Neuronal extracellular vesicle biomarkers of dysregulated insulin signaling and Alzheimer’s disease are strongly associated in prediabetes and type 2 diabetes

In individuals with PreD/T2D, NEV-associated AD/ADRD biomarkers were more strongly associated with dysregulated insulin signaling mediators in NEVs than those in TEVs. Strong correlations were observed for NEV-associated pS636-IRS-1 and pS473-Akt with p -tau217 and Aβ<sub>42</sub>, suggesting a link between dysregulated neuronal insulin signaling and AD/ADRD pathophysiology. Future studies will determine how these relationships relate to metabolic and cognitive measures.

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Publication Details

Journal
Alzheimer s & Dementia
Published
2025-12-01
DOI
https://doi.org/10.1002/alz70861_108176
Primary Topic
Extracellular vesicles in disease
Type
article
Field-Weighted Citation Impact
0.00
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article

Neuronal extracellular vesicle biomarkers of dysregulated insulin signaling and Alzheimer’s disease are strongly associated in prediabetes and type 2 diabetes

Darlène Antoine, Owen Carmichael, Maja Mustapić, José A. Luchsinger et al.
Alzheimer s & Dementia
Extracellular vesicles in disease
article

Neuronal extracellular vesicle biomarkers of dysregulated insulin signaling and Alzheimer’s disease are strongly associated in prediabetes and type 2 diabetes

Darlène Antoine, Owen Carmichael, Maja Mustapić, José A. Luchsinger, Marinella Temprosa, Vallabh O. Shah, Steven E. Kahn, Pandora L. Wander, Saswat Sahoo, Alexander Daskalopoulos, Dana Dabelea, Blandine Laferrère, Dimitrios Kapogiannis, Tushar Dubey
article en

Abstract

In individuals with PreD/T2D, NEV-associated AD/ADRD biomarkers were more strongly associated with dysregulated insulin signaling mediators in NEVs than those in TEVs. Strong correlations were observed for NEV-associated pS636-IRS-1 and pS473-Akt with p -tau217 and Aβ<sub>42</sub>, suggesting a link between dysregulated neuronal insulin signaling and AD/ADRD pathophysiology. Future studies will determine how these relationships relate to metabolic and cognitive measures.

Alzheimer s & DementiaVol. 21(S7)
Pennington Biomedical Research Center (US), Colorado School of Public Health (US), University of New Mexico (US), George Washington University (US), University of Washington (US), Columbia University Irving Medical Center (US), Cleveland Clinic Lerner College of Medicine (US), National Institute on Aging (US)
Openalex Percentile: Top 36%
Extracellular vesicles in disease
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