PMID- 35269827 OWN - NLM STAT- MEDLINE DCOM- 20220408 LR - 20230917 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 23 IP - 5 DP - 2022 Feb 28 TI - Alzheimer's Disease as Type 3 Diabetes: Common Pathophysiological Mechanisms between Alzheimer's Disease and Type 2 Diabetes. LID - 10.3390/ijms23052687 [doi] LID - 2687 AB - Globally, the incidence of type 2 diabetes mellitus (T2DM) and Alzheimer's disease (AD) epidemics is increasing rapidly and has huge financial and emotional costs. The purpose of the current review article is to discuss the shared pathophysiological connections between AD and T2DM. Research findings are presented to underline the vital role that insulin plays in the brain's neurotransmitters, homeostasis of energy, as well as memory capacity. The findings of this review indicate the existence of a mechanistic interplay between AD pathogenesis with T2DM and, especially, disrupted insulin signaling. AD and T2DM are interlinked with insulin resistance, neuroinflammation, oxidative stress, advanced glycosylation end products (AGEs), mitochondrial dysfunction and metabolic syndrome. Beta-amyloid, tau protein and amylin can accumulate in T2DM and AD brains. Given that the T2DM patients are not routinely evaluated in terms of their cognitive status, they are rarely treated for cognitive impairment. Similarly, AD patients are not routinely evaluated for high levels of insulin or for T2DM. Studies suggesting AD as a metabolic disease caused by insulin resistance in the brain also offer strong support for the hypothesis that AD is a type 3 diabetes. FAU - Michailidis, Michalis AU - Michailidis M AD - Laboratory of Psychology, School of Psychology, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece. FAU - Moraitou, Despina AU - Moraitou D AUID- ORCID: 0000-0002-0527-7143 AD - Laboratory of Psychology, School of Psychology, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece. FAU - Tata, Despina A AU - Tata DA AUID- ORCID: 0000-0001-5563-4017 AD - Laboratory of Psychology, School of Psychology, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece. FAU - Kalinderi, Kallirhoe AU - Kalinderi K AD - Laboratory of Medical Biology-Genetics, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece. FAU - Papamitsou, Theodora AU - Papamitsou T AD - Histology and Embryology Department, Faculty of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece. FAU - Papaliagkas, Vasileios AU - Papaliagkas V AUID- ORCID: 0000-0003-1064-0290 AD - Department of Biomedical Sciences, School of Health Sciences, International Hellenic University, 57400 Thessaloniki, Greece. LA - eng PT - Journal Article PT - Review DEP - 20220228 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Amyloid beta-Peptides) RN - 0 (Insulin) SB - IM MH - *Alzheimer Disease/metabolism MH - Amyloid beta-Peptides/metabolism MH - Brain/metabolism MH - *Diabetes Mellitus, Type 2/metabolism MH - Humans MH - Insulin/metabolism MH - *Insulin Resistance/physiology PMC - PMC8910482 OTO - NOTNLM OT - Alzheimer type 3 diabetes OT - amyloid beta OT - brain insulin resistance OT - inflammation and cognition OT - type 2 diabetes mellitus COIS- The authors report no conflict of interest. EDAT- 2022/03/11 06:00 MHDA- 2022/04/09 06:00 PMCR- 2022/02/28 CRDT- 2022/03/10 15:36 PHST- 2022/02/10 00:00 [received] PHST- 2022/02/25 00:00 [revised] PHST- 2022/02/26 00:00 [accepted] PHST- 2022/03/10 15:36 [entrez] PHST- 2022/03/11 06:00 [pubmed] PHST- 2022/04/09 06:00 [medline] PHST- 2022/02/28 00:00 [pmc-release] AID - ijms23052687 [pii] AID - ijms-23-02687 [pii] AID - 10.3390/ijms23052687 [doi] PST - epublish SO - Int J Mol Sci. 2022 Feb 28;23(5):2687. doi: 10.3390/ijms23052687.