Department of Biochemistry, Institute of Cell Differentiation and Aging, College of Medicine, Hallym University, Chuncheon 24252, Korea.
Biomedical Science Core-Facility, Soonchunhyang Institute of Medi-Bio Science, Soonchunhyang University, Cheonan 31151, Korea.
Int J Mol Sci. 2022 Aug 23;23(17):9540. doi: 10.3390/ijms23179540.
Alzheimer's disease (AD) is the most common age-related dementia. The alteration in metabolic characteristics determines the prognosis. Patients at risk show reduced glucose uptake in the brain. Additionally, type 2 diabetes mellitus increases the risk of AD with increasing age. Therefore, changes in glucose uptake in the cerebral cortex may predict the histopathological diagnosis of AD. The shifts in glucose uptake and metabolism, insulin resistance, oxidative stress, and abnormal autophagy advance the pathogenesis of AD syndrome. Here, we summarize the role of altered glucose metabolism in type 2 diabetes for AD prognosis. Additionally, we discuss diagnosis and potential pharmacological interventions for glucose metabolism defects in AD to encourage the development of novel therapeutic methods.
阿尔茨海默病(AD)是最常见的与年龄相关的痴呆症。代谢特征的改变决定了预后。有患病风险的患者表现出大脑葡萄糖摄取减少。此外,随着年龄的增长,2 型糖尿病会增加 AD 的患病风险。因此,大脑皮层葡萄糖摄取的变化可能预测 AD 的组织病理学诊断。葡萄糖摄取和代谢、胰岛素抵抗、氧化应激和异常自噬的改变促进了 AD 综合征的发病机制。在这里,我们总结了 2 型糖尿病中葡萄糖代谢改变在 AD 预后中的作用。此外,我们还讨论了 AD 中葡萄糖代谢缺陷的诊断和潜在的药理学干预措施,以鼓励开发新的治疗方法。