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American Journal of Alzheimer's Disease and Other Dementias®
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Article

Role of Insulin Metabolism Disturbances in the Development of Alzheimer Disease: Mini Review

Behnam Sabayan, Farzaneh Foroughinia*, Arash Mowla, and Afshin Borhanihaghighi

* To whom correspondence should be addressed. E-mail: farzanehforoughinia{at}yahoo.com.


   Abstract
Alzheimer disease (AD) is the most common form of dementia. Different pathogenic processes have been studied that underlie characteristic changes of AD, including A{beta} protein aggregation, tau phosphorylation, neurovascular dysfunction, and inflammatory processes. Insulin exerts pleiotropic effects in neurons, such as the regulation of neural proliferation, apoptosis, and synaptic transmission. In this setting, any disturbance in the metabolism of insulin in the central nervous system (CNS) may put unfavorable effects on CNS function. It seems that disturbances in insulin metabolism, especially insulin resistance, play a role in most pathogenic processes that promote the development of AD. In this article, the relationships of disturbances in the metabolism of insulin in CNS with A{beta} peptides aggregation, tau protein phosphorylation, inflammatory markers, neuron apoptosis, neurovascular dysfunction, and neurotransmitter modulation are discussed, and future research directions are provided.

First published on January 15, 2008, doi:10.1177/1533317507312623

American Journal of Alzheimer's Disease and Other Dementias® 2008;23:192.

A more recent version of this article appeared on May 1, 2008


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