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. 2024 Oct 1;17(10):1313. doi: 10.3390/ph17101313

Table 2.

Overview of the studies using the GLP-1 receptor agonists in in vitro and in vivo traumatic brain injury models.

GLP-1 Receptor Agonist Model Outcomes References
In Vitro Studies
Exendin-4 Oxidative stress in β cells Decrease in apoptosis Kim et al. [86]
Slow-release exenatide
PT-302
Glial cells Anti-inflammation Bader et al. [79]
Liraglutide SH-SY5Y cells and SH-SY5Y cells overexpressing GLP-1 receptors Dose-dependent proliferation in SH-SY5Y cells and a GLP-1R overexpressing cell line,
pre-treatment effectively protected neuronal cells from cell death induced by oxidative stress and glutamate excitotoxicity
Li et al. [77]
Exendin-4 SH-SY5Y cells, primary neuron cultures, rodent primary cerebral cortical neurons In neuronal cultures, exendin-4 ameliorated H2O2-induced oxidative stress and glutamate toxicity Rachmany et al. [78]
Exendin-4 HT22 cells (neuronal-derived cell line) Attenuated cytotoxic effect of biaxial stretch damage, preserved neurite length, protected against neurite shrinkage and cell-death-maintained neurite length Rachmany et al. [81]
Twincretin SH-SY5Y cells Increased levels of intermediates in the neurotrophic CREB pathway and enhanced viability of human neuroblastoma cells exposed to toxic concentrations of glutamate and hydrogen peroxide Tamargo et al. [85]
In Vivo Studies
Sitagliptin mTBI in mouse model Increased manganese superoxide dismutase (MnSOD) production and overall improved outcomes DellaValle et al. [75]
Liraglutide mTBI in chinchillas Mitigated hearing loss and auditory damage Jiang et al. [76]
Liraglutide mTBI in mouse model Improved memory function Li et al. [77]
Exendin-4 mTBI in mouse model Fully ameliorated mTBI-induced deficits in novel object recognition Rachmany et al. [81]
Exendin-4 CCI in rats Recovery of neurological and cognitive functions, improved cerebral blood flow, reduced both neural degeneration and inflammatory cytokine levels
significantly diminished the TBI-induced overexpression of TNFα and IL-1β
Zhang et al. [9]
Exenatide mTBI in mouse model Mitigation of short- and longer-term cognitive impairments (visual and spatial deficits) Bader et al. [79]
Exendin-4
L-carnitine
mTBI in rat model Improved sensory and motor functions,
improved memory,
oxidative stress decrease
ameliorated
Chen et al. [80]
Exendin-4 B-TBI in mouse model Neurodegeneration and memory deficits Tweedie et al. [83]
Exendin-4 B-TBI in mouse model Prevented cognitive deficits Rachmany et al. [81]
Twincretin mTBI in mouse model Restored the visual and spatial memory deficits induced by mTBI Tamargo et al. [85]

Abbreviations: mTBI, mild traumatic brain injury; CCI, controlled cortical impact; B-TBI, blast traumatic brain injury.