Down Syndrome Is a Metabolic Disease: Altered Insulin Signaling Mediates Peripheral and Brain Dysfunctions DOI Creative Commons
Mara Dierssen, Marta Fructuoso, María Martínez de Lagrán

et al.

Frontiers in Neuroscience, Journal Year: 2020, Volume and Issue: 14

Published: July 8, 2020

Down syndrome (DS) is the most frequent chromosomal abnormality that causes intellectual disability, resulting from presence of an extra complete or segment chromosome 21 (HSA21). In addition, trisomy HSA21 contributes to altered energy metabolism appears be a strong determinant in development pathological phenotypes associated with DS. Alterations include mitochondrial defects, increased oxidative stress levels, impaired glucose and lipid among others, finally reduced production cellular dysfunctions. These molecular defects seem account for high incidence metabolic disorders, i.e., diabetes and/or obesity as well higher risk develop Alzheimer disease (AD) A dysregulation insulin signaling downstream pathways represents common pathophysiological aspect both peripheral central alterations leading diabetes/obesity AD. This further strengthened by evidence showing mechanisms responsible such appear similar between organs brain. Considering DS subjects are at either brain this review will discuss current knowledge about link insulin-related Drawing signature underlying these processes key challenge identify novel drug targets set-up new prevention strategies aimed reduce impact disorders cognitive decline.

Language: Английский

NOX4 promotes ferroptosis of astrocytes by oxidative stress-induced lipid peroxidation via the impairment of mitochondrial metabolism in Alzheimer's diseases DOI Creative Commons
Min Woo Park,

Hyeon Woo,

Junhyung Kim

et al.

Redox Biology, Journal Year: 2021, Volume and Issue: 41, P. 101947 - 101947

Published: March 20, 2021

Oxidative stress has been implicated in the pathogenesis of Alzheimer's disease (AD). Mitochondrial dysfunction is linked to oxidative and reactive oxygen species (ROS) neurotoxicity during AD. Impaired mitochondrial metabolism associated with brain damage While role NADPH oxidase 4 (NOX4), a major source ROS, identified damage, mechanism by which NOX4 regulates ferroptosis astrocytes AD remains unclear. Here, we show that protein levels were significantly elevated impaired cerebral cortex from patients APP/PS1 double-transgenic mouse model The 4-hydroxynonenal (4-HNE) malondialdehyde (MDA), marker stress-induced lipid peroxidation, also We demonstrate over-expression increases impairment inhibition respiration ATP production via reduction five complexes ETC human astrocytes. Moreover, elevation induces ROS (mtROS) production, fragmentation, cellular antioxidant process Furthermore, increased ferroptosis-dependent cytotoxicity activation peroxidation These results suggest promotes

Language: Английский

Citations

438

Hormones and oxidative stress: an overview DOI
G.B.N. Chainy, Dipak Kumar Sahoo

Free Radical Research, Journal Year: 2019, Volume and Issue: 54(1), P. 1 - 26

Published: Dec. 22, 2019

In aerobes, oxygen is essential for maintenance of life. However, incomplete reduction leads to generation reactive species. These oxidants oxidise biological macromolecules present in their vicinity and thereby impair cellular functions causing oxidative stress (OS). Aerobes have evolved both enzymatic nonenzymatic antioxidant defences protect themselves from OS. Although hormones as means coordination involve regulation physiological activities tissues by regulating metabolism, any change normal titre pathophysiological states. While, such melatonin, insulin, oestrogen, progesterone display features, thyroid hormone, corticosteroids catecholamines elicit free radical OS, the role testosterone inducing OS debateable. This review an attempt understand impact cross talk between modulating defence system under various conditions.

Language: Английский

Citations

190

Nutrition Management in Older Adults with Diabetes: A Review on the Importance of Shifting Prevention Strategies from Metabolic Syndrome to Frailty DOI Open Access
Yoshiaki Tamura, Takuya Omura, Kenji Toyoshima

et al.

Nutrients, Journal Year: 2020, Volume and Issue: 12(11), P. 3367 - 3367

Published: Nov. 1, 2020

The increasing prevalence of older adults with diabetes has become a major social burden. Diabetes, frailty, and cognitive dysfunction are closely related to the mechanisms aging. Insulin resistance, arteriosclerosis, chronic inflammation, oxidative stress, mitochondrial may be common shared by frailty impairment. Hyperglycemia, hypoglycemia, obesity, vascular factors, physical inactivity, malnutrition important risk factors for impairment in diabetes. impact nutrients on health outcomes varies age; thus, shifting diet therapy strategies from treatment obesity/metabolic syndrome prevention necessary patients who over 75 years age, have or sarcopenia, experience malnutrition. For optimal energy intake, sufficient protein vitamin healthy dietary patterns should recommended. after middle age include awareness proper glycemic control aimed at extending life expectancy nutrition, exercise, connectivity. Nutritional combination metabolic control, participation/support can extend maintain quality mellitus.

Language: Английский

Citations

170

The brain as an insulin-sensitive metabolic organ DOI Creative Commons
Joshua L. Milstein, Heather A. Ferris

Molecular Metabolism, Journal Year: 2021, Volume and Issue: 52, P. 101234 - 101234

Published: April 16, 2021

The brain was once thought of as an insulin-insensitive organ. We now know that the insulin receptor is present throughout and serves important functions in whole-body metabolism function. Brain signaling involved not only homeostatic processes but also neuropathological such cognitive decline Alzheimer's disease.

Language: Английский

Citations

149

Cognitive impairment and type 2 diabetes mellitus: Focus of SGLT2 inhibitors treatment DOI Creative Commons
Maria Rosaria Rizzo, Irene Di Meo, Rita Polito

et al.

Pharmacological Research, Journal Year: 2022, Volume and Issue: 176, P. 106062 - 106062

Published: Jan. 10, 2022

Gliflozins are a novel class of oral anti-diabetic drugs, acting as inhibitors sodium-glucose co-transporters (SGLTs) through the proximal convoluted tubules (PCT) and intestinal epithelium. The 2 (SGLT2) mainly expressed in S1 S2 segments tubule kidneys. Clinical guidelines recommend their use especially Type Diabetes mellitus (T2DM) patients with vascular complications and/or heart failure highlighting importance co-transporter (SGLT2i) pleiotropic effects. Interestingly, cognitive decline is widely recognized complication T2DM and, addition, to clarify its pathophysiology, there an urgent need understand how if diabetes therapies can control diabetes-related dysfunction. At time, although SGLT2 proteins present Central Nervous System (CNS), SGLT2i effects on impairments remain partly unknown. In pre-clinical studies, ameliorates dysfunction obese mice, reducing oxidative stress, neuroinflammation improving neuronal plasticity mitochondrial brain pathway. could bring back mTOR physiological state activation, stopping neurodegenerative diseases' onset or progression. Instead, clinical studies T2DM-related treated by much more limited. For these reasons, further needed better elucidate therapy affect decline. this scenario, review aims summarize knowledge role stimulate new trials.

Language: Английский

Citations

109

Targeting Metabolic Diseases: The Role of Nutraceuticals in Modulating Oxidative Stress and Inflammation DOI Open Access

Aida Dama,

Kleva Shpati, Patricia Daliu

et al.

Nutrients, Journal Year: 2024, Volume and Issue: 16(4), P. 507 - 507

Published: Feb. 10, 2024

The escalating prevalence of metabolic and cardiometabolic disorders, often characterized by oxidative stress chronic inflammation, poses significant health challenges globally. As the traditional therapeutic approaches may sometimes fall short in managing these conditions, attention is growing toward nutraceuticals worldwide; with compounds being obtained from natural sources potential beneficial effects shown to potentially support and, some cases, replace pharmacological treatments, especially for individuals who do not qualify conventional treatments. This review delves into burgeoning field nutraceutical-based modulation as a promising strategy attenuating inflammation disorders. Drawing an extensive body research, showcases various nutraceutical agents, such polyphenols, omega-3 fatty acids, antioxidants, which exhibit antioxidative anti-inflammatory properties. All can be classified novel drugs that are capable regulating pathways mitigate oxidative-stress- inflammation-associated diseases. By exploring mechanisms through interact immune responses, this highlights their restore redox balance temper inflammation. Additionally, prospects interventions discussed, encompassing bioavailability enhancement, personalized treatment approaches, clinical translation. Through comprehensive analysis latest scientific reports, article underscores avenue fight complex landscape particularly accentuating impact on cardiovascular health.

Language: Английский

Citations

39

Antioxidant Barrier, Redox Status, and Oxidative Damage to Biomolecules in Patients with Colorectal Cancer. Can Malondialdehyde and Catalase Be Markers of Colorectal Cancer Advancement? DOI Creative Commons
Justyna Dorf, Mateusz Maciejczyk, Konrad Zaręba

et al.

Biomolecules, Journal Year: 2019, Volume and Issue: 9(10), P. 637 - 637

Published: Oct. 22, 2019

This study is the first to assess diagnostic utility of redox biomarkers in patients with colorectal cancer (CRC). Antioxidant barrier (Cu,Zn-superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPx), reductase (GR), uric acid (UA), reduced (GSH)), status (total antioxidant (TAC)/oxidant (TOS), ferric reducing ability (FRAP)), and oxidative damage products (advanced glycation end (AGE), advanced oxidation protein (AOPP), malondialdehyde (MDA)) were measured serum/plasma samples 50 CRC patients. The activity SOD was significantly higher whereas CAT, GPx GR considerably lower compared control group (p < 0.0001). Levels UA, TOS, OSI concentrations AGE, AOPP, MDA higher, levels GSH, TAC, FRAP healthy controls AUC for CAT respect presence lymph node metastasis 0.7450 = 0.0036), according depth tumour invasion 0.7457 0.0118). associated enzymatic/non-enzymatic imbalance as well increased proteins lipids. Redox can be potential indicators advancement.

Language: Английский

Citations

103

Salivary Antioxidant Barrier, Redox Status, and Oxidative Damage to Proteins and Lipids in Healthy Children, Adults, and the Elderly DOI Creative Commons
Mateusz Maciejczyk, Anna Zalewska, Jerzy Robert Ładny

et al.

Oxidative Medicine and Cellular Longevity, Journal Year: 2019, Volume and Issue: 2019, P. 1 - 12

Published: Dec. 5, 2019

Despite the proven role of oxidative stress in numerous systemic diseases and process aging, little is still known about salivary redox balance healthy children, adults, elderly. Our study was first to assess antioxidant barrier, status, damage nonstimulated (NWS) stimulated (SWS) saliva as well blood samples individuals at different ages. We divided 90 generally people into three equally numbered groups based on age: 2–14 (children adolescents), 25–45 (adults), 65–85 (elderly people). Antioxidant enzymes (salivary peroxidase (Px), glutathione (GPx), catalase (CAT), superoxide dismutase-1 (SOD)), nonenzymatic antioxidants (reduced (GSH) uric acid (UA)), status (total capacity (TAC), total oxidant (TOS), index (OSI)), products (advanced glycation end (AGE), advanced oxidation protein (AOPP), malondialdehyde (MDA)) were evaluated NWS SWS erythrocyte/plasma samples. demonstrated that defense most effective aged 25–45. In elderly, we observed a progressive decrease efficiency central systems (↓GPx, ↓SOD, ↓GSH, ↓TAC erythrocytes plasma vs. adults) (↓Px, ↓UA, (↓TAC adults). Both local less efficient children adolescents than group middle-aged people, which indicates age-related immaturity mechanisms. Oxidative proteins (↑AGE, ↑AOPP) lipids (↑MDA) significantly higher elderly comparison with adults children/adolescents. Of all biomarkers, only reflected their content plasma. The level biomarkers did not vary gender.

Language: Английский

Citations

102

Empagliflozin Improves Insulin Sensitivity of the Hypothalamus in Humans With Prediabetes: A Randomized, Double-Blind, Placebo-Controlled, Phase 2 Trial DOI Open Access
Stephanie Kullmann, Julia Hummel, Róbert Wágner

et al.

Diabetes Care, Journal Year: 2021, Volume and Issue: 45(2), P. 398 - 406

Published: Oct. 29, 2021

OBJECTIVE Insulin action in the human brain reduces food intake, improves whole-body insulin sensitivity, and modulates body fat mass its distribution. Obesity type 2 diabetes are often associated with resistance, resulting impaired brain-derived modulation of peripheral metabolism. So far, no pharmacological treatment for resistance has been established. Since sodium–glucose cotransporter (SGLT2) inhibitors lower glucose levels modulate energy metabolism, we hypothesized that SGLT2 inhibition may be a approach to reverse resistance. RESEARCH DESIGN AND METHODS In this randomized, double-blind, placebo-controlled clinical trial, 40 patients (mean ± SD; age 60 9 years; BMI 31.5 3.8 kg/m2) prediabetes were randomized receive 25 mg empagliflozin every day or placebo. Before after 8 weeks treatment, sensitivity was assessed by functional MRI combined intranasal administration brain. RESULTS We identified significant interaction between time hypothalamic response insulin. Post hoc analyses revealed only empagliflozin-treated experienced increased responsiveness. Hypothalamic significantly mediated empagliflozin-induced decrease fasting liver fat. CONCLUSIONS Our results corroborate hypothalamus humans prediabetes. Treatment able restore favorable could contribute beneficial effects inhibitors. findings position as first potential benefits adiposity

Language: Английский

Citations

73

Incretin and insulin signaling as novel therapeutic targets for Alzheimer’s and Parkinson’s disease DOI Creative Commons

Joseph Nowell,

Eleanor G Blunt, Paul Edison

et al.

Molecular Psychiatry, Journal Year: 2022, Volume and Issue: 28(1), P. 217 - 229

Published: Oct. 18, 2022

Abstract Despite an ever-growing prevalence and increasing economic burden of Alzheimer’s disease (AD) Parkinson’s (PD), recent advances in drug development have only resulted minimally effective treatment. In AD, along with amyloid tau phosphorylation, there is associated increase inflammation/glial activation, a decrease synaptic function, astrocyte state insulin resistance. PD, α-synuclein accumulation, inflammation, dysfunction, dopaminergic neuronal loss, some data to suggest Therapeutic strategies for neurodegenerative disorders commonly targeted individual pathological processes. An treatment might require either utilization multiple drugs which target the processes underlie or use single agent could influence Insulin incretins are compounds effects on Preclinical studies demonstrated that GLP-1 receptor agonists reduce neuroinflammation, deposition, improve memory formation. Incretin mimetics may act through restoration signaling pathways, inducing further neuroprotective effects. Currently, phase 2 3 trials underway AD PD populations. Here, we provide comprehensive review therapeutic potential incretin PD.

Language: Английский

Citations

70