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Related Concept Videos

Hypoglycemia01:26

Hypoglycemia

Hypoglycemia is a blood glucose level below 70 mg/dL. It commonly occurs in individuals using insulin or insulin-secreting drugs, but may also arise in non-diabetic conditions. People with type 1 diabetes are at the highest risk because they depend on exogenous insulin. People with type 2 diabetes are also at risk, especially when treated with insulin or medications such as sulfonylureas, which increase insulin release regardless of blood glucose levels. It develops when insulin levels exceed...
Hyperglycemia01:29

Hyperglycemia

Hyperglycemia is an abnormally high blood glucose level. It is diagnosed by fasting glucose ≥126 mg/dL, 2-hour oral glucose tolerance test (or OGTT) ≥200 mg/dL, random glucose ≥200 mg/dL with symptoms, or HbA1c ≥6.5%. However, HbA1c results may be unreliable in certain conditions, such as anemia or hemoglobinopathies, and the diagnosis should be confirmed unless classic symptoms are present. Postprandial hyperglycemia is typically considered significant when glucose levels exceed 180 mg/dL two...
Hypoglycemia and Glucagon01:15

Hypoglycemia and Glucagon

Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...
Alzheimer Disease ll: Pathophysiology01:23

Alzheimer Disease ll: Pathophysiology

Alzheimer disease involves structural changes in the brain that begin long before symptoms appear. The most distinctive features are extracellular neuritic plaques and intracellular neurofibrillary tangles.Neuritic plaques form in the cerebral cortex and around blood vessels. These plaques contain a dense core of beta-amyloid (Aβ)—a toxic protein fragment that clumps outside neurons. The core is surrounded by damaged neuronal extensions, as well as reactive astrocytes and microglia. Abnormal...
Type II Diabetes II: Pathophysiology01:24

Type II Diabetes II: Pathophysiology

PathophysiologyType 2 diabetes mellitus (T2DM ) is a chronic metabolic disorder characterized by insulin resistance and progressive pancreatic β-cell dysfunction, leading to impaired glucose homeostasis. It results from interactions among genetic predisposition, environmental factors, and metabolic stressors, such as overnutrition and a sedentary lifestyle.Insulin Resistance and Glucose DysregulationEarly T2DM involves insulin resistance in skeletal muscle, adipose tissue, and the liver.
Phosphorylation01:02

Phosphorylation

The addition or removal of phosphate groups from proteins is the most common chemical modification that regulates cellular processes. These modifications can affect the structure, activity, stability, and localization of proteins within cells as well as their interactions with other proteins.
During phosphorylation, protein kinases transfer the terminal phosphate group of ATP to specific amino acid side chains of substrate proteins. Serine, threonine, and tyrosine are the most commonly...

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Related Experiment Video

Updated: May 18, 2026

In Vitro Aggregation Assays Using Hyperphosphorylated Tau Protein
09:22

In Vitro Aggregation Assays Using Hyperphosphorylated Tau Protein

Published on: January 2, 2015

Hypoglycemia induces tau hyperphosphorylation.

Chu-Wan Lee1, Yao-Hsiang Shih, Shih-Ying Wu

  • 1Institute of Basic Medical Sciences, National Cheng Kung University, Tainan, Taiwan.

Current Alzheimer Research
|October 6, 2012
PubMed
Summary
This summary is machine-generated.

Cerebral hypoglycemia, or low brain glucose, triggers cellular energy crisis and activates the AMPK-Akt-GSK3 pathway, leading to tau hyperphosphorylation, a hallmark of Alzheimer's disease.

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Area of Science:

  • Neuroscience
  • Biochemistry
  • Cell Biology

Background:

  • Cerebral hypoglycemia/hypometabolism is linked to Alzheimer's disease (AD) and aids in clinical diagnosis via brain imaging.
  • The causal role of cerebral hypoglycemia in AD development versus being a response to reduced neuronal activity is not fully understood.

Purpose of the Study:

  • To investigate the causal relationship between cerebral hypoglycemia and the molecular changes associated with Alzheimer's disease.

Main Methods:

  • Cultured differentiated N2a neuroblastoma cells in glucose/pyruvate-deficient media (GDM).
  • Examined the effects of GDM on mitochondrial membrane potential, AMPK activation, tau phosphorylation, and GSK3α/β and Akt activity.
  • Induced cerebral hypoglycemia in Wistar rats via intracerebroventricular (icv) streptozotocin (STZ) injection.
  • Assessed pAMPK, tau phosphorylation, GSK3β, and Akt activity in rat brain regions.
  • Evaluated hippocampus-dependent spatial learning and memory in rats.

Main Results:

  • GDM treatment in N2a cells reduced mitochondrial membrane potential and activated AMPK.
  • GDM increased tau phosphorylation (Ser262, Ser396) and active GSK3α/β, while decreasing active Akt.
  • STZ-icv injection induced an energy crisis in the hippocampus, evidenced by increased pAMPK.
  • STZ-icv treatment elevated phosphorylated tau and activated GSK3β, but reduced active Akt in the hippocampus.
  • Hippocampus-dependent spatial learning and memory were impaired in STZ-icv treated rats.

Conclusions:

  • Hypoglycemia enhances the AMPK-Akt-GSK3 pathway.
  • This pathway activation leads to tau hyperphosphorylation, suggesting a direct link between hypoglycemia and AD pathology.