Insulin-Like Growth Factor Signaling in Alzheimer’s Disease: Pathophysiology and Therapeutic Strategies

Alzheimer’s disease (AD) is the leading cause of dementia among the elderly population, posing a significant public health challenge due to limited therapeutic options that merely delay cognitive decline. AD is associated with impaired energy metabolism and reduced neurotrophic signaling. The insuli...

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Veröffentlicht in:Molecular neurobiology 2025-03, Vol.62 (3), p.3195-3225
Hauptverfasser: Miao, Jie, Zhang, Yanli, Su, Chen, Zheng, Qiandan, Guo, Junhong
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container_title Molecular neurobiology
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creator Miao, Jie
Zhang, Yanli
Su, Chen
Zheng, Qiandan
Guo, Junhong
description Alzheimer’s disease (AD) is the leading cause of dementia among the elderly population, posing a significant public health challenge due to limited therapeutic options that merely delay cognitive decline. AD is associated with impaired energy metabolism and reduced neurotrophic signaling. The insulin-like growth factor (IGF) signaling pathway, crucial for central nervous system (CNS) development, metabolism, repair, cognition, and emotion regulation, includes IGF-1, IGF-2, IGF-1R, IGF-2R, insulin receptor (IR), and six insulin-like growth factor binding proteins (IGFBPs). Research has identified abnormalities in IGF signaling in individuals with AD and AD models. Dysregulated expression of IGFs, receptors, IGFBPs, and disruptions in downstream phosphoinositide 3-kinase-protein kinase B (PI3K/AKT) and mitogen-activated protein kinase (MAPK) pathways collectively increase AD susceptibility. Studies suggest modulating the IGF pathway may ameliorate AD pathology and cognitive decline. This review explores the CNS pathophysiology of IGF signaling in AD progression and assesses the potential of targeting the IGF system as a novel therapeutic strategy. Further research is essential to elucidate how aberrant IGF signaling contributes to AD development, understand underlying molecular mechanisms, and evaluate the safety and efficacy of IGF-based treatments.
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subjects 1-Phosphatidylinositol 3-kinase
AKT protein
Alzheimer Disease - drug therapy
Alzheimer Disease - metabolism
Alzheimer Disease - physiopathology
Alzheimer's disease
Animals
Biomedical and Life Sciences
Biomedicine
Cell Biology
Central nervous system
Cognitive ability
Dementia disorders
Energy metabolism
Humans
Insulin
Insulin-like growth factor I
Insulin-like growth factor I receptors
Insulin-like growth factors
Insulin-Like Peptides
Kinases
MAP kinase
Metabolism
Molecular modelling
Neurobiology
Neurodegenerative diseases
Neurology
Neurosciences
Older people
Pathophysiology
Public health
Review
Signal Transduction
Somatomedins - metabolism
title Insulin-Like Growth Factor Signaling in Alzheimer’s Disease: Pathophysiology and Therapeutic Strategies
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