PMID- 32841897 OWN - NLM STAT- MEDLINE DCOM- 20210217 LR - 20210217 IS - 1950-6007 (Electronic) IS - 0753-3322 (Linking) VI - 131 DP - 2020 Nov TI - Dysfunction of the neurovascular unit in diabetes-related neurodegeneration. PG - 110656 LID - S0753-3322(20)30849-0 [pii] LID - 10.1016/j.biopha.2020.110656 [doi] AB - In current aging societies, diabetes mellitus and neurodegenerative diseases represented by Alzheimer's disease are highly prevalent among adults, especially the elderly all over the world. It is worth noting that a substantial body of evidence suggests diabetes contributes to accelerated neurodegenerative processes and the decline of cognition. Over the last few years, some studies have indicated neurovascular uncoupling and disrupted functional connectivity in the early stages of many neurodegenerative diseases, and the concept of the neurovascular unit (NVU) has been highlighted to understand the initiation and progression of neurodegenerative diseases recently. Considering that some components of the NVU are also demonstrated to have abnormal morphology and function under the condition of diabetes, we propose the hypothesis that diabetes may promote the onset and development of neurodegenerative diseases by impairing the integrity of the NVU, named Diabetes-NVU-Neurodegeneration Hypothesis. The existing body of literature supporting the hypothesis and elucidating the underlying mechanisms will be summarized in this review. CI - Copyright (c) 2020 The Author(s). Published by Elsevier Masson SAS.. All rights reserved. FAU - Yan, Caochong AU - Yan C AD - The Key Laboratory of Reproductive Genetics, Ministry of Education, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, 310058, China; Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310006, China. FAU - Zhou, Yunxiang AU - Zhou Y AD - Department of Surgical Oncology, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, 310009, China. Electronic address: yxzhou@zju.edu.cn. FAU - Chen, Qiang AU - Chen Q AD - Department of Surgical Oncology, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, 310009, China. FAU - Luo, Yi AU - Luo Y AD - The Second Affiliated Hospital, Zhejiang University School of Medicine (Changxing Branch), Huzhou, Zhejiang, 313100, China. FAU - Zhang, John H AU - Zhang JH AD - Department of Physiology and Pharmacology, Basic Sciences, School of Medicine, Loma Linda University, Loma Linda, CA, 92354, USA; Department of Anesthesiology, Neurosurgery and Neurology, Loma Linda University School of Medicine, Loma Linda, CA, 92354, USA. Electronic address: johnzhang3910@yahoo.com. FAU - Huang, Hefeng AU - Huang H AD - The Key Laboratory of Reproductive Genetics, Ministry of Education, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, 310058, China; Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310006, China; The International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200030, China. Electronic address: huanghefg@hotmail.com. FAU - Shao, Anwen AU - Shao A AD - Department of Neurosurgery, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, 310009, China. Electronic address: 21118116@zju.edu.cn. LA - eng PT - Journal Article PT - Review DEP - 20200822 PL - France TA - Biomed Pharmacother JT - Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie JID - 8213295 SB - IM MH - Aging/metabolism/pathology MH - Alzheimer Disease/etiology/metabolism/pathology MH - Animals MH - Blood-Brain Barrier/*metabolism/pathology MH - Brain/*metabolism/pathology MH - Diabetes Complications/metabolism/pathology MH - Diabetes Mellitus/*metabolism/pathology MH - Humans MH - Neurodegenerative Diseases/etiology/*metabolism/pathology MH - Neurovascular Coupling/*physiology OTO - NOTNLM OT - Blood-brain barrier OT - Diabetes mellitus OT - Hypothesis OT - Neurodegeneration OT - Neurovascular unit EDAT- 2020/08/26 06:00 MHDA- 2021/02/18 06:00 CRDT- 2020/08/26 06:00 PHST- 2020/05/11 00:00 [received] PHST- 2020/08/10 00:00 [revised] PHST- 2020/08/17 00:00 [accepted] PHST- 2020/08/26 06:00 [pubmed] PHST- 2021/02/18 06:00 [medline] PHST- 2020/08/26 06:00 [entrez] AID - S0753-3322(20)30849-0 [pii] AID - 10.1016/j.biopha.2020.110656 [doi] PST - ppublish SO - Biomed Pharmacother. 2020 Nov;131:110656. doi: 10.1016/j.biopha.2020.110656. Epub 2020 Aug 22.