胰岛素抵抗作为神经疾病的共享病理生理驱动因素:叙述性审查
Aslıhan Atar1,2, İrem Nur Şahin Anılgan3,4
1Department of Nutrition and Dietetics, Faculty of Health Science, Istanbul Beykent University, Istanbul, Turkey. aslihanatar@beykent.edu.tr.
中央胰岛素抵抗是神经系统疾病的关键因素,影响大脑功能和疾病进展. 营养和代谢干预措施对管理这些疾病充满希望.
科学领域:
- 神经科学是一个神经科学.
- 代谢障碍 代谢障碍 代谢障碍
- 神经学 神经学
背景情况:
- 胰岛素抵抗传统上被视为外围性,但中枢神经系统 (CNS) 胰岛素信号在神经系统疾病中至关重要.
- 累积的证据将中枢神经系统受损的胰岛素信号与神经退行性,神经学和神经精神疾病联系在一起.
研究的目的:
- 综合胰岛素抵抗作为神经系统疾病中共同的病理生理驱动因素的证据.
- 评估基于营养和新陈代谢的干预措施,以调节中枢神经系统的胰岛素抵抗.
主要方法:
- 人类和实验研究的叙述性审查.
- 分析神经成像,脑脊液生物标志物和分子分析数据.
主要成果:
- 中央胰岛素抵抗会破坏大脑的能量代谢,神经炎症,突触可塑性和网络稳定性.
- 机制有助于阿尔茨海默病,帕金森病,和情绪障碍.
- 饮食模式,能量限制和生活方式干预可以改善胰岛素敏感性并减轻神经生物学脆弱性.
结论:
- 胰岛素耐药性是神经系统疾病中的一个活跃的疾病修饰因素,而不仅仅是伴随性疾病.
- 通过营养和新陈代谢准胰岛素信号提供了一个有前途的预防和辅助管理策略.
- 未来的研究需要将代谢表型与神经学结果用于临床转化.
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