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M14 substitutions in exanatide modulate alpha-synuclein aggregation.

Venkataharsha Panuganti1, Kanika Manchanda2, Prasad V Bharatam2,3

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The FEBS Journal
|November 9, 2025
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Exenatide mutants show potential in inhibiting alpha-synuclein aggregation, a key factor in Parkinson's disease (PD). These modified peptides may offer new therapeutic avenues for neurodegenerative disorders by promoting cell survival and autophagy.

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Area of Science:

  • Neuroscience
  • Biochemistry
  • Pharmacology

Background:

  • Type 2 diabetes (T2DM) and Parkinson's disease (PD) share pathway dysregulation.
  • Antidiabetic drugs, like exenatide, show neuroprotective effects in PD models.
  • Exenatide, a GLP1R agonist, crosses the blood-brain barrier and improves PD symptoms in rodents.

Purpose of the Study:

  • Investigate exenatide's effect on alpha-synuclein aggregation.
  • Explore how modifications at exenatide's M14 position impact aggregation.
  • Assess the therapeutic potential of exenatide mutants in PD models.

Main Methods:

  • Substitution mutations were introduced at the M14 position of exenatide.
  • In vitro aggregation assays of recombinant human alpha-synuclein were performed.
  • SH-SY5Y cells were used to study aggregation and cell survival.
  • Molecular dynamic (MD) simulations and flow cytometry were employed.

Main Results:

  • Exenatide alone did not affect alpha-synuclein aggregation in vitro.
  • The M14K exenatide mutant stabilized alpha-synuclein and reduced aggregation.
  • All exenatide mutants attenuated alpha-synuclein aggregation in SH-SY5Y cells, increasing cell survival.
  • Peptide treatment induced autophagy, contributing to reduced protein aggregation.

Conclusions:

  • Exenatide's M14 modifications can influence alpha-synuclein stability and aggregation.
  • Exenatide and its mutants demonstrate neuroprotective effects in cellular PD models.
  • Induction of autophagy is a key mechanism for exenatide-mediated reduction of protein aggregation.
  • Exenatide mutants warrant further investigation as potential alpha-synuclein aggregation inhibitors for PD treatment.