肥胖和3型糖尿病:营养途径和治疗意义

A. T. Sakr
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引用次数: 2

摘要

过度营养引起的疾病,如肥胖和2型糖尿病,涉及代谢生理学的神经失调。许多研究结果描述了营养过度相关的下丘脑炎症在神经变性和成人神经发生受损以及神经干细胞再生缺陷中的作用及其在肥胖和相关疾病中的意义。代谢紊乱包括氧化应激、胰岛素抵抗、肥胖和炎症。总的来说,代谢综合征扰乱了大脑功能,增加了神经退行性疾病的发病率,反映了肥胖诱导的代谢综合征可能参与了阿尔茨海默病(AD)的发展,AD是最常见的痴呆形式。其主要症状包括记忆力进行性下降、言语、语言、空间定向障碍和传感器运动系统功能障碍。阿尔茨海默病(AD)是一种慢性神经退行性疾病,通常发病缓慢,并随着时间的推移而恶化。它是60-70%痴呆病例的病因。为了理解阿尔茨海默病的病理,人们描述了几种机制,包括胆碱能神经元损伤组与胆碱能标记物的下调,淀粉样蛋白β肽(Aβ)积累形成细胞外老年斑,过度磷酸化的tau聚集形成细胞内神经原纤维缠结和氧化应激。
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OBESITY AND TYPE 3 DIABETES: NUTRITIONAL APPROACHES AND THERAPEUTIC IMPLICATION
Over nutrition induced diseases such as obesity and type 2 diabetes involve neural deregulation of metabolic physiology. Many findings describe the roles of over nutrition-associated hypothalamic inflammation in neurodegeneration and impaired adult neurogenesis as well as defective neural stem cell regeneration and their significance in obesity and related disease. Metabolic disorders include oxidative stress, insulin resistance, obesity and inflammation. Collectively, metabolic syndrome perturbs brain function and increases the incidence of neurodegenerative diseases, reflecting the possible involvement of obesity induced metabolic syndrome in development of Alzheimer's disease (AD) which is the most common form of dementia. Its key symptoms include progressive decline in the memory, impairment in speech, language, spatial orientation and dysfunction in the sensor motor system . Alzheimer's disease (AD) is a chronic neurodegenerative disease that usually start slowly and worsens over time. It is the cause of 60-70% of cases of dementia . Several mechanisms have been described to understand pathology of AD including damaging groups of cholinergic neurons with down regulation of cholinergic markers accumulation of amyloid beta peptide (Aβ) forming extracellular senile plaques, aggregation of hyperphosphorylated tau to form intracellular neurofibrillary tangles and oxidative stress .
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