Article
Activation of the intrinsic cell death pathway, increased apoptosis and modulation of astrocytes in the cerebellum of diabetic rats.
Department of Endocrinology, Hospital Infantil Universitario Niño Jesús, Madrid, Spain.
Neurobiology of Disease (impact factor:
5.4).
09/2006;
23(2):290-9.
DOI:10.1016/j.nbd.2006.03.001
pp.290-9
Source: PubMed
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Citations (0)
- Cited In (2)
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Article: Insulin and insulin-like growth factor prevent brain atrophy and cognitive impairment in diabetic rats.
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ABSTRACT: There are an estimated 36 million dementia patients worldwide. The anticipated tripling of this number by year 2050 will negatively impact the capacity to deliver quality health care. The epidemic in diabetes is particularly troubling, because diabetes is a substantial risk factor for dementia independently of cerebrovascular disease. There is an urgent need to elucidate the pathogenesis of progressive brain atrophy, the cause of dementia, to allow rational design of new therapeutic interventions. This review summarizes recent tests of the hypothesis that the concomitant loss of insulin and insulin-like growth factors (IGFs) is the dominant cause for age-dependent, progressive brain atrophy with degeneration and cognitive decline. These tests are the first to show that insulin and IGFs regulate adult brain mass by maintaining brain protein content. Insulin and IGF levels are reduced in diabetes, and replacement of both ligands can prevent loss of total brain protein, widespread cell degeneration, and demyelination. IGF alone prevents retinal degeneration in diabetic rats. It supports synapses and is required for learning and memory. Replacement doses in diabetic rats can cross the blood-brain barrier to prevent hippocampus-dependent memory impairment. Insulin and IGFs are protective despite unabated hyperglycemia in diabetic rats, severely restricting hyperglycemia and its consequences as dominant pathogenic causes of brain atrophy and impaired cognition. These findings have important implications for late-onset alzheimer's disease (LOAD) where diabetes is a major risk factor, and concomitant decline in insulin and IGF activity suggest a similar pathogenesis for brain atrophy and dementia.Indian journal of endocrinology and metabolism. 12/2012; 16(Suppl 3):S601-10. -
Article: Insulin and IGF-I prevent brain atrophy and DNA loss in diabetes.
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ABSTRACT: The aim of this study was to identify factors that regulate the bulk of adult brain mass, and test the hypothesis that concomitantly reduced insulin and insulin-like growth factor (IGF) levels are pathogenic for brain atrophy associated with impaired learning and memory in diabetes. Doses of insulin, or insulin plus IGF-I that were too small to prevent hyperglycemia were infused for 12 weeks into the brain lateral ventricles of streptozotocin-diabetic adult rats. Brain wet, water and dry weights were significantly decreased in diabetic rats; insulin prevented these decreases. The decrease in brain DNA and protein contents in diabetic rats was prevented by the combination treatment, but not by insulin alone. Levels of several glia- and neuron-associated proteins were reduced in diabetes; these reductions were also prevented by the combination treatment. Although hyperglycemia was not prevented in plasma or cerebrospinal fluid, insulin prevented brain atrophy but not bulk DNA loss in diabetes, whereas the combination prevented both. Insulin actively prevented the loss of brain water content as well. Brain atrophy is associated with concomitantly reduced levels of insulin and IGF in other disorders such as Alzheimer's disease.Brain research 09/2009; 1303:179-94. · 2.46 Impact Factor
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Keywords
1 week
brain area
caspases 3
caspases 7
cell death
cell loss
cleaved caspase 3
Colocalization
diabetes
diabetes mellitus results
diabetic rats
functional changes
GFAP
GFAP levels paralleled modifications
glial fibrillary acidic protein
Poorly
proliferating cell nuclear antigen
proliferating GFAP-positive cells
streptozotocin-induced diabetic rats cell death
TUNEL-positive cells