PMID- 31081340 OWN - NLM STAT- MEDLINE DCOM- 20200513 LR - 20240414 IS - 1759-0914 (Electronic) IS - 1759-0914 (Linking) VI - 11 DP - 2019 Jan-Dec TI - Altered Brain Expression of Insulin and Insulin-Like Growth Factors in Frontotemporal Lobar Degeneration: Another Degenerative Disease Linked to Dysregulation of Insulin Metabolic Pathways. PG - 1759091419839515 LID - 10.1177/1759091419839515 [doi] LID - 1759091419839515 AB - BACKGROUND: Frontotemporal lobar degeneration (FTLD) is the third most common dementing neurodegenerative disease with nearly 80% having no known etiology. OBJECTIVE: Growing evidence that neurodegeneration can be linked to dysregulated metabolism prompted us to measure a panel of trophic factors, receptors, and molecules that modulate brain metabolic function in FTLD. METHODS: Postmortem frontal (Brodmann's area [BA]8/9 and BA24) and temporal (BA38) lobe homogenates were used to measure immunoreactivity to Tau, phosphorylated tau (pTau), ubiquitin, 4-hydroxynonenal (HNE), transforming growth factor-beta 1 (TGF-beta1) and its receptor (TGF-beta1R), brain-derived neurotrophic factor (BDNF), nerve growth factor, neurotrophin-3, neurotrophin-4, tropomyosin receptor kinase, and insulin and insulin-like growth factor-1 (IGF-1) and insulin-like growth factor-2 (IGF-2) and their receptors by direct-binding enzyme-linked immunosorbent assay. RESULTS: FTLD brains had significantly elevated pTau, ubiquitin, TGF-beta1, and HNE immunoreactivity relative to control. In addition, BDNF and neurotrophin-4 were respectively reduced in BA8/9 and BA38, while neurotrophin-3 and nerve growth factor were upregulated in BA38, and tropomyosin receptor kinase was elevated in BA24. Lastly, insulin and insulin receptor expressions were elevated in the frontal lobe, IGF-1 was increased in BA24, IGF-1R was upregulated in all three brain regions, and IGF-2 receptor was reduced in BA24 and BA38. CONCLUSIONS: Aberrantly increased levels of pTau, ubiquitin, HNE, and TGF-beta1, marking neurodegeneration, oxidative stress, and neuroinflammation, overlap with altered expression of insulin/IGF signaling ligand and receptors in frontal and temporal lobe regions targeted by FTLD. Dysregulation of insulin-IGF signaling networks could account for brain hypometabolism and several characteristic neuropathologic features that characterize FTLD but overlap with Alzheimer's disease, Parkinson's disease, and Dementia with Lewy Body Disease. FAU - Liou, Connie J AU - Liou CJ AD - 1 Warren Alpert Medical School of Brown University, Providence, RI, USA. FAU - Tong, Ming AU - Tong M AD - 1 Warren Alpert Medical School of Brown University, Providence, RI, USA. AD - 2 Division of Neuropathology, Departments of Pathology, Medicine, Neurology, and Neurosurgery, Rhode Island Hospital, Providence, RI, USA. AD - 3 Department of Pathology and Laboratory Medicine, the Providence VA Medical Center, Providence, RI, USA. FAU - Vonsattel, Jean P AU - Vonsattel JP AD - 4 New York Brain Bank, Taub Institute, Columbia University, New York, NY, USA. FAU - de la Monte, Suzanne M AU - de la Monte SM AD - 1 Warren Alpert Medical School of Brown University, Providence, RI, USA. AD - 2 Division of Neuropathology, Departments of Pathology, Medicine, Neurology, and Neurosurgery, Rhode Island Hospital, Providence, RI, USA. AD - 3 Department of Pathology and Laboratory Medicine, the Providence VA Medical Center, Providence, RI, USA. LA - eng GR - R01 AA012908/AA/NIAAA NIH HHS/United States GR - R21 NS096525/NS/NINDS NIH HHS/United States GR - R37 AA011431/AA/NIAAA NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - ASN Neuro JT - ASN neuro JID - 101507115 RN - 0 (Insulin) RN - 0 (Somatomedins) SB - IM MH - Aged MH - Aged, 80 and over MH - Brain/*metabolism MH - Female MH - Frontotemporal Lobar Degeneration/*metabolism MH - Humans MH - Insulin/*metabolism MH - Male MH - Somatomedins/*metabolism PMC - PMC6535914 OTO - NOTNLM OT - neurodegenerative diseases OT - neurodevelopmental disorders OT - neuropathology EDAT- 2019/05/14 06:00 MHDA- 2020/05/14 06:00 PMCR- 2019/05/12 CRDT- 2019/05/14 06:00 PHST- 2019/05/14 06:00 [entrez] PHST- 2019/05/14 06:00 [pubmed] PHST- 2020/05/14 06:00 [medline] PHST- 2019/05/12 00:00 [pmc-release] AID - 10.1177_1759091419839515 [pii] AID - 10.1177/1759091419839515 [doi] PST - ppublish SO - ASN Neuro. 2019 Jan-Dec;11:1759091419839515. doi: 10.1177/1759091419839515.