The Role of Insulin/IGF-1/PI3K/Akt/GSK3β Signaling in Parkinson's Disease Dementia

Dementia, a condition that frequently afflicts patients in advanced stages of Parkinson's disease (PD), results in decreased quality of life and survival time. Nevertheless, the pathological mechanisms underlying Parkinson's disease dementia (PDD) are not completely understood. The symptom...

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Main Authors: Liying Yang, Hongyan Wang, Lijun Liu, Anmu Xie
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-02-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:http://journal.frontiersin.org/article/10.3389/fnins.2018.00073/full
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author Liying Yang
Hongyan Wang
Lijun Liu
Anmu Xie
author_facet Liying Yang
Hongyan Wang
Lijun Liu
Anmu Xie
author_sort Liying Yang
collection DOAJ
description Dementia, a condition that frequently afflicts patients in advanced stages of Parkinson's disease (PD), results in decreased quality of life and survival time. Nevertheless, the pathological mechanisms underlying Parkinson's disease dementia (PDD) are not completely understood. The symptoms characteristic of PDD may be the result of functional and structural deficiencies. The present study implicates the accumulation of Lewy bodies in the cortex and limbic system as a potent trigger in the development of PDD. In addition, significant Alzheimer-type pathologies, including amyloid-β (Aβ) plaques and NFTs, are observed in almost half of PDD patients. Interestingly, links between PDD pathogenesis and the mechanisms underlying the development of insulin resistance have begun to emerge. Furthermore, previous studies have demonstrated that insulin treatment reduces amyloid plaques in Alzheimer's disease (AD), and normalizes the production and functionality of dopamine and ameliorates motor impairments in 6-OHDA-induced rat PD models. GSK3β, a downstream substrate of PI3K/Akt signaling following induction by insulin and IGF-1, exerts an influence on AD and PD physiopathology. The genetic overexpression of GSK3β in cortex and hippocampus results in signs of neurodegeneration and spatial learning deficits in in vivo models (Lucas et al., 2001), whereas its inhibition results in improvements in cognitive impairment in these rodents, including AD and PD. Accordingly, insulin- or IGF-1-activated PI3K/Akt/GSK3β signaling may be involved in PDD pathogenesis, at least in the pathology of PD-type + AD-type.
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spelling doaj.art-195b035d46034eafb18251160279bbc42022-12-21T17:31:02ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2018-02-011210.3389/fnins.2018.00073327950The Role of Insulin/IGF-1/PI3K/Akt/GSK3β Signaling in Parkinson's Disease DementiaLiying Yang0Hongyan Wang1Lijun Liu2Anmu Xie3Department of Neurology, Affiliated Hospital of Qingdao University, Qingdao, ChinaDepartment of Neurology, Qingdao Municipal Hospital, Qingdao, ChinaDepartment of Neurology, Affiliated Hospital of Qingdao University, Qingdao, ChinaDepartment of Neurology, Affiliated Hospital of Qingdao University, Qingdao, ChinaDementia, a condition that frequently afflicts patients in advanced stages of Parkinson's disease (PD), results in decreased quality of life and survival time. Nevertheless, the pathological mechanisms underlying Parkinson's disease dementia (PDD) are not completely understood. The symptoms characteristic of PDD may be the result of functional and structural deficiencies. The present study implicates the accumulation of Lewy bodies in the cortex and limbic system as a potent trigger in the development of PDD. In addition, significant Alzheimer-type pathologies, including amyloid-β (Aβ) plaques and NFTs, are observed in almost half of PDD patients. Interestingly, links between PDD pathogenesis and the mechanisms underlying the development of insulin resistance have begun to emerge. Furthermore, previous studies have demonstrated that insulin treatment reduces amyloid plaques in Alzheimer's disease (AD), and normalizes the production and functionality of dopamine and ameliorates motor impairments in 6-OHDA-induced rat PD models. GSK3β, a downstream substrate of PI3K/Akt signaling following induction by insulin and IGF-1, exerts an influence on AD and PD physiopathology. The genetic overexpression of GSK3β in cortex and hippocampus results in signs of neurodegeneration and spatial learning deficits in in vivo models (Lucas et al., 2001), whereas its inhibition results in improvements in cognitive impairment in these rodents, including AD and PD. Accordingly, insulin- or IGF-1-activated PI3K/Akt/GSK3β signaling may be involved in PDD pathogenesis, at least in the pathology of PD-type + AD-type.http://journal.frontiersin.org/article/10.3389/fnins.2018.00073/fullParkinson's disease dementia (PDD)insulinInsulin-like growth factor (IGF-I)phosphoinositide 3 kinase (PI3k)AktGlycogen synthase kinase β (GSK3β)
spellingShingle Liying Yang
Hongyan Wang
Lijun Liu
Anmu Xie
The Role of Insulin/IGF-1/PI3K/Akt/GSK3β Signaling in Parkinson's Disease Dementia
Frontiers in Neuroscience
Parkinson's disease dementia (PDD)
insulin
Insulin-like growth factor (IGF-I)
phosphoinositide 3 kinase (PI3k)
Akt
Glycogen synthase kinase β (GSK3β)
title The Role of Insulin/IGF-1/PI3K/Akt/GSK3β Signaling in Parkinson's Disease Dementia
title_full The Role of Insulin/IGF-1/PI3K/Akt/GSK3β Signaling in Parkinson's Disease Dementia
title_fullStr The Role of Insulin/IGF-1/PI3K/Akt/GSK3β Signaling in Parkinson's Disease Dementia
title_full_unstemmed The Role of Insulin/IGF-1/PI3K/Akt/GSK3β Signaling in Parkinson's Disease Dementia
title_short The Role of Insulin/IGF-1/PI3K/Akt/GSK3β Signaling in Parkinson's Disease Dementia
title_sort role of insulin igf 1 pi3k akt gsk3β signaling in parkinson s disease dementia
topic Parkinson's disease dementia (PDD)
insulin
Insulin-like growth factor (IGF-I)
phosphoinositide 3 kinase (PI3k)
Akt
Glycogen synthase kinase β (GSK3β)
url http://journal.frontiersin.org/article/10.3389/fnins.2018.00073/full
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