
  • Measured reactive oxygen species (ROS) production, oxygen consumption, and leukocyte-endothelial interactions in polymorphonuclear leukocytes (PMNs).
  • Quantified inflammatory markers, adhesion molecules, and CIMT.

Main Results:

  • GLP-1 RA treatment reduced ROS production and improved mitochondrial respiration and membrane potential.
  • Leukocyte-endothelial interactions were modulated, with diminished rolling and adhesion.
  • Decreased levels of pro-inflammatory markers (ICAM-1, VCAM-1, IL-6, TNFα, IL-12) and increased IL-10 were observed. CIMT was significantly lower in the GLP-1 RA treated group.

Conclusions:

  • GLP-1 RA treatment positively impacts redox balance and mitochondrial function in T2D.
  • The therapy reduces inflammation and leukocyte-endothelial interactions, contributing to decreased atherosclerosis progression.
  • GLP-1 RA therapy holds potential for mitigating cardiovascular risk in type 2 diabetes patients.

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