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Publication : Central glucagon-like peptide 1 receptor activation inhibits Toll-like receptor agonist-induced inflammation.

First Author  Wong CK Year  2024
Journal  Cell Metab Volume  36
Issue  1 Pages  130-143.e5
PubMed ID  38113888 Mgi Jnum  J:344301
Mgi Id  MGI:7574026 Doi  10.1016/j.cmet.2023.11.009
Citation  Wong CK, et al. (2024) Central glucagon-like peptide 1 receptor activation inhibits Toll-like receptor agonist-induced inflammation. Cell Metab 36(1):130-143.e5
abstractText  Glucagon-like peptide-1 receptor agonists (GLP-1RAs) exert anti-inflammatory effects relevant to the chronic complications of type 2 diabetes. Although GLP-1RAs attenuate T cell-mediated gut and systemic inflammation directly through the gut intraepithelial lymphocyte GLP-1R, how GLP-1RAs inhibit systemic inflammation in the absence of widespread immune expression of the GLP-1R remains uncertain. Here, we show that GLP-1R activation attenuates the induction of plasma tumor necrosis factor alpha (TNF-alpha) by multiple Toll-like receptor agonists. These actions are not mediated by hematopoietic or endothelial GLP-1Rs but require central neuronal GLP-1Rs. In a cecal slurry model of polymicrobial sepsis, GLP-1RAs similarly require neuronal GLP-1Rs to attenuate detrimental responses associated with sepsis, including sickness, hypothermia, systemic inflammation, and lung injury. Mechanistically, GLP-1R activation leads to reduced TNF-alpha via alpha(1)-adrenergic, delta-opioid, and kappa-opioid receptor signaling. These data extend emerging concepts of brain-immune networks and posit a new gut-brain GLP-1R axis for suppression of peripheral inflammation.
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