[HTML][HTML] Hyperglycemia modulates extracellular amyloid-β concentrations and neuronal activity in vivo

SL Macauley, M Stanley, EE Caesar… - The Journal of …, 2015 - Am Soc Clin Investig
SL Macauley, M Stanley, EE Caesar, SA Yamada, ME Raichle, R Perez, TE Mahan…
The Journal of clinical investigation, 2015Am Soc Clin Investig
Epidemiological studies show that patients with type 2 diabetes (T2DM) and individuals with
a diabetes-independent elevation in blood glucose have an increased risk for developing
dementia, specifically dementia due to Alzheimer's disease (AD). These observations
suggest that abnormal glucose metabolism likely plays a role in some aspects of AD
pathogenesis, leading us to investigate the link between aberrant glucose metabolism,
T2DM, and AD in murine models. Here, we combined two techniques—glucose clamps and …
Epidemiological studies show that patients with type 2 diabetes (T2DM) and individuals with a diabetes-independent elevation in blood glucose have an increased risk for developing dementia, specifically dementia due to Alzheimer’s disease (AD). These observations suggest that abnormal glucose metabolism likely plays a role in some aspects of AD pathogenesis, leading us to investigate the link between aberrant glucose metabolism, T2DM, and AD in murine models. Here, we combined two techniques—glucose clamps and in vivo microdialysis—as a means to dynamically modulate blood glucose levels in awake, freely moving mice while measuring real-time changes in amyloid-β (Aβ), glucose, and lactate within the hippocampal interstitial fluid (ISF). In a murine model of AD, induction of acute hyperglycemia in young animals increased ISF Aβ production and ISF lactate, which serves as a marker of neuronal activity. These effects were exacerbated in aged AD mice with marked Aβ plaque pathology. Inward rectifying, ATP-sensitive potassium (K ATP) channels mediated the response to elevated glucose levels, as pharmacological manipulation of K ATP channels in the hippocampus altered both ISF Aβ levels and neuronal activity. Taken together, these results suggest that K ATP channel activation mediates the response of hippocampal neurons to hyperglycemia by coupling metabolism with neuronal activity and ISF Aβ levels.
The Journal of Clinical Investigation