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Alogliptin, a dipeptidylpeptidase-4 inhibitor, for patients with diabetes mellitus type 2, induces tolerance to focal cerebral ischemia in non-diabetic, normal mice

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单位: [1]Natl Cerebral & Cardiovasc Res Ctr, Lab Neurol & Neurosurg, Suita, Osaka 5658565, Japan [2]Natl Cerebral & Cardiovasc Res Ctr, Dept Neurosurg, Suita, Osaka 5658565, Japan [3]Rakuwa Kai Otowa Hosp, Res Lab, Kyoto 6078062, Japan [4]China Japan Friendship Hosp, Dept Neurosurg, Beijing, Peoples R China [5]Osaka Univ, Grad Sch Med, Div Surg Med, Dept Cardiovasc Sci, Suita, Osaka 5650871, Japan
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关键词: Neuroprotection Focal ischemia Neurotrophic factor DPP-4 inhibitor Ischemic stroke Preclinical study

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Effective interventions that provide obvious neuroprotection are currently fairly limited. Glucagon-like peptide-1 (GLP-1), an enhancer of insulin production with a trophic effect on beta cells in the islet, has been found to be trophic for neuronal cells. Alogliptin benzoate (AGL), a selective inhibitor of dipeptidylpeptidase-4 (DPP-4) functioning as a long-acting agonist of GLP-1, is in clinical use worldwide for patients with diabetes mellitus type 2. To clarify whether administration of AGL, independent of the insulinotropic effect, protects the brain against focal ischemia, we investigated the effect of AGL on the development of cerebral infarction in non-diabetic normal mice. Male C57BL/6J mice were administered AGL (7.5, 15, or 30 mu g) once a day for three weeks by intragastric gavage. After the induction of temporary focal ischemia, volumes of infarcted lesions and neurological deficits were analyzed at 24h (acute phase) and seven days (chronic phase). In the acute phase, significant reductions were observed in the volumes of infarcted lesions (p=0.009), and in the severity of neurological deficits (p=0.004), in the group treated with 15 mu g of alogliptin benzoate, but not the 7.5 or 30 mu g-treated groups. This significant reduction in volumes of infarcted lesions persisted into the chronic phase. At the end of the AGL treatment; before the induction of ischemia, the levels of brain-derived neurotrophic factor (BDNF), a potent neuroprotectant in the brain, were elevated in the cortex (p=0.008), or in the whole forebrain (p=0.023). AGL could be used as a daily neuroprotectant or an enhancer of BDNF production aiming to attenuate cerebral injuries, for the growing number of people who have the risk of ischemic stroke. (C) 2013 Elsevier B.V. All rights reserved.

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出版当年[2012]版:
大类 | 3 区 医学
小类 | 4 区 神经科学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 神经科学
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Q3 NEUROSCIENCES
最新[2023]版:
Q3 NEUROSCIENCES

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第一作者单位: [1]Natl Cerebral & Cardiovasc Res Ctr, Lab Neurol & Neurosurg, Suita, Osaka 5658565, Japan [2]Natl Cerebral & Cardiovasc Res Ctr, Dept Neurosurg, Suita, Osaka 5658565, Japan [4]China Japan Friendship Hosp, Dept Neurosurg, Beijing, Peoples R China
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通讯机构: [1]Natl Cerebral & Cardiovasc Res Ctr, Lab Neurol & Neurosurg, Suita, Osaka 5658565, Japan [2]Natl Cerebral & Cardiovasc Res Ctr, Dept Neurosurg, Suita, Osaka 5658565, Japan [5]Osaka Univ, Grad Sch Med, Div Surg Med, Dept Cardiovasc Sci, Suita, Osaka 5650871, Japan [*1]Natl Cerebral & Cardiovasc Res Ctr, Lab Neurol & Neurosurg, 5-7-1 Fujishiro Dai, Suita, Osaka 5658565, Japan
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