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载脂蛋白 L2 在糖尿病脑病中的研究进展。

Research Progress on Lipocalin-2 in Diabetic Encephalopathy.

机构信息

Cheeloo College of Medicine, Shangdong University, Jinan 250000, China.

Department of Endocrinology, The Second Hospital of Shandong University, Jinan 250000, China.

出版信息

Neuroscience. 2023 Apr 1;515:74-82. doi: 10.1016/j.neuroscience.2023.02.011. Epub 2023 Feb 17.

Abstract

Diabetic encephalopathy is a central nervous complication of diabetes mellitus which is characterized by cognitive impairment and structural and neurochemical abnormalities, which is easily neglected. Lipocalin-2 (LCN2) is a 25 kDa transporter in the lipocalin family that can transport small molecules, including fatty acids, iron, steroids, and lipopolysaccharides in the circulation. Recently, LCN2 has been found to be a significant regulator of insulin resistance and glucose homeostasis. Numerous studies have shown that LCN2 is connected to central nervous system abnormalities, including neuroinflammation and neurodegeneration, while the latest researches have found that LCN2 is closely related to the development of diabetic encephalopathy. Nevertheless, its precise role in the pathogenesis of diabetic encephalopathy remains to be determined. In this paper, we review recent evidence on the role of LCN2 in diabetic encephalopathy from multiple perspectives in order to decipher the impact of LCN2 in both the aetiology and treatment of diabetic encephalopathy.

摘要

糖尿病性脑病是糖尿病的一种中枢神经系统并发症,其特征是认知障碍和结构及神经化学异常,容易被忽视。脂联素-2(LCN2)是脂联素家族中的一种 25kDa 转运蛋白,可在循环中转运小分子,包括脂肪酸、铁、类固醇和脂多糖。最近发现 LCN2 是胰岛素抵抗和葡萄糖稳态的重要调节因子。大量研究表明,LCN2 与中枢神经系统异常有关,包括神经炎症和神经退行性变,而最新的研究发现 LCN2 与糖尿病性脑病的发生密切相关。然而,其在糖尿病性脑病发病机制中的确切作用仍有待确定。本文从多个角度综述了 LCN2 在糖尿病性脑病中的作用的最新证据,以期阐明 LCN2 在糖尿病性脑病的病因和治疗中的影响。

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