Bioenergetic deficits are considered a common cause of
neurodegenerative diseases. Although
creatine supplementation has been shown to be effective in certain
neurodegenerative disorders, it is less effective in
amyotrophic lateral sclerosis, a disease that primarily affects motor neurons. These neurons are particularly vulnerable to a cellular energy deficit. Using the
ATP-depleting drug
glucosamine, we evaluated whether the
incretin hormone glucagon-like peptide (GLP)-1 protects motor neurons against
glucosamine-induced cytotoxicity. Undifferentiated NSC-34 cells were differentiated into
glutamate-sensitive motor neurons by a modified serum deprivation technique.
Glucosamine inhibited the viability of differentiated NSC-34 cells in a time- and dose-dependent manner.
Glucosamine also acutely reduced cellular
glucose uptake,
glucokinase activity and intracellular
ATP levels. As a result, the activity of
AMP-activated protein kinase as well as endoplasmic reticulum stress increased. Pretreatment with
GLP-1 significantly alleviated
glucosamine-mediated neurotoxicity by restoring cellular
glucose uptake,
glucokinase activity and intracellular
ATP levels. The protective effect of
GLP-1 was replicated by
Exendin-4 but not Exendin-9, and not blocked by inhibitors of phosphoinositide-3
kinase, protein kinase A, cSrc, or
epidermal growth factor receptor, but it was blocked by an
adenylate cyclase inhibitor. A selective activator for exchange
proteins directly activated by cAMP (
Epac), but not a selective activator for
protein kinase A, mimicked the
GLP-1 effect. Therefore
GLP-1 may exert its effect mainly through cAMP-dependent,
Epac-mediated restoration of
glucose uptake that is typically impaired by
glucosamine. These findings indicate that
GLP-1 could be employed therapeutically to protect motor neurons that are susceptible to bioenergetic deficits.