The role of glucagon-like peptide-1/GLP-1R and autophagy in diabetic cardiovascular disease

Zi Guo1

  • 1Section of Nephrology, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, 06510, USA. zi.guo@yale.edu.

PubMed

Insights

Diabetes accelerates vascular complications by damaging endothelial cells. Glucagon-like peptide (GLP)-1 analogs and autophagy modulation show promise for treating diabetic vascular disease.

Area of Science:

  • Cardiovascular Biology
  • Metabolic Diseases
  • Cellular Homeostasis

Background:

  • Diabetes mellitus significantly increases macrovascular and microvascular complications.
  • Endothelial dysfunction is an early pathogenic event in diabetes-related vascular disease.
  • Understanding molecular mechanisms is crucial for developing effective therapies.

Purpose of the Study:

  • To review the role of the glucagon-like peptide (GLP)-1/GLP-1 receptor (GLP-1R) system in diabetic endothelial dysfunction.
  • To explore the involvement of autophagy in the pathogenesis of diabetic vascular complications.
  • To highlight the potential therapeutic crosstalk between autophagy and the GLP-1/GLP-1R axis.

Main Methods:

  • Literature review focusing on molecular mechanisms.
  • Analysis of studies on GLP-1/GLP-1R signaling in endothelial cells.
  • Examination of research on autophagy's role in diabetic vascular pathology.

Main Results:

  • The GLP-1/GLP-1R system is implicated in mitigating diabetic endothelial dysfunction.
  • Autophagy plays a critical role in diabetes-induced vascular endothelium damage.
  • A potential interplay exists between autophagy and the GLP-1/GLP-1R axis in managing diabetic angiopathy.

Conclusions:

  • The GLP-1/GLP-1R axis and autophagy are key players in diabetic vascular complications.
  • Targeting the crosstalk between autophagy and GLP-1/GLP-1R may offer novel therapeutic strategies for diabetic angiopathy.

Related Concept Videos

Glucose Homeostasis: Pancreatic Islets and Insulin Secretion01:27

Glucose Homeostasis: Pancreatic Islets and Insulin Secretion

The pancreatic islets comprising only 1%-2% of the volume are highly vascularized and innervated mini-organs. They contain five endocrine cell types, including β cells that secrete insulin, which is synthesized as a single polypeptide chain, preproinsulin, processed to proinsulin, and finally to insulin and C-peptide. This process is complex and regulated, involving the Golgi complex, the endoplasmic reticulum, and the secretory granules of the β cell.
Insulin and C-peptide are...
1.2K
Glucagon-like Receptor Agonists01:24

Glucagon-like Receptor Agonists

Incretins include glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP), which stimulate insulin secretion post-meals. In type 2 diabetes, GIP's efficacy is reduced, making GLP-1 a viable drug target. GIP originates from preproGIP.
GLP-1, when administered in high doses intravenously, triggers insulin secretion, inhibits glucagon release, slows gastric emptying, reduces food intake, and restores normal insulin secretion. However, its rapid inactivation by...
316
Hormones Regulating Blood Glucose01:16

Hormones Regulating Blood Glucose

Insulin is released by beta cells of the pancreas when blood glucose levels are high. It facilitates glucose absorption and utilization in insulin-dependent cells with insulin receptors on their plasma membranes. Insulin promotes glucose uptake by increasing the number of glucose transport proteins in the cell membrane, allowing glucose to enter the cell. As a result, glucose utilization and ATP production are enhanced.
In addition to accelerating glucose uptake and utilization, insulin has...
3.2K
Carbohydrate Metabolism01:36

Carbohydrate Metabolism

Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
11.0K
Pathophysiology of Diabetes01:20

Pathophysiology of Diabetes

Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
919
Hypoglycemia and Glucagon01:15

Hypoglycemia and Glucagon

Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...
256