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Microglial activation and polarization in type 2 diabetes-related cognitive impairment: A focused review of
Yue Tian1, Guangchan Jing1, Mei Ma1
1Department of Traditional Chinese Medicine, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100730, China.
Abstract:
Microglia, as immune cells in the central nervous system, are closely related to cognitive impairment associated with type 2 diabetes (T2D). Preliminary explorations have investigated the relationship between T2D-related cognitive impairment and the activation and polarization of microglia. This review summarizes the potential mechanisms of microglial activation and polarization in the context of T2D. It discusses central inflammatory responses, neuronal apoptosis, amyloid-β deposition, and abnormal phosphorylation of Tau protein mediated by microglial activation and polarization, exploring the connections between microglial activation and polarization and T2D-related cognitive impairment from multiple perspectives. Additionally, this review provides references for future treatment targeting microglia in T2D-related cognitive impairment and for clinical translation.
Insights
Type 2 diabetes (T2D) impacts brain health. This review explores how microglia, the brain's immune cells, become activated and polarized, contributing to T2D-related cognitive impairment.
Area of Science:
- Neuroscience
- Immunology
- Endocrinology
Background:
- Microglia are central nervous system immune cells implicated in cognitive impairment.
- Type 2 diabetes (T2D) is increasingly linked to neurological deficits and cognitive decline.
- Understanding microglial roles in T2D is crucial for addressing associated cognitive impairment.
Purpose of the Study:
- To review the mechanisms of microglial activation and polarization in T2D.
- To elucidate the link between microglial dynamics and T2D-related cognitive impairment.
- To provide insights for future therapeutic strategies targeting microglia.
Main Methods:
- Literature review focusing on microglial activation and polarization in T2D.
- Analysis of studies investigating inflammatory responses, neuronal apoptosis, amyloid-β, and Tau pathology.
- Synthesis of current knowledge on microglial involvement in T2D cognitive dysfunction.
Main Results:
- Microglial activation and polarization are key mediators of T2D-related cognitive impairment.
- These processes contribute to neuroinflammation, neuronal apoptosis, and protein aggregation (amyloid-β, Tau).
- Specific pathways linking T2D to altered microglial states and cognitive deficits are identified.
Conclusions:
- Microglial activation and polarization represent critical mechanisms underlying cognitive impairment in T2D.
- Targeting microglial pathways offers potential therapeutic avenues for T2D-related neurological complications.
- Further research is warranted for clinical translation of microglial-based therapies.
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