Targeting the liver in dementia and cognitive impairment: Dietary macronutrients and diabetic therapeutics.

Targeting the liver in dementia and cognitive impairment: Dietary macronutrients and diabetic therapeutics.
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DOI:
10.1016/j.addr.2022.114537
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发表时间:
2022-11
影响因子:
16.1
通讯作者:
--
中科院分区:
医学1区
文献类型:
--
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许多患有痴呆症和认知障碍的人都有线粒体和胰岛素-葡萄糖代谢功能障碍,类似于2型糖尿病和老年。来自人体试验的证据表明,针对营养感知途径的营养干预和抗糖尿病药物可以克服葡萄糖和能量代谢的这些缺陷,并可以改善认知和/或减少痴呆症的症状。肝脏是调节饮食和许多糖尿病药物的全身影响的主要器官;因此,它是此类痴呆症干预的中间目标。一个挑战是这些治疗在老年人中的有效性。解决方案包括使用纳米技术有针对性地向肝脏输送糖尿病药物,以及滴定大量营养素以优化肝脏能量代谢。
Many people living with dementia and cognitive impairment have dysfunctional mitochondrial and insulin-glucose metabolism resembling type 2 diabetes mellitus and old age. Evidence from human trials shows that nutritional interventions and anti-diabetic medicines that target nutrient-sensing pathways overcome these deficits in glucose and energy metabolism and can improve cognition and/or reduce symptoms of dementia. The liver is the main organ that mediates the systemic effects of diets and many diabetic medicines; therefore, it is an intermediate target for such dementia interventions. A challenge is the efficacy of these treatments in older age. Solutions include the targeted hepatic delivery of diabetic medicines using nanotechnologies and titration of macronutrients to optimize hepatic energy metabolism.
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