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Alzheimer’s disease and insulin resistance: translating basic science into clinical applications
Fernanda G. De Felice
Fernanda G. De Felice
Published February 1, 2013
Citation Information: J Clin Invest. 2013;123(2):531-539. https://doi.org/10.1172/JCI64595.
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Science in Medicine

Alzheimer’s disease and insulin resistance: translating basic science into clinical applications

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Abstract

Alzheimer’s disease (AD) and diabetes are currently considered among the top threats to human health worldwide. Intriguingly, a connection between these diseases has been established during the past decade, since insulin resistance, a hallmark of type 2 diabetes, also develops in Alzheimer brains. In this article, the molecular and cellular mechanisms underlying defective brain insulin signaling in AD are discussed, with emphasis on evidence that Alzheimer’s and diabetes share common inflammatory signaling pathways. I put forward here a hypothesis on how a cross-talk between peripheral tissues and the brain might influence the development of AD, and highlight important unanswered questions in the field. Furthermore, I discuss a rational basis for the use of antidiabetic agents as novel and potentially effective therapeutics in AD.

Authors

Fernanda G. De Felice

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Figure 2

A “cumulative hypothesis” for development of sporadic AD.

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A “cumulative hypothesis” for development of sporadic AD.
Listed are the...
Listed are the different types of injuries that may impact the brain (yellow), peripheral organs (pink), or both systems (orange) throughout life and increase the risk of sporadic AD. The cross-talk between brain and peripheral tissues may eventually result in defective brain metabolic homeostasis, which might be closely linked to elevated Aβ production and progressive accumulation of AβOs in the brain. AD, which could thus be considered a form of dementia caused by metabolic dyshomeostasis, would manifest in the elderly as a result of the cumulative, lifelong impact in the peripheral tissues and the brain.

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ISSN: 0021-9738 (print), 1558-8238 (online)

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