Search for a suitable an animal model may prove to be more
productive to determine if insulin resistance and its direct metabolic sequelae
might be significant co-contributors to the neuronal declines that occur in
NIDDM, obesity, and progression of dementia conditions. The burgeoning
prevalence of obesity and overweight conditions from the age of adolescence and
throughout the lifespan has reached epidemic proportions in industrialized
nations throughout the globe. One of the most prevalent findings in obesity is
the emergence of insulin resistance, which is linked to both a persistent
inflammatory state and systemic hypoxia in adipose tissue. Insulin resistance
impacts several aspects of substrate oxidation and oxidative free radical
production in brain and somatic tissues, and it is likely that adipose tissue
depots are the source of cytokine-linked chronic inflammation. In studies with
aging congenic lean and obese rats chronic hyperinsulinemia and brain shrinkage
has now been reported, albeit it in the absence of Type 2 diabetes (NIDDM),
hypertension (HTN) or other comorbidities, thereby suggesting that aspects of
disordered substrate metabolism including insulin resistance as commonly
observed in obesity may be a key contributory factor in the development of a
neuroinflammatory linked brain shrinkage with accompanying decreases in brain
mass, protein and DNA content, and which were further compromised when fed an
isocaloric high vs. a low glycemic insulinogenic diet containing sucrose vs.
cornstarch respectively. These findings imply that in this strain of obese
rats, chronic insulin resistance due to obesity, which is at least partially
caused by dietary variables, is a plausible independent risk factor in the
development of neuroinflammation, DNA damage, brain shrinkage, and neural
senescence.
Author(s) Details:
Orien L. Tulp,
Colleges of Medicine and Graduate Studies, University of Science
Arts and Technology, Montserrat, British West Indies, MSR1110 and the Einstein
Medical Institute, North Palm Beach, FL 33409, USA.
Please see the link here: https://stm.bookpi.org/ANUMS-V7/article/view/13427
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