2019
DOI: 10.3389/fnins.2019.00508
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Obesity as a Risk Factor for Alzheimer’s Disease: Implication of Leptin and Glutamate

Abstract: Obesity is known to induce leptin and insulin resistance. Leptin is a peptide hormone synthesized in adipose tissue that mainly regulates food intake. It has been shown that insulin stimulates the production of leptin when adipocytes are exposed to glucose to encourage satiety; while leptin, via a negative feedback, decreases the insulin release and enhances tissue sensitivity to it, leading to glucose uptake for energy utilization or storage. Therefore, resistance to insulin is closely related to leptin resis… Show more

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Cited by 64 publications
(48 citation statements)
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“…Low leptin availability is a risk factor for NCDs in older people [34], and a target for developing supplementation therapies for reducing the progression of NCDs [35]. In line with the above, recent reports indicate a link between leptin and obesity-induced NCD [36]. In another proposed pathogenic link between NHLH2 and NCDs, CNS heat deregulation appears to have a role in the pathogenesis of neurodegeneration, and the NHLH2 gene is induced following cold and torpor [37].…”
Section: Discussionmentioning
confidence: 95%
“…Low leptin availability is a risk factor for NCDs in older people [34], and a target for developing supplementation therapies for reducing the progression of NCDs [35]. In line with the above, recent reports indicate a link between leptin and obesity-induced NCD [36]. In another proposed pathogenic link between NHLH2 and NCDs, CNS heat deregulation appears to have a role in the pathogenesis of neurodegeneration, and the NHLH2 gene is induced following cold and torpor [37].…”
Section: Discussionmentioning
confidence: 95%
“…These functions suggest that leptin may have protective functions in neurological diseases and insults. The association of increased leptin levels in obesity and increased risk of neurodegenerative diseases in obese individuals has been widely discussed (Forny-Germano et al, 2018; Lloret et al, 2019). In animal disease models, neurotoxin 1-methyl-4-phenyl-1, 2, 4, 5-tetrahydropyridine (MPTP)- or 6-hydroxydopamine (6-OHDA)-induced Parkinson’s disease (PD) model show greater neurodegeneration with obesity compared to littermates fed a normal diet (Choi et al, 2005; Morris et al, 2010).…”
Section: Neuroprotective Roles Of Leptinmentioning
confidence: 99%
“…However, obesity impairs this pathway, and an increase in brain glutamate levels leads to a dysfunction in extrasynaptic NMDA-R, a decrease in long-term potentiation, and mitochondrial dysfunctions. Thus, the slow excitotoxicity shown in Alzheimer’s disease due to overexcitation of NMDA receptors by glutamate can be linked to obesity through leptin resistance as a risk factor for neurological disorders [ 13 , 14 ].…”
Section: Introductionmentioning
confidence: 99%