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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Autores principales: Francesca Chiara Pignalosa, Antonella Desiderio, Paola Mirra, Cecilia Nigro, Giuseppe Perruolo, Luca Ulianich, Pietro Formisano, Francesco Beguinot, Claudia Miele, Raffaele Napoli, Francesca Fiory
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/38ac3270df034e35b3a75fb4defb1bfb
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic diabetes mellitus
dopamine
cognitive impairment
glucotoxicity
Biology (General)
QH301-705.5
Chemistry
QD1-999
spellingShingle 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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