Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Sep 6;15(9):e44763.
doi: 10.7759/cureus.44763. eCollection 2023 Sep.

Exploring the Potential of Antidiabetic Agents as Therapeutic Approaches for Alzheimer's and Parkinson's Diseases: A Comprehensive Review

Affiliations
Review

Exploring the Potential of Antidiabetic Agents as Therapeutic Approaches for Alzheimer's and Parkinson's Diseases: A Comprehensive Review

Mahima Koshatwar et al. Cureus. .

Abstract

Alzheimer's and Parkinson's are two prevalent neurodegenerative disorders with significant societal and healthcare burdens. The search for effective therapeutic approaches to combat these diseases has led to growing interest in exploring the potential of antidiabetic agents. This comprehensive review aims to provide a detailed overview of the current literature on using antidiabetic agents as therapeutic interventions for Alzheimer's and Parkinson's diseases. We discuss the underlying pathological mechanisms of these neurodegenerative diseases, including protein misfolding, inflammation, oxidative stress, and mitochondrial dysfunction. We then delve into the potential mechanisms by which antidiabetic agents may exert neuroprotective effects, including regulation of glucose metabolism and insulin signaling, anti-inflammatory effects, modulation of oxidative stress, and improvement of mitochondrial function and bioenergetics. We highlight in vitro, animal, and clinical studies that support the potential benefits of antidiabetic agents in reducing disease pathology and improving clinical outcomes. However, we also acknowledge these agents' limitations, variability in treatment response, and potential side effects. Furthermore, we explore emerging therapeutic targets and novel approaches, such as glucagon-like peptide-1 receptor (GLP-1R) agonists, insulin sensitizer drugs, neuroinflammation-targeted therapies, and precision medicine approaches. The review concludes by emphasizing the need for further research, including large-scale clinical trials, to validate the efficacy and safety of antidiabetic agents in treating Alzheimer's and Parkinson's disease. The collaboration between researchers, clinicians, and pharmaceutical companies is essential in advancing the field and effectively treating patients affected by these debilitating neurodegenerative disorders.

Keywords: alzheimer's disease; antidiabetic agents; neurodegenerative diseases; parkinson's disease; therapeutic approaches.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

Similar articles

Cited by

References

    1. Parkinson's disease and Alzheimer's disease: a Mendelian randomization study. Han Z, Tian R, Ren P, et al. BMC Med Genet. 2018;19:215. - PMC - PubMed
    1. The neuropathological diagnosis of Alzheimer's disease. DeTure MA, Dickson DW. Mol Neurodegener. 2019;14:32. - PMC - PubMed
    1. Parkinson’s disease and its management: part 1: disease entity, risk factors, pathophysiology, clinical presentation, and diagnosis. DeMaagd G, Philip A. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4517533/ Pharm Ther. 2015;40:504–532. - PMC - PubMed
    1. Cholinesterase inhibitors for the treatment of Alzheimer's disease:: getting on and staying on. Grossberg GT. Curr Ther Res Clin Exp. 2003;64:216–235. - PMC - PubMed
    1. Zahoor I, Shafi A, Haq E. Parkinson’s Disease: Pathogenesis and Clinical Aspects. Vol. 1. Brisbane, Australia: Codon Publications; 2018. Pharmacological Treatment of Parkinson’s Disease; p. 470. - PubMed

LinkOut - more resources