Cerebrovascular complications of diabetes: focus on cognitive dysfunction

Clin Sci (Lond). 2016 Oct 1;130(20):1807-22. doi: 10.1042/CS20160397.

Abstract

The incidence of diabetes has more than doubled in the United States in the last 30 years and the global disease rate is projected to double by 2030. Cognitive impairment has been associated with diabetes, worsening quality of life in patients. The structural and functional interaction of neurons with the surrounding vasculature is critical for proper function of the central nervous system including domains involved in learning and memory. Thus, in this review we explore cognitive impairment in patients and experimental models, focusing on links to vascular dysfunction and structural changes. Lastly, we propose a role for the innate immunity-mediated inflammation in neurovascular changes in diabetes.

Keywords: cerebral vasculature; cognitive impairment; diabetes; vascular.

Publication types

  • Review
  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cerebrovascular Disorders / etiology
  • Cerebrovascular Disorders / psychology*
  • Cognition
  • Diabetes Complications / etiology
  • Diabetes Complications / immunology
  • Diabetes Complications / psychology*
  • Diabetes Mellitus / genetics
  • Diabetes Mellitus / immunology
  • Humans
  • Quality of Life