PMID- 38242039 OWN - NLM STAT- MEDLINE DCOM- 20240208 LR - 20240208 IS - 1950-6007 (Electronic) IS - 0753-3322 (Linking) VI - 171 DP - 2024 Feb TI - HIF-1alpha serves as a co-linker between AD and T2DM. PG - 116158 LID - S0753-3322(24)00039-8 [pii] LID - 10.1016/j.biopha.2024.116158 [doi] AB - Alzheimer's disease (AD)-related brain deterioration is linked to the type 2 diabetes mellitus (T2DM) features hyperglycemia, hyperinsulinemia, and insulin resistance. Hypoxia as a common risk factor for both AD and T2DM. Hypoxia-inducible factor-1 alpha (HIF-1alpha) acts as the main regulator of the hypoxia response and may be a key target in the comorbidity of AD and T2DM. HIF-1alpha expression is closely related to hyperglycemia, insulin resistance, and inflammation. Tissue oxygen consumption disrupts HIF-1alpha homeostasis, leading to increased reactive oxygen species levels and the inhibition of insulin receptor pathway activity, causing neuroinflammation, insulin resistance, abnormal Abeta deposition, and tau hyperphosphorylation. HIF-1alpha activation also leads to the deposition of Abeta by promoting the abnormal shearing of amyloid precursor protein and inhibiting the degradation of Abeta, and it promotes tau hyperphosphorylation by activating oxidative stress and the activation of astrocytes, which further exasperates AD. Therefore, we believe that HIF-alpha has great potential as a target for the treatment of AD. Importantly, the intracellular homeostasis of HIF-1alpha is a more crucial factor than its expression level. CI - Copyright (c) 2024 The Authors. Published by Elsevier Masson SAS.. All rights reserved. FAU - Hai, Yang AU - Hai Y AD - Scientific Research and Experimental Center, Gansu University of Chinese Medicine, Lanzhou 730000, Gansu Province, PR China; Key Laboratory of Dunhuang Medicine, Gansu University of Chinese Medicine, Lanzhou 730000, Gansu Province, PR China. Electronic address: cathyhaiyang@163.com. FAU - Ren, Ke AU - Ren K AD - School of Pharmacy, Gansu University of Chinese Medicine, Lanzhou 730000, Gansu Province, PR China. FAU - Zhang, Yarong AU - Zhang Y AD - School of Pharmacy, Gansu University of Chinese Medicine, Lanzhou 730000, Gansu Province, PR China. FAU - Yang, Lili AU - Yang L AD - School of Pharmacy, Gansu University of Chinese Medicine, Lanzhou 730000, Gansu Province, PR China. FAU - Cao, Haoshi AU - Cao H AD - School of Pharmacy, Gansu University of Chinese Medicine, Lanzhou 730000, Gansu Province, PR China. FAU - Yuan, Xianxia AU - Yuan X AD - School of Pharmacy, Gansu University of Chinese Medicine, Lanzhou 730000, Gansu Province, PR China. FAU - Su, Linling AU - Su L AD - School of Pharmacy, Gansu University of Chinese Medicine, Lanzhou 730000, Gansu Province, PR China. FAU - Li, Hailong AU - Li H AD - The First Clinical Medical College, Gansu University of Chinese Medicine, Lanzhou 730000, Gansu Province, PR China. FAU - Feng, Xiaoli AU - Feng X AD - Scientific Research and Experimental Center, Gansu University of Chinese Medicine, Lanzhou 730000, Gansu Province, PR China; Key Laboratory of Dunhuang Medicine, Gansu University of Chinese Medicine, Lanzhou 730000, Gansu Province, PR China. FAU - Liu, Dongling AU - Liu D AD - School of Pharmacy, Gansu University of Chinese Medicine, Lanzhou 730000, Gansu Province, PR China; Northwest Collaborative Innovation Center for Traditional Chinese Medicine, Lanzhou 730000, Gansu Province, PR China; Gansu Pharmaceutical Industry Innovation Research Institute, Lanzhou 730000, Gansu Province, PR China. Electronic address: dongling83@163.com. LA - eng PT - Journal Article PT - Review DEP - 20240118 PL - France TA - Biomed Pharmacother JT - Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie JID - 8213295 RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) SB - IM MH - Humans MH - *Alzheimer Disease/metabolism MH - *Insulin Resistance MH - *Diabetes Mellitus, Type 2 MH - Hypoxia MH - *Hyperglycemia MH - Hypoxia-Inducible Factor 1, alpha Subunit OTO - NOTNLM OT - Alzheimer's disease OT - Hypoxia OT - Hypoxia-inducible factor-1 alpha OT - Type 2 diabetes COIS- Declaration of Competing Interest No potential conflict of interest was reported by the authors. EDAT- 2024/01/20 05:42 MHDA- 2024/02/08 06:42 CRDT- 2024/01/19 18:15 PHST- 2023/09/24 00:00 [received] PHST- 2023/12/27 00:00 [revised] PHST- 2024/01/11 00:00 [accepted] PHST- 2024/02/08 06:42 [medline] PHST- 2024/01/20 05:42 [pubmed] PHST- 2024/01/19 18:15 [entrez] AID - S0753-3322(24)00039-8 [pii] AID - 10.1016/j.biopha.2024.116158 [doi] PST - ppublish SO - Biomed Pharmacother. 2024 Feb;171:116158. doi: 10.1016/j.biopha.2024.116158. Epub 2024 Jan 18.