Cheng Li-Zhen, Li Wei, Chen Yi-Xin, Lin Yi-Jia, Miao Ya
Department of Geriatrics, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.
Aging Dis. 2022 Apr 1;13(2):447-457. doi: 10.14336/AD.2021.0823. eCollection 2022 Apr.
Diabetic Encephalopathy (DE) is one of the complications of diabetes mellitus (DM) in the central nervous system. Up to now, the mechanisms of DE are not fully discussed by the field. Autophagy is an intracellular degradation pathway crucial to maintain cellular homeostasis by clearing damaged organelles, pathogens, and unwanted protein aggregates. Increasing evidence has demonstrated that autophagy might play an essential role in DE progress. In this review, we summarize the current evidence on autophagy dysfunction under the condition of DE, and provide novel insights of possibly biological mechanisms linking autophagy impairment to DE, as well as discuss autophagy-targeted therapies as potential treatments for DE.
糖尿病性脑病(DE)是糖尿病(DM)在中枢神经系统的并发症之一。到目前为止,该领域尚未充分探讨DE的发病机制。自噬是一种细胞内降解途径,通过清除受损细胞器、病原体和不需要的蛋白质聚集体对维持细胞内稳态至关重要。越来越多的证据表明,自噬可能在DE进展中起重要作用。在本综述中,我们总结了目前关于DE状态下自噬功能障碍的证据,并提供了自噬损伤与DE之间可能的生物学机制的新见解,同时讨论了以自噬为靶点的治疗方法作为DE的潜在治疗手段。