Document Detail


Ceramide-mediated insulin resistance and impairment of cognitive-motor functions.
MedLine Citation:
PMID:  20693650     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Obesity, type 2 diabetes mellitus (T2DM), and non-alcoholic steatohepatitis (NASH) are associated with cognitive impairment, brain insulin resistance, and neurodegeneration. Recent studies linked these effects to increased pro-ceramide gene expression in liver and increased ceramide levels in serum. Since ceramides are neurotoxic and cause insulin resistance, we directly examined the role of ceramides as mediators of impaired signaling and central nervous system function using an in vivo model. Long Evans rat pups were administered C2Cer:N-acetylsphinganine or its inactive dihydroceramide analog (C2DCer) by i.p. injection. Rats were subjected to rotarod and Morris water maze tests of motor and cognitive function, and livers and brains were examined for histopathology and integrity of insulin/IGF signaling. C2Cer treatment caused hyperglycemia, hyperlipidemia, and mild steatohepatitis, reduced brain lipid content, and increased ceramide levels in liver, brain, and serum. Quantitative RT-PCR analysis revealed significant alterations in expression of several genes needed for insulin and IGF-I signaling, and multiplex ELISAs demonstrated inhibition of signaling through the insulin or IGF-1 receptors, IRS-1, and Akt in both liver and brain. Ultimately, the toxic ceramides generated in peripheral sources such as liver or adipose tissue caused sustained impairments in neuro-cognitive function and insulin/IGF signaling needed for neuronal survival, plasticity, and myelin maintenance in the brain. These findings support our hypothesis that a liver/peripheral tissue-brain axis of neurodegeneration, effectuated by increased toxic lipid/ceramide production and transport across the blood-brain barrier, could mediate cognitive impairment in T2DM and NASH.
Authors:
Suzanne M de la Monte; Ming Tong; VanAnh Nguyen; Mashiko Setshedi; Lisa Longato; Jack R Wands
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of Alzheimer's disease : JAD     Volume:  21     ISSN:  1875-8908     ISO Abbreviation:  J. Alzheimers Dis.     Publication Date:  2010  
Date Detail:
Created Date:  2010-09-16     Completed Date:  2011-01-18     Revised Date:  2011-08-01    
Medline Journal Info:
Nlm Unique ID:  9814863     Medline TA:  J Alzheimers Dis     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  967-84     Citation Subset:  IM    
Affiliation:
Department of Pathology (Neuropathology), Rhode Island Hospital, Providence, RI 02903, USA. Suzanne_DeLaMonte_MD@Brown.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Animals
Brain / metabolism
Ceramides / metabolism*,  pharmacology*
Enzyme-Linked Immunosorbent Assay
Fatty Liver / chemically induced*,  metabolism
Hyperglycemia / chemically induced*,  metabolism
Insulin Resistance / physiology*
Liver / metabolism
Maze Learning / drug effects
Motor Skills / drug effects
Proto-Oncogene Proteins c-akt / genetics,  metabolism
Rats
Rats, Long-Evans
Receptor, IGF Type 1 / genetics,  metabolism
Receptor, Insulin / genetics,  metabolism
Reverse Transcriptase Polymerase Chain Reaction
Rotarod Performance Test
Statistics, Nonparametric
Grant Support
ID/Acronym/Agency:
AA11431/AA/NIAAA NIH HHS; AA12908/AA/NIAAA NIH HHS; K24 AA016126-03/AA/NIAAA NIH HHS; K24 AA016126-04/AA/NIAAA NIH HHS; K24 AA016126-05/AA/NIAAA NIH HHS; K24-AA16126/AA/NIAAA NIH HHS; R01 AA012908-06A1S1/AA/NIAAA NIH HHS; R01 AA012908-07/AA/NIAAA NIH HHS; R01 AA012908-08/AA/NIAAA NIH HHS; R37 AA011431-13/AA/NIAAA NIH HHS; R56 AA011431-12/AA/NIAAA NIH HHS
Chemical
Reg. No./Substance:
0/Ceramides; EC 2.7.10.1/Receptor, IGF Type 1; EC 2.7.10.1/Receptor, Insulin; EC 2.7.11.1/Proto-Oncogene Proteins c-akt

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Clinically different stages of Alzheimer's disease associated by amyloid deposition with [11C]-PIB P...
Next Document:  Refined structures of placental alkaline phosphatase show a consistent pattern of interactions at th...