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The DOI matches its Crossref record; 202 of the 202 references it cites were found in a registry or an index.

Brain metabolic dysfunction at the core of Alzheimer's disease

Open access
de la Monte, Suzanne M., Tong, Ming·2014·Biochemical Pharmacology

Abstract

Growing evidence supports the concept that Alzheimer’s disease (AD) is fundamentally a metabolic disease with molecular and biochemical features that correspond with diabetes mellitus and other peripheral insulin resistance disorders. Brain insulin/IGF resistance and its consequences can readily account for most of the structural and functional abnormalities in AD. However, disease pathogenesis is complicated by the fact that AD can occur as a separate disease process, or arise in association with systemic insulin resistance diseases, including diabetes, obesity, and non-alcoholic fatty liver disease. Whether primary or secondary in origin, brain insulin/IGF resistance initiates a cascade of neurodegeneration that is propagated by metabolic dysfunction, increased oxidative and ER stress, neuro-inflammation, impaired cell survival, and dysregulated lipid metabolism. These injurious processes compromise neuronal and glial functions, reduce neurotransmitter homeostasis, and cause toxic oligomeric pTau and (amyloid beta peptide of amyloid beta precursor protein) AβPP-Aβ fibrils and insoluble aggregates (neurofibrillary tangles and plaques) to accumulate in brain. AD progresses due to: (1) activation of a harmful positive feedback loop that progressively worsens the effects of insulin resistance; and (2) the formation of ROS- and RNS-related lipid, protein, and DNA adducts that permanently damage basic cellular and molecular functions. Epidemiologic data suggest that insulin resistance diseases, including AD, are exposure-related in etiology. Furthermore, experimental and lifestyle trend data suggest chronic low-level nitrosamine exposures are responsible. These concepts offer opportunities to discover and implement new treatments and devise preventive measures to conquer the AD and other insulin resistance disease epidemics.

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Metadata

Authors
de la Monte, S. M., & Tong, M.
Venue
Biochemical Pharmacology
Publisher
Elsevier BV
Published
2014-04
Volume
88
Issue
4
Pages
548-559
ISSN
0006-2952 (ISSN-L)
OpenAlex
W2005441052
Cited by
461
References
202
FWCI
28.57
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Brain metabolic dysfunction at the core of Alzheimer's disease. https://app.cochat.ai/papers/10.1016/j.bcp.2013.12.012
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de la Monte, S. M., & Tong, M. (2014). Brain metabolic dysfunction at the core of Alzheimer's disease. Biochemical Pharmacology. https://doi.org/10.1016/j.bcp.2013.12.012

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