Increasing evidence suggests that
glucagon-like peptide-1 (GLP-1), an
incretin hormone of current interest in
type 2 diabetes, is neuroprotective in both cell culture and animal models. To characterize the neuroprotective properties of
GLP-1 and associated underlying mechanisms, we over-expressed the
GLP-1 receptor (GLP-1R) on human
neuroblastoma SH-SY5Y cells to generate a neuronal culture system featuring enhanced GLP-1R signaling. In GLP-1R over-expressing SH-SY5Y (SH-hGLP-1R#9) cells,
GLP-1 and the long-acting agonist
exendin-4 stimulated cell proliferation and increased cell viability by 2-fold at 24 h at physiologically relevant concentrations. This GLP-1R-dependent action was mediated via the
protein kinase A and
phosphoinositide 3-kinase signaling pathways, with the MAPK pathway playing a minor role.
GLP-1 and
exendin-4 pretreatment dose-dependently protected SH-hGLP-1R#9 cells from
hydrogen peroxide (H(2)O(2))- and 6-hydroxydopamine-induced cell death. This involved amelioration of elevated
caspase 3 activity, down-regulation of pro-apoptotic Bax and up-regulation of anti-apoptotic Bcl-2
protein. In the presence of
6-hydroxydopamine, GLP-1's ability to lower
caspase-3 activity was abolished with the
phosphoinositide 3-kinase inhibitor, LY2940002, and partly reduced with the
protein kinase A inhibitor, H89. Hence, GLP-1R mediated neurotrophic and anti-apoptotic actions co-contribute to the neuroprotective property of
GLP-1 in neuronal cell cultures, and reinforce the potential therapeutic value of GLP-1R agonists in
neurodegenerative disorders involving oxidative stress.