肥胖和神经退行性疾病之间的复杂关系:一个更新的审查
Alexandre Neto1, Adelaide Fernandes1,2, Andreia Barateiro1,2
1Central Nervous System, Blood and Peripheral Inflammation, Research Institute for Medicines (iMed.ULisboa), Faculdade de Farmácia, Universidade de Lisboa, Lisbon, Portugal.
Frontiers in cellular neuroscience
|November 29, 2023
概括
肥胖是一个日益严重的全球流行病,通过促进炎症和破坏血脑屏障,导致神经退行性疾病. 管理肥胖可能是预防认知衰退和阿尔茨海默氏症等疾病的关键.
科学领域:
- 代谢障碍和神经生物学
- 脂肪组织生物学和系统性炎症
背景情况:
- 肥胖是一个广泛的全球健康问题,影响了全球约30%的人口.
- 脂肪组织的功能超出了能量储存,在调节新陈代谢,炎症和平衡中发挥着至关重要的作用.
- 肥胖与慢性低度炎症有关,并且越来越多地与神经退行性疾病有关.
研究的目的:
- 探索肥胖和神经退行性疾病之间的复杂关系.
- 阐明共同的潜在机制,将过度脂肪积累与神经衰退联系起来.
- 突出肥胖症作为神经退行性疾病的潜在可改变的风险因素.
主要方法:
- 关于肥胖,脂肪组织生物学和神经退行症的当前科学文献的综述.
- 分析连接代谢功能障碍与神经障碍的机械路径.
- 识别共享的炎症和平静性干扰.
主要成果:
- 肥胖症中脂肪组织扩张能力降低导致脂肪细胞缩和炎症.
- 肥胖会引发胰岛素/瘦素耐药性,破坏血脑屏障,改变大脑新陈代谢.
- 这些因素导致神经元炎症,大脑缩和认知能力下降,影响MS,AD和PD等疾病.
结论:
- 肥胖与神经退行性疾病有共同的病理生理机制.
- 针对肥胖症是预防或减轻神经退行性疾病的有希望的策略.
- 进一步的研究和协作努力对于开发有效的干预措施至关重要.
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