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Insulin Resistance as Common Molecular Denominator Linking Obesity to Alzheimer‘s Disease
Abstract
Alzheimer's disease (AD) is an aging-related multi-factorial disorder to which metabolic factors contribute at what has canonically been considered a centrally mediated process. Although the exact underlying mechanisms are still unknown, obesity is recognized as a risk factor for AD and the condition of insulin resistance seems to be the link between the two pathologies. Using mice with high fat diet (HFD) obesity we dissected the molecular mechanisms shared by the two disorders. Brains of HFD fed mice showed elevated levels of APP and Aβ40/Aβ42 together with BACE, GSK3β and Tau proteins involved in APP processing and Aβ accumulation. Immunofluorescence, Thioflavin T staining experiments, confirmed increased Aβ generation, deposition in insoluble fraction and plaques formation in both the hippocampus and the cerebral cortex of HFD mice. Presence of Aβ40/Aβ42 in the insoluble fraction was also shown by ELISA assay. Brain insulin resistance was demonstrated by reduced presence of insulin receptor (IRs) and defects in Akt-Foxo3a insulin signaling. We found reduced levels of phospho-Akt and increased levels of Foxo3a in the nuclei of neurons where proapototic genes were activated. Dysregulation of different genes related to insulin resistance, especially those involved in inflammation and adipocytokines synthesis were analyzed by Profiler PCR array. Further, HFD induced oxidative stress, mitochondrial dysfunction and dynamics as demonstrated by expression of biomarkers involved in these processes. Here, we provide evidence that obesity and AD markers besides insulin resistance are associated with inflammation, adipokine dyshomeostasis, oxidative stress and mitochondrial dysfunction, all mechanisms leading to neurodegeneration.
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“A recent study showed that insulin resistance secondary to a high-fat diet leads to increased levels of oxidative stress, which contributes to neurodegeneration in AD [44].”
From Oxidative Stress and Ageing: The Influence of Environmental Pollution, Sunlight and Diet on Skin (2017) · cites this paper as [44]
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Metadata
- Authors
- Nuzzo, D., Picone, P., Baldassano, S., Caruana, L., Messina, E., Gammazza, A., Cappello, F., Mulè, F., & Carlo, M.
- Affiliations
- National Research Council (IT)
- Istituto di Biomedicina e di Immunologia Molecolare Alberto Monroy (IT)
- ORCID
- Venue
- Current Alzheimer Research
- Publisher
- Bentham Science Publishers Ltd.
- Published
- 2015-09-11
- Volume
- 12
- Issue
- 8
- Pages
- 723-735
- ISSN
- 1567-2050 (ISSN-L)
- OpenAlex
- W831032665
- Cited by
- 119
- References
- 60
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 9 · 2023: 9 · 2022: 11 · 2021: 6 · 2020: 13 · 2019: 19 · 2018: 15 · 2017: 10 · 2016: 16 · 2015: 1
- FWCI
- 10.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Alzheimer Research (publishedVersion)
- PubMed (publishedVersion)
- Nova Science Publishers (Nova Science Publishers, Inc.) (submittedVersion)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Keywords
- insulin resistance, Alzheimer's disease, obesity, high-fat diet, amyloid-beta, APP processing, BACE, GSK3β, tau protein, insulin receptor, neuroinflammation, adipokines, oxidative stress, mitochondrial dysfunction, neurodegeneration, amyloid plaques
- MeSH terms
- Glycogen Synthase Kinase 3 beta, Alzheimer Disease, Animals, Brain, Disease Models, Animal, Gene Expression Regulation, Insulin, Insulin Resistance, Male, Mice, Inbred C57BL, Obesity, Receptor, Insulin, Time Factors, Signal Transduction, Case-Control Studies, Cytokines, Oxidative Stress, Glycogen Synthase Kinase 3, Mice, Amyloid Precursor Protein Secretases, Amyloidogenic Proteins, Diet, High-Fat
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