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2017 ; 19
(4
): 921-930
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Blood-Brain Barriers in Obesity
#MMPMID28397097
Rhea EM
; Salameh TS
; Logsdon AF
; Hanson AJ
; Erickson MA
; Banks WA
AAPS J
2017[Jul]; 19
(4
): 921-930
PMID28397097
show ga
After decades of rapid increase, the rate of obesity in adults in the USA is
beginning to slow and the rate of childhood obesity is stabilizing. Despite these
improvements, the obesity epidemic continues to be a major health and financial
burden. Obesity is associated with serious negative health outcomes such as
cardiovascular disease, type II diabetes, and, more recently, cognitive decline
and various neurodegenerative dementias such as Alzheimer's disease. In the past
decade, major advancements have contributed to the understanding of the role of
the central nervous system (CNS) in the development of obesity and how peripheral
hormonal signals modulate CNS regulation of energy homeostasis. In this article,
we address how obesity affects the structure and function of the blood-brain
barrier (BBB), the impact of obesity on Alzheimer's disease, the effects of
obesity on circulating proteins and their transport into the brain, and how these
changes can potentially be reversed by weight loss.