Timing Matters: Circadian Effects on Energy Homeostasis and Alzheimer's Disease

Trends Endocrinol Metab. 2019 Feb;30(2):132-143. doi: 10.1016/j.tem.2018.12.001. Epub 2018 Dec 26.

Abstract

Metabolic syndrome and Alzheimer's disease (AD) are two major health issues in modern society causing an extraordinary financial burden for the global healthcare systems. A tight link between the pathologies of obesity and type 2 diabetes (T2D), and more recently between T2D and AD, has been discovered. Furthermore, in recent years it has become apparent that the circadian clock has an important function in controlling metabolism. This review integrates the role of the circadian clock in the development of these metabolic derangements and vice versa. Common features such as central insulin resistance, altered glycogen synthase kinase 3β (GSK3β) signalling, and central inflammation are discussed, and therapeutic interventions targeting those mechanisms are mentioned briefly.

Keywords: diabetes; hypothalamus; inflammation; insulin; leptin; signal transduction.

Publication types

  • Review

MeSH terms

  • Alzheimer Disease / metabolism*
  • Animals
  • Diabetes Mellitus, Type 2 / metabolism
  • Energy Metabolism / physiology
  • Humans
  • Signal Transduction / physiology