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      Irisin Attenuates Neuroinflammation and Prevents the Memory and Cognitive Deterioration in Streptozotocin-Induced Diabetic Mice

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          Abstract

          Diabetes mellitus (DM) patients experience memory and cognitive deficits. The mechanisms underlying this dysfunction in the brain of DM patients are not fully understood, and therefore, no optimized therapeutic strategy has been established so far. The aim of the present study was to assess whether irisin was able to improve memory and cognitive performance in a streptozotocin-induced diabetic mouse model. A diabetic mouse model was established and behavioral tests were performed. We also set up primary cultures for mechanism studies. Western blots and EMSA were used for molecular studies. Significant impairment of cognition and memory was observed in these DM mice, which could be effectively prevented by irisin cotreatment. We also found upregulated levels of GFAP protein, reduced synaptic protein expression, and increased levels of interleukin-1 β (IL-1 β) and interleukin-6 (IL-6) in the brains; however, irisin significantly attenuated these cellular responses. Meanwhile, our results demonstrated that irisin inhibited the activation of P38, STAT3, and NF κB proteins of DM mice. Furthermore, our results suggested that irisin might regulate the function of P38, STAT3, and NF κB in hippocampal tissues of DM mice. Collectively, irisin inhibited neuroinflammation in STZ-induced DM mice by inhibiting cytokine release and improving their cognitive function. Our findings revealed the mechanism of irisin's anti-inflammatory effect in the CNS.

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          Most cited references22

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          Physiology and role of irisin in glucose homeostasis

          Despite great interest in the role of irisin in glucose homeostasis, controversy still exists regarding the function, and even the existence, of this myokine. Here, Perakakis and colleagues provide an extensive evaluation of the evidence for the physiology and function of irisin from both animal and human studies.
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            Loss of the presynaptic vesicle protein synaptophysin in hippocampus correlates with cognitive decline in Alzheimer disease.

            We tested the hypothesis that synaptic defects in the hippocampus of individuals with Alzheimer disease (AD) correlate with the severity of cognitive impairment. Three postmortem groups were studied: controls with normal and stable cognition; cognitively intact subjects with senile plaque densities diagnostic for possible AD (p-AD) and neurofibrillary changes characteristic of early AD (Braak stage III); and individuals with definite AD and neurofibrillary changes typical of incipient to severe AD (Braak stage III, V, or VI). Synaptophysin (a presynaptic vesicle protein) levels were quantified by immunoblotting of synaptic membrane fractions isolated from hippocampus, entorhinal cortex, caudate nucleus, and occipital cortex. Average synaptophysin levels were reduced in hippocampus when comparing definite AD to controls (55%, p < 0.0001), p-AD to control (25%, p < 0.005), and definite AD to p-AD (30%, p < 0.05), but levels in entorhinal cortex, occipital cortex, and caudate nucleus were either unchanged or less significantly altered than in hippocampus. By univariate analysis, hippocampal synaptophysin levels correlated with neuropsychological measurements, including Mini-mental state examination scores (r = 0.83, p < 0.0001) and Blessed scores (r = 0.74, P < 0.001), and with senile plaque densities (r = 0.89, p < 0.0001). We conclude that synaptic abnormalities in the hippocampus correlate with the severity of neuropathology and memory deficit in individuals with AD, and that this defect may predate neuropsychological evidence for cognitive impairment early in AD.
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              Elevated risk of type 2 diabetes for development of Alzheimer disease: a key role for oxidative stress in brain.

              Alzheimer disease (AD) is the most common form of dementia among the elderly and is characterized by progressive loss of memory and cognition. Epidemiological data show that the incidence of AD increases with age and doubles every 5 years after 65 years of age. From a neuropathological point of view, amyloid-β-peptide (Aβ) leads to senile plaques, which, together with hyperphosphorylated tau-based neurofibrillary tangles and synapse loss, are the principal pathological hallmarks of AD. Aβ is associated with the formation of reactive oxygen (ROS) and nitrogen (RNS) species, and induces calcium-dependent excitotoxicity, impairment of cellular respiration, and alteration of synaptic functions associated with learning and memory. Oxidative stress was found to be associated with type 2 diabetes mellitus (T2DM), which (i) represents another prevalent disease associated with obesity and often aging, and (ii) is considered to be a risk factor for AD development. T2DM is characterized by high blood glucose levels resulting from increased hepatic glucose production, impaired insulin production and peripheral insulin resistance, which close resemble to the brain insulin resistance observed in AD patients. Furthermore, growing evidence suggests that oxidative stress plays a pivotal role in the development of insulin resistance and vice versa. This review article provides molecular aspects and the pharmacological approaches from both preclinical and clinical data interpreted from the point of view of oxidative stress with the aim of highlighting progresses in this field. Copyright © 2014 Elsevier B.V. All rights reserved.
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                Author and article information

                Contributors
                Journal
                Mediators Inflamm
                Mediators Inflamm
                MI
                Mediators of Inflammation
                Hindawi
                0962-9351
                1466-1861
                2019
                9 June 2019
                : 2019
                : 1567179
                Affiliations
                1Department of General Surgery, Qilu Hospital of Shandong University, Jinan, Shandong, China
                2Department of Orthopedics, Qingdao Municipal Hospital, Qingdao, Shandong, China
                3Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
                4Department of Medicine, Division of Rheumatology & Clinical Immunology, University of Florida, Gainesville, FL, USA
                5Department of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong 250012, China
                Author notes

                Guest Editor: Sun-Young Hwang

                Author information
                http://orcid.org/0000-0002-2765-195X
                http://orcid.org/0000-0002-1286-1823
                Article
                10.1155/2019/1567179
                6590589
                31281225
                92d9e39a-985c-4db9-b734-ba2e46971e06
                Copyright © 2019 Kexin Wang et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 1 February 2019
                : 30 March 2019
                : 13 May 2019
                Funding
                Funded by: Qilu Hospital of Shandong University
                Award ID: 2015QLMS32
                Award ID: 2014QLKY21
                Funded by: Shandong University
                Award ID: 2014WS0148
                Funded by: Shandong Medical and Health Technology Development Project
                Funded by: National Natural Science Foundation of China
                Award ID: 81400770
                Award ID: 81471020
                Categories
                Research Article

                Immunology
                Immunology

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