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金属蛋白酶在糖尿病相关轻度认知障碍中的作用。

Role of Metalloproteinases in Diabetes-associated Mild Cognitive Impairment.

机构信息

School of Pharmacy, College of Health Sciences, Biomedical Sciences, Interdisciplinary Graduate Program, University of Wyoming, Laramie, WY 82071, USA.

Department of Zoology and Physiology, Program in Neuroscience, University of Wyoming, Laramie, WY 82071, USA.

出版信息

Curr Neuropharmacol. 2024;23(1):58-74. doi: 10.2174/1570159X22666240517090855.

Abstract

Diabetes has been linked to an increased risk of mild cognitive impairment (MCI), a condition characterized by a subtle cognitive decline that may precede the development of dementia. The underlying mechanisms connecting diabetes and MCI involve complex interactions between metabolic dysregulation, inflammation, and neurodegeneration. A critical mechanism implicated in diabetes and MCI is the activation of inflammatory pathways. Chronic low-grade inflammation, as observed in diabetes, can lead to the production of pro-inflammatory cytokines such as tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), interleukin-1 beta (IL-1β), and interferon-gamma (IFNγ), each of which can exacerbate neuroinflammation and contribute to cognitive decline. A crucial enzyme involved in regulating inflammation is ADAM17, a disintegrin, and metalloproteinase, which can cleave and release TNF-α from its membrane-bound precursor and cause it to become activated. These processes, in turn, activate additional inflammation-related pathways, such as AKT, NF-κB, NLP3, MAPK, and JAK-STAT pathways. Recent research has provided novel insights into the role of ADAM17 in diabetes and neurodegenerative diseases. ADAM17 is upregulated in both diabetes and Alzheimer's disease, suggesting a shared mechanism and implicating inflammation as a possible contributor to much broader forms of pathology and pointing to a possible link between inflammation and the emergence of MCI. This review provides an overview of the different roles of ADAM17 in diabetes-associated mild cognitive impairment diseases. It identifies mechanistic connections through which ADAM17 and associated pathways may influence the emergence of mild cognitive impairment.

摘要

糖尿病与轻度认知障碍(MCI)的风险增加有关,MCI 的特征是认知能力轻微下降,可能先于痴呆的发生。将糖尿病与 MCI 联系起来的潜在机制涉及代谢失调、炎症和神经退行性变之间的复杂相互作用。在糖尿病和 MCI 中涉及的一个关键机制是炎症途径的激活。如糖尿病中观察到的慢性低度炎症会导致促炎细胞因子的产生,如肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、白细胞介素-1β(IL-1β)和干扰素-γ(IFNγ),它们都可以加剧神经炎症并导致认知能力下降。调节炎症的一个关键酶是 ADAM17,一种解整合素和金属蛋白酶,它可以从其膜结合前体中切割并释放 TNF-α,并使其激活。这些过程反过来又激活了其他与炎症相关的途径,如 AKT、NF-κB、NLP3、MAPK 和 JAK-STAT 途径。最近的研究为 ADAM17 在糖尿病和神经退行性疾病中的作用提供了新的见解。ADAM17 在糖尿病和阿尔茨海默病中均上调,这表明存在共同的机制,并暗示炎症可能是更广泛形式的病理学的一个可能原因,并指出炎症与 MCI 的出现之间可能存在联系。这篇综述概述了 ADAM17 在与糖尿病相关的轻度认知障碍疾病中的不同作用。它确定了 ADAM17 和相关途径可能影响轻度认知障碍出现的机制联系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3921/11519823/59fb9181f358/CN-23-58_F1.jpg

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