Type 3 diabetes is sporadic Alzheimer׳s disease: mini-review.

Type 3 diabetes is sporadic Alzheimer׳s disease: mini-review.
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DOI:
10.1016/j.euroneuro.2014.06.008
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发表时间:
2014-12
影响因子:
5.6
通讯作者:
de la Monte, Suzanne M.
de la Monte, Suzanne M.
中科院分区:
医学2区
文献类型:
--
作者:
de la Monte, Suzanne M.

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阿尔茨海默病(AD)是北美最常见的痴呆症病因。越来越多的证据支持AD是一种代谢性疾病的概念,这种疾病是由大脑胰岛素反应、葡萄糖利用和能量代谢的损害所介导的,这些损害导致氧化应激、炎症和胰岛素抵抗的恶化。此外,代谢紊乱直接导致AD的结构、功能、分子和生化异常,包括神经元丢失、突触断开、tau过度磷酸化和淀粉样β蛋白积聚。由于阿尔茨海默病的基本异常表现为大脑胰岛素抵抗和缺乏的影响,并且其分子和生化后果与1型和2型糖尿病重叠,我们建议使用术语3型糖尿病来解释与AD型神经变性相关的潜在异常。鉴于散发性AD患病率在过去30-40年间迅速增加,以及在食品和农产品中大量使用亚硝酸盐和硝酸盐,亚硝胺暴露作为3型糖尿病介体的潜在作用被讨论。
Alzheimer’s disease (AD) is the most common cause of dementia in North America. Growing evidence supports the concept that AD is a metabolic disease mediated by impairments in brain insulin responsiveness, glucose utilization, and energy metabolism, which lead to increased oxidative stress, inflammation, and worsening of insulin resistance. In addition, metabolic derangements directly contribute to the structural, functional, molecular, and biochemical abnormalities that characterize AD, including neuronal loss, synaptic disconnection, tau hyperphosphorylation, and amyloid-beta accumulation. Because the fundamental abnormalities in AD represent effects of brain insulin resistance and deficiency, and the molecular and biochemical consequences overlap with Type 1 and Type 2 diabetes, we suggest the term ‘Type 3 diabetes’ to account for the underlying abnormalities associated with AD-type neurodegeneration. In light of the rapid increases in sporadic AD prevalence rates and vastly expanded use of nitrites and nitrates in foods and agricultural products over the past 30–40 years, the potential role of nitrosamine exposures as mediators of Type 3 diabetes is discussed.
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发表时间: 2004-11-01
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