PMID- 29401634 OWN - NLM STAT- MEDLINE DCOM- 20190131 LR - 20220408 IS - 1530-6860 (Electronic) IS - 0892-6638 (Linking) VI - 32 IP - 7 DP - 2018 Jul TI - Formaldehyde induces diabetes-associated cognitive impairments. PG - 3669-3679 LID - 10.1096/fj.201701239R [doi] AB - Patients with type 2 diabetes mellitus (T2DM) often develop cognitive impairments and have an increased risk of developing Alzheimer's disease. Hyperglycemia is a major characteristic of T2DM, but how elevated glucose levels lead to cognitive decline remains elusive. Here, we report that patients with T2DM and mutations in the formaldehyde (FA)-degrading enzyme aldehyde dehydrogenase 2 ( ALDH2) gene had higher levels of FA and more severe dementia. Injection of FA induced hyperglycemia and cognitive deficits in rats. Ablation of gene expression of ALDH2, the main enzyme to oxidize FA, resulted in abnormally high levels of hippocampal FA, leading to hyperglycemia and cognitive impairments as well as potentiating streptozotocin-induced diabetes development in ALDH2 knockout mice. We found that FA interacts with insulin to form FA-insulin adducts, and these FA-insulin adducts caused insulin deficiency, contributing to memory decline in diabetic rodent models. Reduction of FA by transgenic overexpression of human ALDH2 attenuates hyperglycemia and alleviates cognitive deficits in diabetic mouse models. These findings suggest that excess FA plays a critical role in mediating diabetes-related dementia. Targeting FA and its metabolizing enzyme ALDH2 may be a valid approach for preventing and treating dementia in diabetes mellitus.-Tan, T., Zhang, Y., Luo, W., Lv, J., Han, C., Hamlin, J. N. R., Luo, H., Li, H., Wan, Y., Yang, X., Song, W., Tong, Z. Formaldehyde induces diabetes-associated cognitive impairments. FAU - Tan, Tao AU - Tan T AD - Alzheimer's Disease Center, Beijing Institute for Brain Disorders, Capital Medical University, Beijing, China. AD - Sichuan Provincial Hospital for Women and Children, Chengdu, China. FAU - Zhang, Yun AU - Zhang Y AD - Department of Psychiatry, Townsend Family Laboratories, The University of British Columbia, Vancouver, British Columbia, Canada. FAU - Luo, Wenhong AU - Luo W AD - Central Laboratory, Shantou University Medical College, Guangdong, China. FAU - Lv, Jihui AU - Lv J AD - Beijing Geriatric Hospital, Beijing, China. FAU - Han, Chanshuai AU - Han C AD - Montreal Neurological Institute, McGill University, Quebec, Canada. FAU - Hamlin, Jason N R AU - Hamlin JNR AD - Montreal Neurological Institute, McGill University, Quebec, Canada. FAU - Luo, Hongjun AU - Luo H AD - Central Laboratory, Shantou University Medical College, Guangdong, China. FAU - Li, Hui AU - Li H AD - Central Laboratory, Shantou University Medical College, Guangdong, China. FAU - Wan, You AU - Wan Y AD - Department of Neurobiology, School of Basic Medical Sciences, Neuroscience Research Institute, Peking University, Beijing, China. FAU - Yang, Xu AU - Yang X AD - Section of Environmental Biomedicine, Hubei Key Laboratory of Genetic Regulation and Integrative Biology, College of Life Sciences, Central China Normal University, Wuhan, China. FAU - Song, Weihong AU - Song W AD - Department of Psychiatry, Townsend Family Laboratories, The University of British Columbia, Vancouver, British Columbia, Canada. FAU - Tong, Zhiqian AU - Tong Z AD - Alzheimer's Disease Center, Beijing Institute for Brain Disorders, Capital Medical University, Beijing, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180201 PL - United States TA - FASEB J JT - FASEB journal : official publication of the Federation of American Societies for Experimental Biology JID - 8804484 RN - 0 (Insulin) RN - 1HG84L3525 (Formaldehyde) RN - EC 1.2.1.3 (ALDH2 protein, human) RN - EC 1.2.1.3 (Aldehyde Dehydrogenase, Mitochondrial) SB - IM MH - Aged MH - Aldehyde Dehydrogenase, Mitochondrial/*genetics/metabolism MH - Animals MH - Cognitive Dysfunction/*etiology MH - Diabetes Mellitus, Type 2/*complications MH - Female MH - Formaldehyde/blood/*toxicity/urine MH - Humans MH - Insulin/metabolism MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Mutation MH - Rats MH - Rats, Sprague-Dawley OTO - NOTNLM OT - ALDH2 OT - Alzheimer OT - dementia OT - hyperglycemia EDAT- 2018/02/07 06:00 MHDA- 2019/02/01 06:00 CRDT- 2018/02/07 06:00 PHST- 2018/02/07 06:00 [pubmed] PHST- 2019/02/01 06:00 [medline] PHST- 2018/02/07 06:00 [entrez] AID - 10.1096/fj.201701239R [doi] PST - ppublish SO - FASEB J. 2018 Jul;32(7):3669-3679. doi: 10.1096/fj.201701239R. Epub 2018 Feb 1.