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Common pathways in dementia and diabetic retinopathy: understanding the mechanisms of diabetes-related cognitive decline

  • RECOGNISED consortium (GA 847749)
  • Queen's University Belfast
  • Vall d'Hebron Research Institute
  • University of Cádiz
  • University of Amsterdam
  • Oxurion
  • Viral Evolution and Transmission Unit, Division of Immunology, Transplantation and Infectious Diseases, IRCCS Ospedale San Raffaele, Milan, Italy
  • IRCCS Istituto di ricerche farmacologiche Mario Negri - Milano, Bergamo, Ranica
  • University of Lausanne

Research output: Contribution to journalReview articleAcademicpeer-review

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Abstract

Type 2 diabetes (T2D) is associated with multiple comorbidities, including diabetic retinopathy (DR) and cognitive decline, and T2D patients have a significantly higher risk of developing Alzheimer's disease (AD). Both DR and AD are characterized by a number of pathological mechanisms that coalesce around the neurovascular unit, including neuroinflammation and degeneration, vascular degeneration, and glial activation. Chronic hyperglycemia and insulin resistance also play a significant role, leading to activation of pathological mechanisms such as increased oxidative stress and the accumulation of advanced glycation end-products (AGEs). Understanding these common pathways and the degree to which they occur simultaneously in the brain and retina during diabetes will provide avenues to identify T2D patients at risk of cognitive decline.
Original languageEnglish
Pages (from-to)50-71
Number of pages22
JournalTrends in endocrinology and metabolism: TEM
Volume33
Issue number1
DOIs
Publication statusPublished - 1 Jan 2022

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Alzheimer's disease
  • cognitive decline
  • diabetes
  • neurovascular unit

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