Aug 2026· International Journal of Scientific Research in Science and Technology· 0 citations
TL;DR
A narrative review evaluates the therapeutic potential of semaglutide in PD, focusing on its molecular mechanisms and preclinical and emerging clinical evidence, and suggests that semaglutide crosses the blood-brain barrier and activates GLP-1 receptors in neuronal and glial cells, reducing microglial activation, neuroinflammation, and oxidative stress while improving mitochondrial function, cellular metabolism, and neuronal survival.
Abstract
Parkinson’s disease (PD) is a progressive neurodegenerative disorder characterized by dopaminergic neuronal loss, neuroinflammation, oxidative stress, mitochondrial dysfunction, and α-synuclein accumulation. Current treatments mainly provide symptomatic relief and do not substantially alter disease progression, highlighting the need for effective disease-modifying therapies. Semaglutide, a glucagon-like peptide-1 (GLP-1) receptor agonist, has emerged as a potential neuroprotective agent. This narrative review evaluates the therapeutic potential of semaglutide in PD, focusing on its molecular mechanisms and preclinical and emerging clinical evidence. Experimental studies suggest that semaglutide crosses the blood-brain barrier and activates GLP-1 receptors in neuronal and glial cells, reducing microglial activation, neuroinflammation, and oxidative stress while improving mitochondrial function, cellular metabolism, and neuronal survival. It may also reduce α-synuclein aggregation and improve motor and cognitive outcomes in experimental models. Although findings are promising, clinical evidence remains limited. Well-designed randomized trials are needed to establish its efficacy, safety, optimal dosing, and disease-modifying potential in PD.
Natural bioactive compounds, gene-based therapies, stem cell-based therapies, stem cell-based therapies, and nanotechnology-assisted drug delivery systems are promising alternatives as suggested by recent advances and could help to more effectively and permanently manage PD.
S. Arbab, Hanif Ullah, Yanting Han et al.· Ageing Research Reviews· 0 citations
NAR has demonstrated the ability to reduce amyloid-β plaque deposition, inhibit α-synuclein aggregation, preserve dopaminergic neurons, modulate immune responses in multiple sclerosis, and improve functional recovery after spinal cord injury.
Nista Gurung, Ganesh Bohara, Nikesh Rimal et al.· Molecular Nutrition & Food R...· 0 citations
Combined in silico and experimental findings highlight hesperidin’s strong binding to key molecular targets, whereas experimental evidence also confirms its antioxidant, anti-inflammatory, and anti-apoptotic effects, supporting its potential as a disease-modifying candidate in PD therapy.
Seyawash Ghani, Diksha Dalal, Anish Singh et al.· Current Behavioral Neuroscie...· 0 citations
Parkinson's disease (PD) is a neurodegenerative disorder marked by the progressive loss of dopaminergic neurons in the substantia nigra. Its clinical features include motor symptoms such as tremor, bradykinesia, rigidity, and postural instability. The pathophysiology of PD involves oxidative stress, mitochondrial impairment, neuroinflammation, protein misfolding, and aberrant alpha-synuclein aggregation, which disrupt dopaminergic signaling pathways. Biomarkers such as α-synuclein, DJ-1, neurofilament light chain, and imaging biomarkers such as DAT-SPECT are being studied for early diagnosis, evaluation of disease progression, and therapy monitoring. Although advancements have been made, current options-such as dopamine replacement therapy, deep brain stimulation, and physiotherapy-remain largely symptomatic, carry long-term side effects, and fail to halt disease progression. Nanotechnology advancements have brought a major paradigm shift in the management of PD. Curcumin, Resveratrol, and EGCG are bioactive compounds with antioxidant, anti-inflammatory, and neuroprotective properties. However, their clinical use is limited because of poor bioavailability and stability. Nanocarrier systems such as liposomes, dendrimers, and polymeric nanoparticles improve targeted delivery through the blood-brain barrier. This helps in reducing systemic toxicity and enhancing therapeutic effectiveness. The therapeutic mechanism of these nanoformulations mainly involves free radical scavenging, modulation of mitochondrial function, inhibition of α-synuclein fibril formation, and regulation of cell signal transduction pathways such as Nrf2/ARE and NF-κB. The major challenges include large-scale production, long-term safety assessment, regulatory challenges, and site-specific delivery. Future research is moving toward the convergence of gene therapy, nanomedicine, and precision targeting to develop disease-modifying therapy. This approach aims not only to control symptoms but also to potentially control neurodegeneration in PD.
P. Gaur, Prachee Raje Bisht, Sonia Lal Gupta· Journal of Biomaterials Scie...· 0 citations
Alzheimer’s Disease (AD) is a neurodegenerative disorder with
progressive cognitive decline, β-amyloid plaques, neurofibrillary tangles, oxidative stress,
and neuroinflammatory responses. So far, the pathogenesis of AD has been explained by
the cholinergic hypothesis, amyloid cascade hypothesis, and tau protein dysfunction.
However, the current pharmacological treatment of AD with cholinesterase inhibitors and
NMDA receptor antagonists provides only symptomatic relief and cannot prevent the
progression of the disease.
This review article discusses the recent developments in neuropharmacology in
the treatment of AD with a focus on the discovery of novel therapeutic targets and innovative
therapeutic strategies with multi-target pharmacology involving protein–protein interaction
inhibitors, allosteric modulators, selective enzyme inhibitors, and proteolysistargeting
chimeras (PROTACs), and the discovery of novel drug delivery systems to
overcome the blood–brain barrier.
Current preclinical and emerging evidence indicate that the modulation of interconnected
pathological pathways, including mitochondrial dysfunction, insulin resistance,
and neuroinflammation, may lead to improved therapeutic outcomes. Dual inhibitors of
tau hyperphosphorylation and Aβ aggregation have been shown to improve therapeutic
efficacy, while modulation of neurotrophic signaling pathways, including BDNF, has
been shown to possess neuroprotective effects. Moreover, improved drug delivery systems
across the BBB will enhance drug bioavailability, thereby increasing therapeutic efficiency.
Despite the promising preclinical data, there are several challenges in translating
these therapeutic interventions into clinical success in AD treatment due to the
complexity of the disease, delayed diagnosis, and lack of predictive markers. The incorporation
of early diagnostic biomarkers in conjunction with the use of multi-target therapy
will improve therapeutic efficacy in the treatment of AD.
Neuropharmacological approaches, where various mechanisms of pathology
are targeted, hold promise for developing disease-modifying treatments for AD. Further
research in this area, incorporating innovative drug development techniques, drug delivery
systems, and early intervention techniques, is crucial for better patient outcomes and
slower disease progression.
Lalit Parihar, A. Singh, Sanjar Alam· Current Pharmacogenomics and...· 0 citations
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