A systematic review of the neuroprotective role and biomarker potential of GDF15 in neurodegeneration

Front Immunol. 2024 Dec 16:15:1514518. doi: 10.3389/fimmu.2024.1514518. eCollection 2024.

Abstract

Neurodegeneration is characteristically multifaceted, with limited therapeutic options. One of the chief pathophysiological mechanisms driving these conditions is neuroinflammation, prompting increasing clinical interest in immunomodulatory agents. Growth differentiation factor 15 (GDF15; previously also called macrophage inhibitory cytokine-1 or MIC-1), an anti-inflammatory cytokine with established neurotrophic properties, has emerged as a promising therapeutic agent in recent decades. However, methodological challenges and the delayed identification of its specific receptor GFRAL have hindered research progress. This review systematically examines literature about GDF15 in neurodegenerative diseases and neurotrauma. The evidence collated in this review indicates that GDF15 expression is upregulated in response to neurodegenerative pathophysiology and increasing its levels in preclinical models typically improves outcomes. Key knowledge gaps are addressed for future investigations to foster a more comprehensive understanding of the neuroprotective effects elicited by GDF15.

Keywords: GDF15; GFRAL; biomarker; inflammation; neurodegeneration; neurotrauma; neurotrophic.

Publication types

  • Systematic Review

MeSH terms

  • Animals
  • Biomarkers*
  • Growth Differentiation Factor 15* / metabolism
  • Humans
  • Neurodegenerative Diseases* / drug therapy
  • Neurodegenerative Diseases* / metabolism
  • Neuroprotection
  • Neuroprotective Agents / pharmacology
  • Neuroprotective Agents / therapeutic use

Substances

  • Growth Differentiation Factor 15
  • Biomarkers
  • GDF15 protein, human
  • Neuroprotective Agents

Grants and funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was supported in part by grants from the National Health and Medical Research Council (Grant #2001350) of Australia, and Medical Research Future Fund (Grant #2017572). CF is supported by philanthropic funding from the Leece Family Foundation and the Neil & Norma Hill Foundation.