After obesity, GLP-1 research focused on Alzheimer’s… hypothesis centres on its ability to reduce inflammation in the brain… this is different from current approaches

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Context
  • Danish scientist Lotte Bjerre Knudsen, co-inventor of the first long-acting GLP-1 receptor agonist for treating type-2 diabetes and obesity, shared insights on ongoing research exploring GLP-1’s potential in addressing Alzheimer’s disease. The research focuses on the hypothesis that GLP-1 can reduce brain inflammation, offering a different therapeutic approach compared to existing Alzheimer’s treatments.

Background

  • GLP-1 (Glucagon-like peptide-1): A hormone involved in regulating blood sugar and appetite.
  • Originally developed to manage type-2 diabetes, GLP-1 analogues also became revolutionary in treating obesity by reducing appetite and promoting weight loss.
  • Recent findings suggest GLP-1 may have neuroprotective properties, sparking interest in Alzheimer’s research.
  • Alzheimer’s is currently treated with drugs targeting amyloid plaques, but these have limited success.

Mechanism to reduce blood sugar

Liraglutide and Semaglutide are both GLP-1 receptor agonists (GLP-1 drugs). Long-acting analogues (e.g., Liraglutide, Semaglutide) have extended activity from minutes to 160 hours, enabling weekly dosing.

  • GLP-1 Drugs Mechanism: Mimic natural GLP-1 to lower blood sugar, reduce hunger, and control weight.
  • New Research Hypothesis: GLP-1 can reduce neuroinflammation in the brain, a key factor in Alzheimer’s progression. This approach is fundamentally different from amyloid-targeting therapies, which are traditionally used.
  • Impact on Obesity & Diabetes: GLP-1 drugs have dramatically improved health outcomes, reducing mortality, heart disease, and obesity rates globally.

Long Acting Glp 1 Analogues

Implication

  • Medical Breakthrough Potential: If successful, GLP-1 therapy could transform Alzheimer’s treatment, shifting from plaque-centric to inflammation-focused approaches.
  • Public Health Impact: Dual benefits for metabolic disorders and neurodegenerative diseases could significantly reduce global disease burden.
  • Pharmaceutical Innovation: May spur new drug development, increasing investment in multi-target therapies.

Ethical & Economic Aspects:

This, however, raises concerns over drug affordability, access, and long-term safety in chronic neurological conditions.

 

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