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Updated: Jan 21, 2026

The Hypoxic Ischemic Encephalopathy Model of Perinatal Ischemia
Published on: November 19, 2008
Studies of pathology and pharmacology of diabetic encephalopathy with KK-Ay mouse model
Si Shi1, Hua-Jing Yin1, Jiang Li1
1Department of Pharmacology, State Key Laboratory of Bioactive Substances and Functions of Natural Medicines, Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Aims:
Pathogenesis of diabetic encephalopathy (DE) is not completely understood until now. The purposes of this study were to illustrate the changes in morphology, function, and important transporters in neurons and glia during DE, as well as to reveal the potential therapeutic effects of medicines and the diet control on DE.
Methods:
Spontaneous obese KK-Ay mice were used to investigate diabetes-induced cognitive disorder, the morphology, function, and protein expression changes in impact animal and the cell level studies. The new drug candidate PHPB, donepezil, and low-fat food were used to observe the therapeutic effects.
Results:
KK-Ay mice at 5 months of age showed typical characteristics of type 2 diabetes mellitus (T2DM) and appeared significant cognitive deficits. Morphological study showed microtubule-associated protein 2 (MAP2) expression was increased in hippocampal neurons and glial fibrillary acidic protein (GFAP) expression decreased in astrocytes. Meanwhile, the vesicular glutamate transporter 1 (vGLUT1) expression was increased and glucose transporter 1 (GLUT1) decreased, and the expression of brain-derived neurotrophic factor (BDNF) and glial cell-derived neurotrophic factor (GDNF) was also reduced in KK-Ay mice. Microglia were activated, and IL-1β and TNF-α were increased obviously in the brains of the KK-Ay mice. Most of the above changes in the KK-Ay mice at 5 months of age could be relieved by diet intervention (DR) or by treatment of donepezil or new drug candidate PHPB.
Conclusion:
KK-Ay mouse is a useful animal model for studying DE. The alterations of morphology, structure, and function of astrocyte and microglia in KK-Ay mice might be rescued by DR and by treatment of medicine. The proteins we reported in this study could be used as biomarkers and the potential drug targets for DE study and treatment.
Insights
Diabetic encephalopathy (DE) in KK-Ay mice shows cognitive decline and altered brain cell function. Diet and medications like PHPB and donepezil may reverse these changes, offering potential therapeutic targets.
Area of Science:
- Neuroscience
- Endocrinology
- Pharmacology
Background:
- Diabetic encephalopathy (DE) pathogenesis remains unclear.
- Understanding DE's impact on neuronal and glial cells is crucial.
- Identifying therapeutic strategies for DE is a priority.
Purpose of the Study:
- To investigate morphological and functional changes in neurons and glia during DE.
- To identify key transporters affected in DE.
- To evaluate the therapeutic potential of medications and diet in DE.
Main Methods:
- Utilized spontaneous obese KK-Ay mice as a model for type 2 diabetes mellitus (T2DM) and cognitive deficits.
- Performed morphological and protein expression studies at the animal and cellular levels.
- Assessed therapeutic effects of a new drug candidate (PHPB), donepezil, and dietary intervention (DR).
Main Results:
- KK-Ay mice exhibited significant cognitive deficits, altered MAP2, GFAP, vGLUT1, and GLUT1 expression.
- Reduced BDNF and GDNF levels, activated microglia, and increased IL-1β and TNF-α were observed.
- Dietary intervention (DR) and treatments with PHPB or donepezil ameliorated these DE-related changes.
Conclusions:
- KK-Ay mice serve as a valuable model for studying DE.
- Dietary intervention and specific medications can rescue DE-induced alterations in astrocytes and microglia.
- Identified proteins may serve as biomarkers and potential therapeutic targets for DE.
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