PMID- 31293498 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 1664-2295 (Print) IS - 1664-2295 (Electronic) IS - 1664-2295 (Linking) VI - 10 DP - 2019 TI - Hypothesis and Theory: Circulating Alzheimer's-Related Biomarkers in Type 2 Diabetes. Insight From the Goto-Kakizaki Rat. PG - 649 LID - 10.3389/fneur.2019.00649 [doi] LID - 649 AB - Epidemiological data suggest an increased risk of developing Alzheimer's disease (AD) in individuals with type 2 diabetes (T2D). AD is anatomically associated with an early progressive accumulation of Abeta leading to a gradual Tau hyperphosphorylation, which constitute the main characteristics of damaged brain in AD. Apart from these processes, mounting evidence suggests that specific features of diabetes, namely impaired glucose metabolism and insulin signaling in the brain, play a key role in AD. Moreover, several studies report a potential role of Abeta and Tau in peripheral tissues such as pancreatic beta cells. Thus, it appears that several biological pathways associated with diabetes overlap with AD. The link between peripheral insulin resistance and brain insulin resistance with concomitant cognitive impairment may also potentially be mediated by a liver/pancreatic/brain axis, through the excessive trafficking of neurotoxic molecules across the blood-brain barrier. Insulin resistance incites inflammation and pro-inflammatory cytokine activation modulates the homocysteine cycle in T2D patients. Elevated plasma homocysteine level is a risk factor for AD pathology and is also closely associated with metabolic syndrome. We previously demonstrated a strong association between homocysteine metabolism and insulin via cystathionine beta synthase (CBS) activity, the enzyme implicated in the first step of the trans-sulfuration pathway, in Goto-Kakizaki (GK) rats, a spontaneous model of T2D, with close similarities with human T2D. CBS activity is also correlated with DYRK1A, a serine/threonine kinase regulating brain-derived neurotrophic factor (BDNF) levels, and Tau phosphorylation, which are implicated in a wide range of disease such as T2D and AD. We hypothesized that DYRK1A, BDNF, and Tau, could be among molecular factors linking T2D to AD. In this focused review, we briefly examine the main mechanisms linking AD to T2D and provide the first evidence that certain circulating AD biomarkers are found in diabetic GK rats. We propose that the spontaneous model of T2D in GK rat could be a suitable model to investigate molecular mechanisms linking T2D to AD. FAU - Movassat, Jamileh AU - Movassat J AD - Univ Paris Diderot-Sorbonne Paris Cite, Laboratoire de Biologie et Pathologie du Pancreas Endocrine, Unite de Biologie Fonctionnelle et Adaptative (BFA), UMR 8251 CNRS, Paris, France. FAU - Delangre, Etienne AU - Delangre E AD - Univ Paris Diderot-Sorbonne Paris Cite, Laboratoire de Biologie et Pathologie du Pancreas Endocrine, Unite de Biologie Fonctionnelle et Adaptative (BFA), UMR 8251 CNRS, Paris, France. FAU - Liu, Junjun AU - Liu J AD - Univ Paris Diderot-Sorbonne Paris Cite, Laboratoire de Biologie et Pathologie du Pancreas Endocrine, Unite de Biologie Fonctionnelle et Adaptative (BFA), UMR 8251 CNRS, Paris, France. FAU - Gu, YuChen AU - Gu Y AD - Univ Paris Diderot-Sorbonne Paris Cite, Laboratoire Processus Degeneratifs, Stress et Vieillissement, Unite de Biologie Fonctionnelle et Adaptative (BFA), UMR 8251 CNRS, Paris, France. FAU - Janel, Nathalie AU - Janel N AD - Univ Paris Diderot-Sorbonne Paris Cite, Laboratoire Processus Degeneratifs, Stress et Vieillissement, Unite de Biologie Fonctionnelle et Adaptative (BFA), UMR 8251 CNRS, Paris, France. LA - eng PT - Journal Article DEP - 20190626 PL - Switzerland TA - Front Neurol JT - Frontiers in neurology JID - 101546899 PMC - PMC6606723 OTO - NOTNLM OT - Alzheimer's disease OT - BDNF OT - Dyrk1A OT - GK rat OT - diabetes OT - plasma biomarkers OT - tau EDAT- 2019/07/12 06:00 MHDA- 2019/07/12 06:01 PMCR- 2019/06/26 CRDT- 2019/07/12 06:00 PHST- 2019/03/06 00:00 [received] PHST- 2019/06/03 00:00 [accepted] PHST- 2019/07/12 06:00 [entrez] PHST- 2019/07/12 06:00 [pubmed] PHST- 2019/07/12 06:01 [medline] PHST- 2019/06/26 00:00 [pmc-release] AID - 10.3389/fneur.2019.00649 [doi] PST - epublish SO - Front Neurol. 2019 Jun 26;10:649. doi: 10.3389/fneur.2019.00649. eCollection 2019.