Can Diabetes Drugs Help Fight Brain Diseases?

Can Diabetes Drugs Help Fight Brain Diseases?

Introduction

Neurodegenerative diseases (NDDs), like Alzheimer’s, Parkinson’s, and ALS, are becoming more common. These conditions affect memory, movement, and thinking. Right now, treatments mostly help with symptoms, not the actual causes. But scientists are now looking into a new idea—using diabetes drugs called incretin-based therapies to help the brain.

What Are Incretin-Based Therapies?

Incretin hormones, like GLP-1 and GIP, are made in our gut after eating. They help control blood sugar by supporting insulin release. Some medicines made from these hormones—like semaglutide and liraglutide—are already used to treat type 2 diabetes and obesity.

But researchers have found that these same drugs might also protect the brain. They reduce inflammation, help brain cells use energy better, and support connections between brain cells.

Why the Brain Needs Help

Diseases like Alzheimer’s happen when brain cells get damaged and die. Common problems in the brain include clumps of bad proteins, inflammation, and trouble using energy like glucose. Diabetes and obesity also raise the risk of getting these brain diseases.

That’s where incretin drugs come in. They target many of these problems at once, which could make them more effective than current drugs that only work on one issue.

What the Studies Show

In animal studies, these incretin-based drugs helped mice with Alzheimer’s and Parkinson’s live longer, remember better, and have fewer bad brain changes. Some early human studies show similar promise—like improved memory and better brain scans in people with Alzheimer’s taking these drugs.

For Parkinson’s, a few small trials found that patients who took the drug exenatide had better movement and thinking. In mice with ALS or multiple sclerosis, the drugs helped protect nerve cells and reduced damage.

Challenges and Next Steps

One challenge is getting the medicine into the brain. Our brain is protected by the blood-brain barrier, which blocks many drugs. Scientists are working on making these drugs better at crossing into the brain.

Also, while early results are exciting, more large studies in people are needed. Clinical trials are ongoing to test whether drugs like semaglutide can truly slow down or stop diseases like Alzheimer’s.

Conclusion

Incretin-based drugs are already changing how we treat diabetes and obesity. Now, they might open a new door in treating brain diseases too. They work on several problems at once—something current treatments don’t do. If future studies confirm their benefits, these medicines could become an important tool in protecting our brains as we age.

Reference: https://www.nature.com/articles/s42255-025-01263-4

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