Frontiers in Endocrinology (May 2024)

Bridging metabolic syndrome and cognitive dysfunction: role of astrocytes

  • Zihan Li,
  • Zihan Li,
  • Ya-yi Jiang,
  • Ya-yi Jiang,
  • Caiyi Long,
  • Caiyi Long,
  • Xi Peng,
  • Xi Peng,
  • Jiajing Tao,
  • Jiajing Tao,
  • Yueheng Pu,
  • Yueheng Pu,
  • Rensong Yue,
  • Rensong Yue

DOI
https://doi.org/10.3389/fendo.2024.1393253
Journal volume & issue
Vol. 15

Abstract

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Metabolic syndrome (MetS) and cognitive dysfunction pose significant challenges to global health and the economy. Systemic inflammation, endocrine disruption, and autoregulatory impairment drive neurodegeneration and microcirculatory damage in MetS. Due to their unique anatomy and function, astrocytes sense and integrate multiple metabolic signals, including peripheral endocrine hormones and nutrients. Astrocytes and synapses engage in a complex dialogue of energetic and immunological interactions. Astrocytes act as a bridge between MetS and cognitive dysfunction, undergoing diverse activation in response to metabolic dysfunction. This article summarizes the alterations in astrocyte phenotypic characteristics across multiple pathological factors in MetS. It also discusses the clinical value of astrocytes as a critical pathologic diagnostic marker and potential therapeutic target for MetS-associated cognitive dysfunction.

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