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Possible explanation for link between diabetes and Alzheimer's

People with type 2 diabetes are at increased risk of Alzheimer's disease and other adverse cognitive health issues. A new study conducted at by Umeå University, Sweden, shows that the reason for the correlation may be that people with type 2 diabetes have more difficulty getting rid of a protein that potentially increases the likelihood of contracting the disease.

"The results may be important for further research into possible treatments to counteract the risk of people with type 2 diabetes being affected by Alzheimer's," says Olov Rolandsson, senior professor at the Department of Public Health and Clinical Medicine at Umeå University, research leader and first author of the study.

The substances that the researchers have studied are two so-called beta-amyloids, which are among the most important components of the plaques found in the brains of people with Alzheimer's disease.

The researchers measured the concentrations in the blood of the beta-amyloids Aβ1-40 and Aβ1-42 as well as the enzyme that breaks down the beta-amyloids in a test group with type 2 diabetes and in a healthy control group. The two groups were given infusion of glucose for four hours, which induced acute hyperglycaemia among the participants in both groups, i.e. high blood sugar levels, after which repeated samples were taken from the subjects.

Immediately after the infusion of the sugar solution, the groups had similar values. Soon, the values of beta-amyloids fell sharply in the control group, while the values of the amyloid-degrading enzyme rose. Among the group with type 2 diabetes, there were no changes, i.e. the levels of beta-amyloid did not decrease, nor was there be an increase in the enzyme that breaks down amyloid.

The results indicate that the body in people with type 2 diabetes do not have the same ability as healthy people to take care of beta-amyloid, which could increase the risk that it is then stored in the brain and causes cognitive diseases such as Alzheimer's.

"More research is needed to confirm the results of this limited study. Hopefully, in the long term, it can also lead to new treatments. But the findings underline the importance of preventing type 2 diabetes as far as possible and that people who do have it should avoid having episodes of high blood sugar," says Olov Rolandsson.

The study was conducted on ten people with type 2 diabetes and eleven people without diabetes in the control group. The participants were aged 66–72 years.

The study is published in the scientific journal Journal of Alzheimer's Disease.

About the study
Acute Hyperglycemia Induced by Hyperglycemic Clamp Affects Plasma Amyloid-βin Type 2 Diabetes
Olov Rolandsson, Andreas Tornevi, Pär Steneberg, Helena Edlund, Tommy Olsson, Ulf Andreasson, Henrik Zetterberg, Kaj Blennow
DOI: 10.3233/JAD-230628

For more information, please contact:
Olov Rolandsson
Department of Public Health and Clinical Medicine, Umeå University
Phone: +46 90 785 35 71
Cell phone: +46 70 590 20 52
olov.rolandsson@umu.se

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Umeå University
Umeå University is one of Sweden’s largest institutions of higher education with over 37,000 students and 4,300 faculty and staff. The university is home to a wide range of high-quality education programmes and world-class research in a number of fields. Umeå University was also where the revolutionary gene-editing tool CRISPR-Cas9 was discovered that has been awarded the Nobel Prize in Chemistry.

At Umeå University, distances are short. The university's unified campus encourages academic meetings, an exchange of ideas and interdisciplinary co-operation, and promotes a dynamic and open culture in which students and staff rejoice in the success of others.

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Ola Nilsson

Ola Nilsson

Communication Officer The Medical Faculty +46 90 786 69 82

Umeå University

Umeå University is one of Sweden's largest universities with over 37,000 students and 4,300 employees. The university is home to a wide range of education programmes and world-class research in a number of fields. Umeå University was also where the gene-editing tool CRISPR-Cas9 was discovered – a revolution in gene-technology that was awarded the 2020 Nobel Prize in Chemistry.

Founded in 1965, Umeå University is characterised by tradition and stability as well as innovation and change. Education and research on a high international level contributes to new knowledge of global importance, inspired, among other things, by the 2030 Agenda for Sustainable Development. The university houses creative and innovative people that take on societal challenges. Through long-term collaboration with organisations, trade and industry, and other universities, Umeå University continues to develop northern Sweden as a knowledge region.

The international atmosphere at the university and its unified campus encourages academic meetings, an exchange of ideas and interdisciplinary co-operation. The cohesive environment enables a strong sense of community and a dynamic and open culture in which students and staff rejoice in the success of others.

Campus Umeå and Umeå Arts Campus are only a stone's throw away from Umeå town centre and are situated next to one of Sweden's largest and most well-renowned university hospitals. The university also has campuses in the neighbouring towns Skellefteå and Örnsköldsvik.

At Umeå University, you will also find the highly-ranked Umeå Institute of Design, the environmentally certified Umeå School of Business, Economics and Statistics and the only architectural school with an artistic orientation – Umeå School of Architecture. The university also hosts a contemporary art museum Bildmuseet and Umeå's science centre – Curiosum. Umeå University is one of Sweden's five national sports universities and hosts an internationally recognised Arctic Research Centre.