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阿尔茨海默病是 3 型糖尿病:来自实验室到临床的证据。

True or false? Alzheimer's disease is type 3 diabetes: Evidences from bench to bedside.

机构信息

Department of Neurology, Affiliated First Hospital of Hunan Traditional Chinese Medical College, Zhuzhou, Hunan, China; Department of Neurology, Affiliated Provincial Traditional Chinese Medical Hospital of Hunan University of Chinese Medicine, Zhuzhou, Hunan, China.

Department of Neurology, Affiliated First Hospital of Hunan Traditional Chinese Medical College, Zhuzhou, Hunan, China; Department of Neurology, Affiliated Provincial Traditional Chinese Medical Hospital of Hunan University of Chinese Medicine, Zhuzhou, Hunan, China.

出版信息

Ageing Res Rev. 2024 Aug;99:102383. doi: 10.1016/j.arr.2024.102383. Epub 2024 Jun 30.

DOI:10.1016/j.arr.2024.102383
PMID:38955264
Abstract

Globally, Alzheimer's disease (AD) is the most widespread chronic neurodegenerative disorder, leading to cognitive impairment, such as aphasia and agnosia, as well as mental symptoms, like behavioral abnormalities, that place a heavy psychological and financial burden on the families of the afflicted. Unfortunately, no particular medications exist to treat AD, as the current treatments only impede its progression.The link between AD and type 2 diabetes (T2D) has been increasingly revealed by research; the danger of developing both AD and T2D rises exponentially with age, with T2D being especially prone to AD. This has propelled researchers to investigate the mechanism(s) underlying this connection. A critical review of the relationship between insulin resistance, Aβ, oxidative stress, mitochondrial hypothesis, abnormal phosphorylation of Tau protein, inflammatory response, high blood glucose levels, neurotransmitters and signaling pathways, vascular issues in AD and diabetes, and the similarities between the two diseases, is presented in this review. Grasping the essential mechanisms behind this detrimental interaction may offer chances to devise successful therapeutic strategies.

摘要

全球范围内,阿尔茨海默病(AD)是最普遍的慢性神经退行性疾病,导致认知障碍,如失语症和失认症,以及精神症状,如行为异常,给患者家庭带来沉重的心理和经济负担。不幸的是,目前尚无专门用于治疗 AD 的药物,因为现有治疗方法只能减缓其进展。研究越来越揭示了 AD 和 2 型糖尿病(T2D)之间的联系;随着年龄的增长,患 AD 和 T2D 的风险呈指数级上升,而 T2D 尤其容易患 AD。这促使研究人员研究这种联系的潜在机制。本文对胰岛素抵抗、Aβ、氧化应激、线粒体假说、Tau 蛋白异常磷酸化、炎症反应、高血糖水平、神经递质和信号通路、AD 和糖尿病中的血管问题以及两种疾病之间的相似性之间的关系进行了批判性回顾。理解这种有害相互作用背后的基本机制可能为制定成功的治疗策略提供机会。

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