国际麻醉学与复苏杂志   2025, Issue (4): 0-0
    
胰高血糖素样肽1受体激动剂对中枢神经系统疾病的影响及研究进展
孙建良1()
1.杭州市第一人民医院/浙江大学医学院附属杭州市第一人民医院/浙江中医药大学第四临床学院
Advancements in Research on the Effects of Glucagon-Like Peptide-1 Receptor Agonists on the Central Nervous System
 全文:
摘要:

胰高血糖素样肽-1受体激动剂(GLP-1RAs)在糖尿病和肥胖症治疗中的作用已被广泛证实,近年研究发现其还具备神经保护潜力。GLP-1受体在下丘脑和海马等大脑关键区域广泛分布,且GLP-1RAs可透过血脑屏障,通过调节神经炎症、氧化应激和线粒体功能,延缓神经退行性疾病的进展。本文结合国内外最新文献,重点围绕GLP-1RAs的神经保护机制,探讨其在中枢神经系统疾病中的应用前景。

关键词: 胰高血糖素样肽-1受体激动剂;神经保护;中枢神经系统;神经退行性疾病;血脑屏障
Abstract:

The therapeutic effects of glucagon-like peptide-1 receptor agonists (GLP-1RAs) in the treatment of diabetes and obesity have been well established. Recent studies have also uncovered their potential for neuroprotection. GLP-1 receptors are widely distributed in key brain regions such as the hypothalamus and hippocampus, and GLP-1RAs can cross the blood-brain barrier. By modulating neuroinflammation, oxidative stress, and mitochondrial function, they may slow the progression of neurodegenerative diseases. This paper reviews the latest domestic and international literature, focusing on the neuroprotective mechanisms of GLP-1RAs and exploring their potential applications in central nervous system diseases.

Key words: Glucagon-like peptide-1 receptor agonists; Neuroprotection; Central nervous system;Neurodegenerative diseases;Blood-brain barrier