Exendin-4 ameliorates traumatic brain injury-induced cognitive impairment in rats

PLoS One. 2013 Dec 2;8(12):e82016. doi: 10.1371/journal.pone.0082016. eCollection 2013.

Abstract

Traumatic brain injury represents a major public health issue that affects 1.7 million Americans each year and is a primary contributing factor (30.5%) of all injury-related deaths in the United States. The occurrence of traumatic brain injury is likely underestimated and thus has been termed "a silent epidemic". Exendin-4 is a long-acting glucagon-like peptide-1 receptor agonist approved for the treatment of type 2 diabetes mellitus that not only effectively induces glucose-dependent insulin secretion to regulate blood glucose levels but also reduces apoptotic cell death of pancreatic β-cells. Accumulating evidence also supports a neurotrophic and neuroprotective role of glucagon-like peptide-1 in an array of cellular and animal neurodegeneration models. In this study, we evaluated the neuroprotective effects of Exendin-4 using a glutamate toxicity model in vitro and fluid percussion injury in vivo. We found neuroprotective effects of Exendin-4 both in vitro, using markers of cell death, and in vivo, using markers of cognitive function, as assessed by Morris Water Maze. In combination with the reported benefits of ex-4 in other TBI models, these data support repositioning of Exendin-4 as a potential treatment for traumatic brain injury.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, N.I.H., Intramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Brain Injuries / drug therapy*
  • Brain Injuries / physiopathology*
  • Brain Injuries / prevention & control
  • Cell Death / drug effects
  • Cell Line, Tumor
  • Cognition / drug effects*
  • Drug Repositioning
  • Exenatide
  • Glucagon-Like Peptide-1 Receptor
  • Humans
  • Hypoglycemic Agents
  • Male
  • Neurons / cytology
  • Neurons / drug effects
  • Neurons / pathology
  • Neuroprotective Agents / pharmacology*
  • Neuroprotective Agents / therapeutic use
  • Peptides / pharmacology*
  • Peptides / therapeutic use*
  • Rats
  • Rats, Sprague-Dawley
  • Receptors, Glucagon / metabolism
  • Signal Transduction / drug effects
  • Venoms / pharmacology*
  • Venoms / therapeutic use*

Substances

  • GLP1R protein, human
  • Glp1r protein, rat
  • Glucagon-Like Peptide-1 Receptor
  • Hypoglycemic Agents
  • Neuroprotective Agents
  • Peptides
  • Receptors, Glucagon
  • Venoms
  • Exenatide