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肥胖与神经退行性疾病之间的复杂关系:最新综述

The complex relationship between obesity and neurodegenerative diseases: an updated review.

作者信息

Neto Alexandre, Fernandes Adelaide, Barateiro Andreia

机构信息

Central Nervous System, Blood and Peripheral Inflammation, Research Institute for Medicines (iMed.ULisboa), Faculdade de Farmácia, Universidade de Lisboa, Lisbon, Portugal.

Department of Pharmaceutical Sciences and Medicines, Faculdade de Farmácia, Universidade de Lisboa, Lisbon, Portugal.

出版信息

Front Cell Neurosci. 2023 Nov 9;17:1294420. doi: 10.3389/fncel.2023.1294420. eCollection 2023.


DOI:10.3389/fncel.2023.1294420
PMID:38026693
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10665538/
Abstract

Obesity is a global epidemic, affecting roughly 30% of the world's population and predicted to rise. This disease results from genetic, behavioral, societal, and environmental factors, leading to excessive fat accumulation, due to insufficient energy expenditure. The adipose tissue, once seen as a simple storage depot, is now recognized as a complex organ with various functions, including hormone regulation and modulation of metabolism, inflammation, and homeostasis. Obesity is associated with a low-grade inflammatory state and has been linked to neurodegenerative diseases like multiple sclerosis (MS), Alzheimer's (AD), and Parkinson's (PD). Mechanistically, reduced adipose expandability leads to hypertrophic adipocytes, triggering inflammation, insulin and leptin resistance, blood-brain barrier disruption, altered brain metabolism, neuronal inflammation, brain atrophy, and cognitive decline. Obesity impacts neurodegenerative disorders through shared underlying mechanisms, underscoring its potential as a modifiable risk factor for these diseases. Nevertheless, further research is needed to fully grasp the intricate connections between obesity and neurodegeneration. Collaborative efforts in this field hold promise for innovative strategies to address this complex relationship and develop effective prevention and treatment methods, which also includes specific diets and physical activities, ultimately improving quality of life and health.

摘要

肥胖是一种全球性流行病,影响着全球约30%的人口,且预计还会上升。这种疾病是由遗传、行为、社会和环境因素导致的,由于能量消耗不足而致使脂肪过度堆积。脂肪组织曾被视为一个简单的储存库,现在被认为是一个具有多种功能的复杂器官,包括激素调节以及对新陈代谢、炎症和体内平衡的调节。肥胖与低度炎症状态相关,并与多发性硬化症(MS)、阿尔茨海默病(AD)和帕金森病(PD)等神经退行性疾病有关。从机制上讲,脂肪扩张能力的降低会导致脂肪细胞肥大,引发炎症、胰岛素和瘦素抵抗、血脑屏障破坏、脑代谢改变、神经元炎症、脑萎缩和认知衰退。肥胖通过共同的潜在机制影响神经退行性疾病,凸显了其作为这些疾病可改变风险因素的潜力。然而,需要进一步研究以全面理解肥胖与神经退行性变之间的复杂联系。该领域的合作努力有望产生创新策略来应对这种复杂关系,并开发有效的预防和治疗方法,这还包括特定的饮食和体育活动,最终改善生活质量和健康状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31d6/10665538/4eb8cddde039/fncel-17-1294420-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31d6/10665538/61b3b110f17e/fncel-17-1294420-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31d6/10665538/4eb8cddde039/fncel-17-1294420-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31d6/10665538/61b3b110f17e/fncel-17-1294420-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31d6/10665538/4eb8cddde039/fncel-17-1294420-g002.jpg

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本文引用的文献

[1]
Bioactive Compounds of the Mediterranean Diet as Nutritional Support to Fight Neurodegenerative Disease.

Int J Mol Sci. 2023-4-15

[2]
The relationship between dietary profile and adherence to the Mediterranean diet with EDSS and quality of life in multiple sclerosis patients: a retrospective cross-sectional study.

Nutr Neurosci. 2024-4

[3]
Effect of a Fructose-Rich Diet on Gut Microbiota and Immunomodulation: Potential Factors for Multiple Sclerosis.

Immunohorizons. 2023-3-1

[4]
Self-reported ongoing adherence to diet is associated with lower depression, fatigue, and disability, in people with multiple sclerosis.

Front Nutr. 2023-3-1

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Obesity increases blood-brain barrier permeability and aggravates the mouse model of multiple sclerosis.

Mult Scler Relat Disord. 2023-4

[6]
Association of Mediterranean-DASH Intervention for Neurodegenerative Delay and Mediterranean Diets With Alzheimer Disease Pathology.

Neurology. 2023-5-30

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Correction: Association Between Body Mass Index and Response to Disease-Modifying Therapies in Patients With Relapsing-Remitting Multiple Sclerosis at King Abdulaziz University Hospital: A Retrospective Study.

Cureus. 2023-1-3

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Past history of obesity triggers persistent epigenetic changes in innate immunity and exacerbates neuroinflammation.

Science. 2023-1-6

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J Neurol Neurosurg Psychiatry. 2023-1

[10]
Mediterranean diet is linked to less objective disability in multiple sclerosis.

Mult Scler. 2023-2

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