Opposite causal effects of type 2 diabetes and metformin on Alzheimer's disease
The Journal of Prevention of Alzheimer s Disease,
Год журнала:
2025,
Номер
unknown, С. 100129 - 100129
Опубликована: Март 1, 2025
Type
2
diabetes
(T2D)
is
commonly
co-morbid
with
Alzheimer's
disease
(AD).
However,
it
remains
unclear
whether
T2D
itself
or
the
antidiabetic
drug
metformin
contributes
to
progression
of
AD.
This
study
aimed
investigate
overall
and
independent
effects
use
on
risk
Summary
genome-wide
association
datasets
were
utilized
for
Mendelian
randomization
(MR)
multivariable
MR
(MVMR)
analyses,
including
ones
(N
=
455,017),
456,276),
AD
453,733).
Additionally,
using
proportional
imbalance
method,
we
analyzed
AD-related
adverse
events
in
FDA
Adverse
Event
Reporting
System
(FAERS)
database
(covering
Q1
2004
Q2
2024).
Our
two-sample
analysis
indicated
that
not
associated
(OR:
1.03,
CI:
0.99-1.08,
P
0.128).
while
statistically
significant,
genetic
signature
exposure
demonstrated
a
trend
toward
an
increased
1.05,
1.00-1.09,
0.053).
Interestingly,
MVMR
analysis,
which
evaluates
T2D,
found
robust
decrease
0.82,
0.68-0.98,
0.031),
was
higher
1.26,
1.06-1.50,
9.45E-3).
In
FAERS
database,
total
228,283
metformin-related
event
reports
from
67,742
cases
found.
For
as
target
event,
signal
reported
29
(ROR:
0.83,
95
%
0.58-1.19,
0.3126).
reveals
opposite
causal
These
findings
highlight
importance
assessing
when
prescribing
patients
T2D.
Язык: Английский
Noninvasive electrical stimulation enhances the diabetic osseointegration via alleviating mitochondrial damage
View,
Год журнала:
2025,
Номер
unknown
Опубликована: Апрель 16, 2025
Abstract
A
high‐glucose
environment
induces
an
imbalance
in
mitochondrial
homeostasis,
and
further
results
decreased
autophagic
capacity
energy
metabolism
mitochondria.
This
dysfunction
inhibits
the
regeneration
of
bone
tissue.
Electrical
stimulation
(ES)
is
efficient
strategy
to
rebalance
homeostasis
accelerate
process.
However,
traditional
ES
strategies
are
invasive
easily
cause
secondary
trauma,
limiting
their
medical
application.
Here,
we
designed
a
new
noninvasive
direct‐current
electric
field
(DCEF)
strategy.
can
provide
situ
without
implantation.
The
show
that
this
target
regulate
through
PI3K–AKT
signaling
pathway,
activate
autophagy,
alleviate
high‐glucose‐induced
damage,
promote
osteogenic
differentiation
marrow
mesenchymal
stem
cells.
Consequently,
exogenous
effectively
repair
defects
alleviating
damage.
Язык: Английский
Dual‐Nanoparticle Engineered Hydrogel Reverses Bicellular Oxidative Stress to Accelerate Diabetic Fracture Healing
Advanced Functional Materials,
Год журнала:
2025,
Номер
unknown
Опубликована: Май 22, 2025
Abstract
Impaired
fracture
healing
in
diabetic
patients
poses
a
persistent
clinical
challenge,
with
underlying
mechanisms
that
remain
to
be
fully
elucidated.
These
findings
reveal
high
glucose
microenvironments
generate
excessive
reactive
oxygen
species
bone
marrow
mesenchymal
stem
cells
(BMSCs)
and
marrow‐derived
macrophages
(BMDMs),
leading
mitochondrial
dysfunction
metabolic
impairment.
pathophysiological
disruptions
suppress
osteogenic
differentiation
BMSCs
while
driving
pro‐inflammatory
polarization
BMDMs,
processes
closely
tied
high‐glucose‐induced
inhibition
of
Adenosine
5′‐monophosphate‐activated
protein
kinase
(AMPK)
phosphorylation.
Restoration
AMPK
phosphorylation
emerges
as
pivotal
strategy
mitigate
oxidative
stress
restore
cellular
function.
To
address
this,
dual‐targeted
therapeutic
system
(DLNPs@HA
hydrogel)
is
developed
combines
anti‐CD105‐antibody‐modified
nanoliposomes
phosphatidylserine‐modified
nanoliposomes,
both
encapsulating
the
specific
activator
α‐lipoic
acid.
This
hydrogel
facilitates
sustained
nanoparticle
release,
enabling
precise
effective
delivery
BMDMs.
In
vitro,
DLNPs@HA
successfully
enhances
activity
suppresses
inflammatory
responses.
vivo,
it
accelerates
mice.
By
precisely
targeting
BMDMs
reversing
bicellular
stress,
this
integrative
medical‐engineering
provides
promising
translatable
solution
for
repair,
seamlessly
bridging
mechanistic
insights
innovation.
Язык: Английский