Doroszkiewicz Julia, Mroczko Jan, Winkel Izabela, Mroczko Barbara
Department of Neurodegeneration Diagnostics, Medical University of Bialystok, 15-269 Bialystok, Poland.
Dementia Disorders Centre, Medical University of Wroclaw, 50-425 Scinawa, Poland.
J Clin Med. 2024 Aug 26;13(17):5057. doi: 10.3390/jcm13175057.
Alzheimer's disease (AD), diabetes mellitus (DM), inflammatory bowel diseases (IBD), and rheumatoid arthritis (RA) are chronic conditions affecting millions globally. Despite differing clinical symptoms, these diseases share pathophysiological mechanisms involving metabolic and immune system dysregulation. This paper examines the intricate connections between these disorders, focusing on shared pathways such as insulin resistance, lipid metabolism dysregulation, oxidative stress, and chronic inflammation. An important aspect is the role of amyloid-beta plaques and tau protein tangles, which are hallmark features of AD. These protein aggregates are influenced by metabolic dysfunction and inflammatory processes similar to those seen in DM, RA, and IBD. This manuscript explores how amyloid and tau pathologies may be exacerbated by shared metabolic and immune dysfunction. Additionally, this work discusses the gut-brain axis and the influence of gut microbiota in mediating disease interactions. Understanding these commonalities opens new avenues for multi-targeted therapeutic approaches that address the root causes rather than merely the symptoms of these conditions. This integrative perspective could lead to more effective interventions and improved patient outcomes, emphasizing the importance of a unified approach in managing these interconnected diseases.
阿尔茨海默病(AD)、糖尿病(DM)、炎症性肠病(IBD)和类风湿性关节炎(RA)都是影响全球数百万人的慢性疾病。尽管这些疾病的临床症状各不相同,但它们具有共同的病理生理机制,涉及代谢和免疫系统失调。本文探讨了这些疾病之间的复杂联系,重点关注胰岛素抵抗、脂质代谢失调、氧化应激和慢性炎症等共同途径。一个重要方面是β-淀粉样蛋白斑块和tau蛋白缠结的作用,它们是AD的标志性特征。这些蛋白质聚集体受到与DM、RA和IBD中所见类似的代谢功能障碍和炎症过程的影响。本手稿探讨了共同的代谢和免疫功能障碍如何可能加剧淀粉样蛋白和tau蛋白病变。此外,这项工作还讨论了肠-脑轴以及肠道微生物群在介导疾病相互作用中的影响。了解这些共性为多靶点治疗方法开辟了新途径,这些方法针对的是根本原因而非仅仅是这些疾病的症状。这种综合观点可能会带来更有效的干预措施并改善患者预后,强调了统一方法在管理这些相互关联疾病中的重要性。