Block of A1 astrocyte conversion by microglia is neuroprotective in models of Parkinson’s disease
Open accessAbstract
Activation of microglia by classical inflammatory mediators can convert astrocytes into a neurotoxic A1 phenotype in a variety of neurological diseases 1,2. Development of agents that could inhibit the formation of A1 reactive astrocytes could be used to treat these diseases for which there are no disease-modifying therapies. Glucagon-like peptide-1 receptor (GLP1R) agonists have been indicated as potential neuroprotective agents for neurologic disorders such as Alzheimer's disease and Parkinson's disease 3-13. The mechanisms by which GLP1R agonists are neuroprotective are not known. Here we show that a potent, brain-penetrant long-acting GLP1R agonist, NLY01, protects against the loss of dopaminergic neurons and behavioral deficits in the α-synuclein preformed fibril (α-syn PFF) mouse model of sporadic Parkinson's disease 14,15. NLY01 also prolongs the life and reduces the behavioral deficits and neuropathological abnormalities in the human A53T α-synuclein (hA53T) transgenic mouse model of α-synucleinopathy-induced neurodegeneration 16. We found that NLY01 is a potent GLP1R agonist with favorable properties that is neuroprotective through the direct prevention of microglial-mediated conversion of astrocytes to an A1 neurotoxic phenotype. In light of its favorable properties, NLY01 should be evaluated in the treatment of Parkinson's disease and related neurologic disorders characterized by microglial activation.
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Twice-weekly treatment with 3 mg/kg of the PEGylated exenatide NLY01 for 5 months reduced IL-1α, TNF-α, and C1q secretion by primary mouse microglia exposed to α-synuclein preformed fibrils, thereby limiting astrocyte conversion to the neurotoxic A1 phenotype.
“Twice-weekly treatment with 3 mg/kg of the PEGylated exenatide NLY01 for 5 months reduced IL-1α, TNF-α, and C1q secretion by primary mouse microglia exposed to α-synuclein preformed fibrils, thereby limiting astrocyte conversion to the neurotoxic A1 phenotype (46).”
From Antiinflammatory actions of glucagon-like peptide-1–based therapies beyond metabolic benefits (2025) · cites this paper as [46]
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measuredIn mouse models of Parkinson's disease induced by either α-synuclein preformed fibrils or α-synuclein overexpression, treatment with 3 mg/kg NLY01 twice weekly for 5 months protected against neurodegeneration, including α-synuclein aggregation and loss of dopaminergic neurons.
“In mouse models of Parkinson’s disease induced by either α-synuclein preformed fibrils or α-synuclein overexpression, treatment with 3 mg/kg NLY01 twice weekly for 5 months protected against neurodegeneration, including α-synuclein aggregation and loss of dopaminergic neurons (46).”
From Antiinflammatory actions of glucagon-like peptide-1–based therapies beyond metabolic benefits (2025) · cites this paper as [46]
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measuredReduced PU.1 expression converts microglial cells to a neuroprotective phenotype.
“This effect was propagated to primary astrocytes inducing a neurotoxic reactive gene signature, which was reduced by PU.1 knock-down in LPS-stimulated microglial cells (Fig. 5g), suggesting reduced PU.1 expression converts microglial cells to a neuroprotective phenotype (Joshi et al., 2019; Yun et al., 2018).”
From Alzheimer's-associated PU.1 expression levels regulate microglial inflammatory response (2021) · cites this paper as Yun et al., 2018
The paper reports that inhibiting microglial activation with NLY01 prevents the formation of neurotoxic A1 astrocytes (Abstract; page unavailable). It does not report that reducing PU.1 expression or knocking down PU.1 converts microglia to a neuroprotective phenotype. (LLM, conf=0.82)
Experimental — accuracy not yet measuredThis effect was propagated to primary astrocytes inducing a neurotoxic reactive gene signature, which was reduced by PU.1 knock-down in LPS-stimulated microglial cells.
“This effect was propagated to primary astrocytes inducing a neurotoxic reactive gene signature, which was reduced by PU.1 knock-down in LPS-stimulated microglial cells (Fig. 5g), suggesting reduced PU.1 expression converts microglial cells to a neuroprotective phenotype (Joshi et al., 2019; Yun et al., 2018).”
From Alzheimer's-associated PU.1 expression levels regulate microglial inflammatory response (2021) · cites this paper as Yun et al., 2018
The passage on astrocyte experiments (section labeled Abstract; no page given) reports that conditioned medium from α-syn PFF-treated microglia induces neurotoxic A1 markers in astrocytes. It reports that NLY01 prevents this conversion, not that PU.1 knock-down reduces a reactive gene signature in LPS-stimulated microglia. The latter, more specific part of the attributed claim is unsupported by this paper. (LLM, conf=0.88)
Experimental — accuracy not yet measuredNLY01, a GLP-1 receptor agonist, protects dopaminergic neurons from inflammatory responses elicited by glial cells, and has been enrolled in a Phase II clinical trial.
“NLY01, a different GLP-1 receptor agonist that can protect dopaminergic neurons from inflammatory responses elicited by glial cells,573 has been enrolled recently in a Phase II clinical trial.”
From Role of neuroinflammation in neurodegeneration development (2023) · cites this paper as [573]
Administration of NLY01 prevented microglial activation and reactive astrocyte conversion, protecting against α-synucleinopathy-induced neurodegeneration.
“the administration of NLY01 prevented microglial activation and reactive astrocyte conversion, effectively protecting against α-synucleinopathy-induced neurodegeneration.”
From Microbiota–gut–brain axis and its therapeutic applications in neurodegenerative diseases (2024) · cites this paper as [396]
Once A1 astrocytes are induced, they lose their essential functions such as supporting neuronal survival, and they also promote neuroinflammation, which contributes to the progression of neurodegenerative diseases.
“Once A1 astrocytes are induced, they lose their essential functions such as supporting neuronal survival, and they also promote neuroinflammation, which contributes to the progression of neurodegenerative diseases.”
From Microglia in neurodegenerative diseases: mechanism and potential therapeutic targets (2023) · cites this paper as [113]
GLP-1 receptor agonists are involved in multiple biological pathways that could be beneficial in Alzheimer's disease including improvement of blood-brain barrier integrity and vascular health, promotion of homeostasis in microglia and astrocytes, positive effects on adaptive immune cells, improvement of synaptic viability, and neuroprotection.
“They are involved in multiple biological pathways that could be beneficial in AD including improvement of BBB integrity and vascular health, promotion of homeostasis in microglia and astrocytes, positive effects on adaptative immune cells (including natural killer cells and activated regulatory T cells), improvement of synaptic viability, and neuroprotection [17–26].”
Preclinical results in murine models treated with GLP-1 receptor agonists suggest that the potential effects of semaglutide in Alzheimer's disease may be exerted via impact on several Alzheimer's disease-related pathophysiologic processes including neuroinflammatory pathways, vascular and blood-brain barrier integrity, reduced synaptic loss, and neuroprotection.
“Preclinical results in murine models treated with GLP-1RAs suggest that the potential effects of semaglutide in AD may be exerted via impact on several AD-related pathophysiologic processes including neuroinflammatory pathways, vascular and BBB integrity, reduced synaptic loss, and neuroprotection [19, 21, 23–26, 46–48];”
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Self-citationOutside in: Unraveling the Role of Neuroinflammation in the Progression of Parkinson's Disease
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Self-citationAlzheimer's-associated PU.1 expression levels regulate microglial inflammatory response
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“1 expression converts microglial cells to a neuroprotective phenotype (Joshi et al., 2019; Yun et al., 2018).”
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Self-citationProtective role of IGF-1 and GLP-1 signaling activation in neurological dysfunctions
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Glia in neurodegeneration: Drivers of disease or along for the ride?
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Astrocytes in the regulation of cerebrovascular functions
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Glucagon-Like Peptide-1 (GLP-1) in the Integration of Neural and Endocrine Responses to Stress
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RNA-seq and network analysis reveal unique glial gene expression signatures during prion infection
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Mitochondrial dysfunction compromises ciliary homeostasis in astrocytes
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miR-124: A Promising Therapeutic Target for Central Nervous System Injuries and Diseases
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<i> Cspg4 <sup>high</sup> </i> microglia contribute to microgliosis during neurodegeneration
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- Authors
- Yun, S. P., Kam, T.-I., Panicker, N., Kim, S., Oh, Y., Park, J.-S., Kwon, S.-H., Park, Y. J., Karuppagounder, S. S., Park, H., Kim, S., Oh, N., Kim, N. A., Lee, S., Brahmachari, S., Mao, X., Lee, J. H., Kumar, M., An, D., Kang, S.-U., Lee, Y., Lee, K. C., Na, D. H., Kim, D., Lee, S. H., Roschke, V. V., Liddelow, S. A., Mari, Z., Barres, B. A., Dawson, V. L., Lee, S., Dawson, T. M., & Ko, H. S.
- Affiliations
- Johns Hopkins University (US)
- University of Alabama at Birmingham (US)
- Samsung Biomedical Research Institute (KR)
- Sungkyunkwan University (KR)
- Chung-Ang University (KR)
- Stanford Medicine (US)
- Corresponding author
- Lee, Saebom
- Lee, Sang Hun
- Lee, Seulki
- Ko, Han Seok
- ORCID
- Yun, Seung Pil
- Kam, Tae-In
- Panicker, Nikhil
- Park, Jong-Sung
- Kwon, Seung-Hwan
- Park, Yong Joo
- Karuppagounder, Senthilkumar S.
- Park, Hyejin
- Kim, Sangjune
- Lee, Saebom
- Brahmachari, Saurav
- Mao, Xiaobo
- Lee, Jun Hee
- Kumar, Manoj
- Lee, Yunjong
- Na, Dong Hee
- Kim, Donghoon
- Liddelow, Shane A.
- Mari, Zoltan
- Barres, Ben A.
- Lee, Seulki
- Dawson, Ted M.
- Ko, Han Seok
- Venue
- Nature Medicine
- Published
- 2018-06-11
- Volume
- 24
- Issue
- 7
- Pages
- 931-938
- ISSN
- 1078-8956 (ISSN-L)
- 1546-170X
- PMC
- PMC6039259
- OpenAlex
- W2807256450
- Cited by
- 1,123
- References
- 45
- Citations by year
- 2026: 95 · 2025: 151 · 2024: 163 · 2023: 147 · 2022: 152 · 2021: 168 · 2020: 130 · 2019: 82 · 2018: 30 · 2012: 2
- FWCI
- 46.10
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Minerva Access (University of Melbourne) (submittedVersion)
- Funders
- National Institutes of Health
- National Institute on Aging (K01AG056841)
- National Institute of Neurological Disorders and Stroke (R21NS098006, R01NS082205, P50NS038377)
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Keywords
- Parkinson's disease, microglia, GLP-1 receptor agonists, neuroprotection, alpha-synuclein, alpha-synuclein preformed fibrils, dopaminergic neuron loss, microglial activation, neuroinflammation
- MeSH terms
- Amyloid, Animals, Astrocytes, Disease Models, Animal, Humans, Mice, Inbred C57BL, Mice, Transgenic, Parkinson Disease, Microglia, Neuroprotective Agents, alpha-Synuclein
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