The Role of Insulin/IGF-1/PI3K/Akt/GSK3β Signaling in Parkinson's Disease Dementia

• Published in: Frontiers in neuroscience Vol. 12; p. 73
• Main Authors: Yang, Liying, Wang, Hongyan, Liu, Lijun, Xie, Anmu
• Format: Journal Article
• Language: English
• Published: Switzerland Frontiers Research Foundation 20-02-2018; Frontiers Media S.A
• Subjects: 1-Phosphatidylinositol 3-kinase; Akt; AKT protein; Alzheimer's disease; Amyloid; Animal models; Cognitive ability; Dementia disorders; Dopamine; Glycogen synthase kinase β (GSK3β); Insulin; Insulin resistance; Insulin-like growth factor (IGF-I); Insulin-like growth factor I; Insulin-like growth factors; Kinases; Lewy bodies; Limbic system; Movement disorders; Neurodegeneration; Neurodegenerative diseases; Neuroscience; Parkinson's disease; Parkinson's disease dementia (PDD); Pathology; phosphoinositide 3 kinase (PI3k); Quality of life; Senile plaques; Spatial discrimination learning; Structure-function relationships; China; Parkinson's disease dementia (PDD); insulin; phosphoinositide 3 kinase (PI3k); tau; Insulin-like growth factor (IGF-I); Akt; α-synuclein; Glycogen synthase kinase β (GSK3β)
• ISSN: 1662-4548; 1662-453X; 1662-453X
• DOI: 10.3389/fnins.2018.00073

Dementia, a condition that frequently afflicts patients in advanced stages of Parkinson's disease (PD), results in decreased quality of life and survival time. Nevertheless, the pathological mechanisms underlying Parkinson's disease dementia (PDD) are not completely understood. The symptoms characteristic of PDD may be the result of functional and structural deficiencies. The present study implicates the accumulation of Lewy bodies in the cortex and limbic system as a potent trigger in the development of PDD. In addition, significant Alzheimer-type pathologies, including amyloid-β (Aβ) plaques and NFTs, are observed in almost half of PDD patients. Interestingly, links between PDD pathogenesis and the mechanisms underlying the development of insulin resistance have begun to emerge. Furthermore, previous studies have demonstrated that insulin treatment reduces amyloid plaques in Alzheimer's disease (AD), and normalizes the production and functionality of dopamine and ameliorates motor impairments in 6-OHDA-induced rat PD models. GSK3β, a downstream substrate of PI3K/Akt signaling following induction by insulin and IGF-1, exerts an influence on AD and PD physiopathology. The genetic overexpression of GSK3β in cortex and hippocampus results in signs of neurodegeneration and spatial learning deficits in
models (Lucas et al., 2001), whereas its inhibition results in improvements in cognitive impairment in these rodents, including AD and PD. Accordingly, insulin- or IGF-1-activated PI3K/Akt/GSK3β signaling may be involved in PDD pathogenesis, at least in the pathology of PD-type + AD-type.