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Published on: April 23, 2018
Glp-1 Mimetics and Autophagy in Diabetic Milieu: State-of-the-Art
Habib Yaribeygi1, Mina Maleki2, Raul D Santos3
1Research Center of Physiology, Semnan University of Medical Sciences, Semnan, Iran.
Abstract:
The diabetic milieu is associated with cascades of pathophysiological pathways that culminate in diabetic complications and tissue injuries. Autophagy is an essential process mandatory for cell survival and tissue homeostasis by degrading damaged organelles and removing injured cells. However, it may turn into a pathological process in an aberrant mode in the diabetic and/or malignant milieu. Moreover, autophagy could serve as a promising therapeutic target for many complications related to tissue injury. Glp-1 mimetics are a class of newer antidiabetic agents that reduce blood glucose through several pathways. However, some evidence suggests that they can provide extra glycemic benefits by modulating autophagy, although there is no complete understanding of this mechanism and its underlying molecular pathways. Hence, in the current review, we aimed to provide new insights on the possible impact of Glp-1 mimetics on autophagy and consequent benefits as well as mediating pathways.
Insights
Glucagon-like peptide-1 (GLP-1) mimetics may offer benefits beyond glucose control by modulating autophagy. This review explores how GLP-1 mimetics impact autophagy and potential therapeutic pathways for diabetic complications.
Area of Science:
- Biochemistry
- Cell Biology
- Endocrinology
Background:
- Diabetes mellitus triggers pathophysiological pathways leading to tissue injury and complications.
- Autophagy, a cellular degradation process, is crucial for survival but can become pathological in diabetes.
- Autophagy modulation presents a potential therapeutic target for diabetic complications.
Purpose of the Study:
- To review the impact of Glucagon-like peptide-1 (GLP-1) mimetics on autophagy.
- To explore the potential extra-glycemic benefits of GLP-1 mimetics through autophagy modulation.
- To elucidate the underlying molecular pathways involved in GLP-1 mimetic-mediated autophagy.
Main Methods:
- Literature review of existing studies on GLP-1 mimetics and autophagy.
- Analysis of preclinical and clinical data regarding the effects of GLP-1 on cellular processes.
- Synthesis of current knowledge on the molecular mechanisms linking GLP-1 signaling to autophagy pathways.
Main Results:
- GLP-1 mimetics show potential in modulating autophagy, influencing cellular homeostasis.
- Evidence suggests GLP-1 mimetics may confer tissue-protective effects independent of glucose lowering.
- Specific molecular pathways mediating the interaction between GLP-1 and autophagy require further investigation.
Conclusions:
- GLP-1 mimetics may offer significant therapeutic advantages by targeting autophagy in diabetic patients.
- Understanding the interplay between GLP-1 and autophagy could unlock novel treatment strategies for diabetic complications.
- Further research is warranted to fully elucidate the mechanisms and clinical utility of GLP-1 mimetics in modulating autophagy.
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