Diabetes and Cognitive Impairment: A Role for Glucotoxicity and Dopaminergic Dysfunction
Diabetes mellitus (DM) is a chronic metabolic disorder characterized by hyperglycemia, responsible for the onset of several long-term complications. Recent evidence suggests that cognitive dysfunction represents an emerging complication of DM, but the underlying molecular mechanisms are still obscur...
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2021
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oai:doaj.org-article:38ac3270df034e35b3a75fb4defb1bfb2021-11-25T17:55:44ZDiabetes and Cognitive Impairment: A Role for Glucotoxicity and Dopaminergic Dysfunction10.3390/ijms2222123661422-00671661-6596https://doaj.org/article/38ac3270df034e35b3a75fb4defb1bfb2021-11-01T00:00:00Zhttps://www.mdpi.com/1422-0067/22/22/12366https://doaj.org/toc/1661-6596https://doaj.org/toc/1422-0067Diabetes mellitus (DM) is a chronic metabolic disorder characterized by hyperglycemia, responsible for the onset of several long-term complications. Recent evidence suggests that cognitive dysfunction represents an emerging complication of DM, but the underlying molecular mechanisms are still obscure. Dopamine (DA), a neurotransmitter essentially known for its relevance in the regulation of behavior and movement, modulates cognitive function, too. Interestingly, alterations of the dopaminergic system have been observed in DM. This review aims to offer a comprehensive overview of the most relevant experimental results assessing DA’s role in cognitive function, highlighting the presence of dopaminergic dysfunction in DM and supporting a role for glucotoxicity in DM-associated dopaminergic dysfunction and cognitive impairment. Several studies confirm a role for DA in cognition both in animal models and in humans. Similarly, significant alterations of the dopaminergic system have been observed in animal models of experimental diabetes and in diabetic patients, too. Evidence is accumulating that advanced glycation end products (AGEs) and their precursor methylglyoxal (MGO) are associated with cognitive impairment and alterations of the dopaminergic system. Further research is needed to clarify the molecular mechanisms linking DM-associated dopaminergic dysfunction and cognitive impairment and to assess the deleterious impact of glucotoxicity.Francesca Chiara PignalosaAntonella DesiderioPaola MirraCecilia NigroGiuseppe PerruoloLuca UlianichPietro FormisanoFrancesco BeguinotClaudia MieleRaffaele NapoliFrancesca FioryMDPI AGarticlediabetes mellitusdopaminecognitive impairmentglucotoxicityBiology (General)QH301-705.5ChemistryQD1-999ENInternational Journal of Molecular Sciences, Vol 22, Iss 12366, p 12366 (2021) |
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diabetes mellitus dopamine cognitive impairment glucotoxicity Biology (General) QH301-705.5 Chemistry QD1-999 |
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diabetes mellitus dopamine cognitive impairment glucotoxicity Biology (General) QH301-705.5 Chemistry QD1-999 Francesca Chiara Pignalosa Antonella Desiderio Paola Mirra Cecilia Nigro Giuseppe Perruolo Luca Ulianich Pietro Formisano Francesco Beguinot Claudia Miele Raffaele Napoli Francesca Fiory Diabetes and Cognitive Impairment: A Role for Glucotoxicity and Dopaminergic Dysfunction |
description |
Diabetes mellitus (DM) is a chronic metabolic disorder characterized by hyperglycemia, responsible for the onset of several long-term complications. Recent evidence suggests that cognitive dysfunction represents an emerging complication of DM, but the underlying molecular mechanisms are still obscure. Dopamine (DA), a neurotransmitter essentially known for its relevance in the regulation of behavior and movement, modulates cognitive function, too. Interestingly, alterations of the dopaminergic system have been observed in DM. This review aims to offer a comprehensive overview of the most relevant experimental results assessing DA’s role in cognitive function, highlighting the presence of dopaminergic dysfunction in DM and supporting a role for glucotoxicity in DM-associated dopaminergic dysfunction and cognitive impairment. Several studies confirm a role for DA in cognition both in animal models and in humans. Similarly, significant alterations of the dopaminergic system have been observed in animal models of experimental diabetes and in diabetic patients, too. Evidence is accumulating that advanced glycation end products (AGEs) and their precursor methylglyoxal (MGO) are associated with cognitive impairment and alterations of the dopaminergic system. Further research is needed to clarify the molecular mechanisms linking DM-associated dopaminergic dysfunction and cognitive impairment and to assess the deleterious impact of glucotoxicity. |
format |
article |
author |
Francesca Chiara Pignalosa Antonella Desiderio Paola Mirra Cecilia Nigro Giuseppe Perruolo Luca Ulianich Pietro Formisano Francesco Beguinot Claudia Miele Raffaele Napoli Francesca Fiory |
author_facet |
Francesca Chiara Pignalosa Antonella Desiderio Paola Mirra Cecilia Nigro Giuseppe Perruolo Luca Ulianich Pietro Formisano Francesco Beguinot Claudia Miele Raffaele Napoli Francesca Fiory |
author_sort |
Francesca Chiara Pignalosa |
title |
Diabetes and Cognitive Impairment: A Role for Glucotoxicity and Dopaminergic Dysfunction |
title_short |
Diabetes and Cognitive Impairment: A Role for Glucotoxicity and Dopaminergic Dysfunction |
title_full |
Diabetes and Cognitive Impairment: A Role for Glucotoxicity and Dopaminergic Dysfunction |
title_fullStr |
Diabetes and Cognitive Impairment: A Role for Glucotoxicity and Dopaminergic Dysfunction |
title_full_unstemmed |
Diabetes and Cognitive Impairment: A Role for Glucotoxicity and Dopaminergic Dysfunction |
title_sort |
diabetes and cognitive impairment: a role for glucotoxicity and dopaminergic dysfunction |
publisher |
MDPI AG |
publishDate |
2021 |
url |
https://doaj.org/article/38ac3270df034e35b3a75fb4defb1bfb |
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