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10.1097/MD.0000000000004803

http://scihub22266oqcxt.onion/10.1097/MD.0000000000004803
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suck abstract from ncbi


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pmid27603392
      Medicine+(Baltimore) 2016 ; 95 (36 ): e4803
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  • Increased GABA concentrations in type 2 diabetes mellitus are related to lower cognitive functioning #MMPMID27603392
  • van Bussel FCG ; Backes WH ; Hofman PAM ; Puts NAJ ; Edden RAE ; van Boxtel MPJ ; Schram MT ; Stehouwer CDA ; Wildberger JE ; Jansen JFA
  • Medicine (Baltimore) 2016[Sep]; 95 (36 ): e4803 PMID27603392 show ga
  • Type 2 diabetes mellitus is associated with accelerated cognitive decline. The underlying pathophysiological mechanisms still remain to be elucidated although it is known that insulin signaling modulates neurotransmitter activity, including inhibitory ?-aminobutyric acid (GABA) and excitatory glutamate (Glu) receptors. Therefore, we examined whether levels of GABA and Glu are related to diabetes status and cognitive performance.Forty-one participants with type 2 diabetes and 39 participants without type 2 diabetes underwent detailed cognitive assessments and 3-Tesla proton MR spectroscopy. The associations of neurotransmitters with type 2 diabetes and cognitive performance were examined using multivariate regression analyses controlling for age, sex, education, BMI, and percentage gray/white matter ratio in spectroscopic voxel.Analysis revealed higher GABA+ levels in participants with type 2 diabetes, in participants with higher fasting blood glucose levels and in participants with higher HbA1c levels, and higher GABA+ levels in participants with both high HbA1c levels and less cognitive performance.To conclude, participants with type 2 diabetes have alterations in the GABAergic neurotransmitter system, which are related to lower cognitive functioning, and hint at the involvement of an underlying metabolic mechanism.
  • |*Cognition [MESH]
  • |Aged [MESH]
  • |Blood Glucose/metabolism [MESH]
  • |Case-Control Studies [MESH]
  • |Cognitive Dysfunction/etiology/*metabolism [MESH]
  • |Diabetes Mellitus, Type 2/*physiopathology/*psychology [MESH]
  • |Female [MESH]
  • |Glutamic Acid/metabolism [MESH]
  • |Glycated Hemoglobin/metabolism [MESH]
  • |Gray Matter/diagnostic imaging/metabolism [MESH]
  • |Humans [MESH]
  • |Magnetic Resonance Imaging [MESH]
  • |Magnetic Resonance Spectroscopy [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Neuropsychological Tests [MESH]
  • |White Matter/diagnostic imaging/metabolism [MESH]


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