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Published on: January 23, 2018
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.
Objective:
Type 2 diabetes (T2D) is linked to metabolic, mitochondrial and inflammatory alterations, atherosclerosis development and cardiovascular diseases (CVDs). The aim was to investigate the potential therapeutic benefits of GLP-1 receptor agonists (GLP-1 RA) on oxidative stress, mitochondrial respiration, leukocyte-endothelial interactions, inflammation and carotid intima-media thickness (CIMT) in T2D patients.
Research Design And Methods:
Type 2 diabetic patients (255) and control subjects (175) were recruited, paired by age and sex, and separated into two groups: without GLP-1 RA treatment (196) and treated with GLP-1 RA (59). Peripheral blood polymorphonuclear leukocytes (PMNs) were isolated to measure reactive oxygen species (ROS) production by flow cytometry and oxygen consumption with a Clark electrode. PMNs were also used to assess leukocyte-endothelial interactions. Circulating levels of adhesion molecules and inflammatory markers were quantified by Luminex's technology, and CIMT was measured as surrogate marker of atherosclerosis.
Results:
Treatment with GLP-1 RA reduced ROS production and recovered mitochondrial membrane potential, oxygen consumption and MPO levels. The velocity of leukocytes rolling over endothelial cells increased in PMNs from GLP-1 RA-treated patients, whereas rolling and adhesion were diminished. ICAM-1, VCAM-1, IL-6, TNFα and IL-12 protein levels also decreased in the GLP-1 RA-treated group, while IL-10 increased. CIMT was lower in GLP-1 RA-treated T2D patients than in T2D patients without GLP-1 RA treatment.
Conclusions:
GLP-1 RA treatment improves the redox state and mitochondrial respiration, and reduces leukocyte-endothelial interactions, inflammation and CIMT in T2D patients, thereby potentially diminishing the risk of atherosclerosis and CVDs.
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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