2014
DOI: 10.2174/1567205011666141107124538
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Islet Amyloid Polypeptide (IAPP): A Second Amyloid in Alzheimer's Disease

Abstract: Amyloid formation is the pathological hallmark of type 2 diabetes (T2D) and Alzheimer's disease (AD). These diseases are marked by extracellular amyloid deposits of islet amyloid polypeptide (IAPP) in the pancreas and amyloid β (Aβ) in the brain. Since IAPP may enter the brain and disparate amyloids can cross-seed each other to augment amyloid formation, we hypothesized that pancreatic derived IAPP may enter the brain to augment misfolding of Aβ in AD. The corollaries for validity of this hypothesis are that I… Show more

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Cited by 86 publications
(97 citation statements)
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“…This idea is supported by in vitro studies showing that IAPP and Aβ can cross-seed each other, stimulating amyloid formation [152,153]. In addition, IAPP has been found associated to amyloid plaques in AD patients [153]. Further, Aβ deposits and hyperphosphorylated tau, hallmark features of AD, have been reported in the islets of T2D patients [154], and the majority of Aβ colocalized with IAPP aggregates in severely affected areas.…”
Section: Iapp Aggregates In Non-pancreatic Tissuesmentioning
confidence: 93%
See 1 more Smart Citation
“…This idea is supported by in vitro studies showing that IAPP and Aβ can cross-seed each other, stimulating amyloid formation [152,153]. In addition, IAPP has been found associated to amyloid plaques in AD patients [153]. Further, Aβ deposits and hyperphosphorylated tau, hallmark features of AD, have been reported in the islets of T2D patients [154], and the majority of Aβ colocalized with IAPP aggregates in severely affected areas.…”
Section: Iapp Aggregates In Non-pancreatic Tissuesmentioning
confidence: 93%
“…Another interesting possibility is that misfolded proteins implicated in AD and T2D may interact between each other, promoting their heterologous seeding and accelerating the pathological onset [149]. This idea is supported by in vitro studies showing that IAPP and Aβ can cross-seed each other, stimulating amyloid formation [152,153]. In addition, IAPP has been found associated to amyloid plaques in AD patients [153].…”
Section: Iapp Aggregates In Non-pancreatic Tissuesmentioning
confidence: 99%
“…These results [10] were interpreted as a possible effect of IR, which is common in aging. Notably, two other laboratories [11,12] independently demonstrated amylin deposition [11,12] and amylin-Aβ plaque formation [12] in brains of dementia patients. However, the potential link between brain amylin deposition and increased risk of cognitive decline has not been systematically evaluated.…”
mentioning
confidence: 99%
“…Some data suggest that amylin may play a vital role at the interface between peripheral and neurodegenerative disorders, and that amylin and Aβ interact in the brain [51]. Evidence to support the latter includes PIAPP being present in human cerebrospinal fluid (CSF), synthetic PIAPP promoting Aβ oligomerization in vitro and endogenous IAPP localizing to Aβ oligomers and plaques [52]. While higher levels of blood amylin are associated with higher BMI, lower blood levels of amylin have been observed in adults with more severe forms of cognitive impairment, such as dementia [18].…”
Section: Discussionmentioning
confidence: 99%