Department of Pharmacology, University of Zagreb School of Medicine, Salata 11, 10 000, Zagreb, Croatia.
Center of Mental Health, Department of Psychiatry, Psychosomatics and Psychotherapy, University Hospital, Würzburg, Füchsleinstrasse 15, 97080, Würzburg, Germany.
J Neural Transm (Vienna). 2020 Feb;127(2):231-250. doi: 10.1007/s00702-020-02152-8. Epub 2020 Feb 6.
Parkinson's disease (PD) and Alzheimer's disease (AD) are the most common chronic neurodegenerative disorders, characterized by motoric dysfunction or cognitive decline in the early stage, respectively, but often by both symptoms in the advanced stage. Among underlying molecular pathologies that PD and AD patients have in common, more attention is recently paid to the central metabolic dysfunction presented as insulin resistant brain state (IRBS) and altered cerebral glucose metabolism, both also explored in animal models of these diseases. This review aims to compare IRBS and alterations in cerebral glucose metabolism in representative non-transgenic animal PD and AD models. The comparison is based on the selectivity of the neurotoxins which cause experimental PD and AD, towards the cellular membrane and intracellular molecular targets as well as towards the selective neurons/non-neuronal cells, and the particular brain regions. Mitochondrial damage and co-expression of insulin receptors, glucose transporter-2 and dopamine transporter on the membrane of particular neurons as well as astrocytes seem to be the key points which are further discussed in a context of alterations in insulin signalling in the brain and its interaction with dopaminergic transmission, particularly regarding the time frame of the experimental AD/PD pathology appearance and the correlation with cognitive and motor symptoms. Such a perspective provides evidence on IRBS being a common underlying metabolic pathology and a contributor to neurodegenerative processes in representative non-transgenic animal PD and AD models, instead of being a direct cause of a particular neurodegenerative disorder.
帕金森病(PD)和阿尔茨海默病(AD)是最常见的慢性神经退行性疾病,分别以早期运动功能障碍或认知能力下降为特征,但在晚期常同时出现这两种症状。在 PD 和 AD 患者共有的潜在分子病理学中,最近更多地关注作为胰岛素抵抗脑状态(IRBS)和大脑葡萄糖代谢改变的中枢代谢功能障碍,这些也在这些疾病的动物模型中进行了探索。本综述旨在比较代表性的非转基因动物 PD 和 AD 模型中 IRBS 和大脑葡萄糖代谢的改变。这种比较基于引起实验性 PD 和 AD 的神经毒素对细胞膜和细胞内分子靶标的选择性,以及对特定神经元/非神经元细胞和特定脑区的选择性。线粒体损伤以及胰岛素受体、葡萄糖转运蛋白-2 和多巴胺转运蛋白在特定神经元和星形胶质细胞膜上的共表达,似乎是关键所在,进一步讨论了大脑中胰岛素信号的改变及其与多巴胺能传递的相互作用,特别是关于实验性 AD/PD 病理学出现的时间框架及其与认知和运动症状的相关性。这种观点提供了证据表明,IRBS 是代表性非转基因动物 PD 和 AD 模型中共同的潜在代谢病理学,也是神经退行性过程的促成因素,而不是特定神经退行性疾病的直接原因。