Insulin and disorders of behavioural flexibility

Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved..

Behavioural inflexibility is a symptom of neuropsychiatric and neurodegenerative disorders such as Obsessive-Compulsive Disorder, Autism Spectrum Disorder and Alzheimer's Disease, encompassing the maintenance of a behaviour even when no longer appropriate. Recent evidence suggests that insulin signalling has roles apart from its regulation of peripheral metabolism and mediates behaviourally-relevant central nervous system (CNS) functions including behavioural flexibility. Indeed, insulin resistance is reported to generate anxious, perseverative phenotypes in animal models, with the Type 2 diabetes medication metformin proving to be beneficial for disorders including Alzheimer's Disease. Structural and functional neuroimaging studies of Type 2 diabetes patients have highlighted aberrant connectivity in regions governing salience detection, attention, inhibition and memory. As currently available therapeutic strategies feature high rates of resistance, there is an urgent need to better understand the complex aetiology of behaviour and develop improved therapeutics. In this review, we explore the circuitry underlying behavioural flexibility, changes in Type 2 diabetes, the role of insulin in CNS outcomes and mechanisms of insulin involvement across disorders of behavioural inflexibility.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:150

Enthalten in:

Neuroscience and biobehavioral reviews - 150(2023) vom: 01. Juli, Seite 105169

Sprache:

Englisch

Beteiligte Personen:

Sullivan, Mairéad [VerfasserIn]
Fernandez-Aranda, Fernando [VerfasserIn]
Camacho-Barcia, Lucía [VerfasserIn]
Harkin, Andrew [VerfasserIn]
Macrì, Simone [VerfasserIn]
Mora-Maltas, Bernat [VerfasserIn]
Jiménez-Murcia, Susana [VerfasserIn]
O'Leary, Aet [VerfasserIn]
Ottomana, Angela Maria [VerfasserIn]
Presta, Martina [VerfasserIn]
Slattery, David [VerfasserIn]
Scholtz, Samantha [VerfasserIn]
Glennon, Jeffrey C [VerfasserIn]

Links:

Volltext

Themen:

Addiction
Alzheimer’s disease
Anorexia Nervosa
Autism spectrum disorder
IGF1
Insulin
Journal Article
Metformin
Neuropsychiatric disorders
Obesity
Obsessive-compulsive disorder
Parkinson’s disease
Research Support, Non-U.S. Gov't
Review
Type 2 diabetes

Anmerkungen:

Date Completed 05.06.2023

Date Revised 05.06.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.neubiorev.2023.105169

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM355635550