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炎症与胰岛素抵抗作为阿尔茨海默病的风险因素及潜在治疗靶点

Inflammation and Insulin Resistance as Risk Factors and Potential Therapeutic Targets for Alzheimer's Disease.

作者信息

Vinuesa Angeles, Pomilio Carlos, Gregosa Amal, Bentivegna Melisa, Presa Jessica, Bellotto Melina, Saravia Flavia, Beauquis Juan

机构信息

Laboratorio de Neurobiología del Envejecimiento, Instituto de Biología y Medicina Experimental, Consejo Nacional de Investigaciones Científicas y Técnicas, Buenos Aires, Argentina.

Departamento de Química Biológica, Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires, Buenos Aires, Argentina.

出版信息

Front Neurosci. 2021 Apr 23;15:653651. doi: 10.3389/fnins.2021.653651. eCollection 2021.

Abstract

Overnutrition and modern diets containing high proportions of saturated fat are among the major factors contributing to a low-grade state of inflammation, hyperglycemia and dyslipidemia. In the last decades, the global rise of type 2 diabetes and obesity prevalence has elicited a great interest in understanding how changes in metabolic function lead to an increased risk for premature brain aging and the development of neurodegenerative disorders such as Alzheimer's disease (AD). Cognitive impairment and decreased neurogenic capacity could be a consequence of metabolic disturbances. In these scenarios, the interplay between inflammation and insulin resistance could represent a potential therapeutic target to prevent or ameliorate neurodegeneration and cognitive impairment. The present review aims to provide an update on the impact of metabolic stress pathways on AD with a focus on inflammation and insulin resistance as risk factors and therapeutic targets.

摘要

营养过剩以及含有高比例饱和脂肪的现代饮食是导致低度炎症、高血糖和血脂异常的主要因素。在过去几十年中,全球2型糖尿病和肥胖患病率的上升引发了人们对了解代谢功能变化如何导致过早脑衰老风险增加以及神经退行性疾病(如阿尔茨海默病(AD))发展的极大兴趣。认知障碍和神经发生能力下降可能是代谢紊乱的结果。在这些情况下,炎症与胰岛素抵抗之间的相互作用可能是预防或改善神经退行性变和认知障碍的潜在治疗靶点。本综述旨在提供关于代谢应激途径对AD影响的最新信息,重点关注炎症和胰岛素抵抗作为危险因素和治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f89/8102834/f564d1e24de3/fnins-15-653651-g001.jpg

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