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Parkinsons disease, characterized by dopaminergic neuronal loss in the substantia nigra leading to motor and non-motor symptoms, has also been linked to insulin resistance and impaired cerebral insulin signaling.128 GLP-1RAs and GLP-1/GIP dual-receptor agonists have demonstrated the capacity to enhance insulin sensitivity and exert antioxidant and anti-inflammatory effects in the brain.129 Preclinical studies in various PD animal models indicate that GLP-1RAs such as liraglutide, semaglutide, and lixisenatide promote dopamine synthesis and elevate striatal dopamine levels, thereby conferring neuroprotection to dopaminergic neurons.130132 The dual agonist telpor similarly exhibits neuroprotective effects by improving energy metabolism and inhibiting inflammatory pathways in PD models.126 Clinical trials have assessed the efficacy and safety of GLP-1RAs in PD patients with PD

We believe that the different efficacies of DPP-4i in regulating the function of vascular endothelial cell are possibly associated with the immunity of the human body, the distribution of cytokines, and the administration of drugs

Pharmacokinetics: blood-brain barrier and plasma stability A small set of pharmacokinetic studies in the early 1980s addressed two questions relevant to interpreting peripherally administered DSIP: does it cross the blood-brain barrier, and what is its plasma stability

Liraglutide protects against brain amyloid-beta1-42 accumulation in female mice with early alzheimers disease-like pathology by partially rescuing Oxidative/Nitrosative stress and inflammation

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