Review Article

Is There Inflammatory Synergy in Type II Diabetes Mellitus and Alzheimer’s Disease?

Table 1

Inflammatory responses detected in the brain of Alzheimer’s disease and the pancreas of diabetes mellitus.

Disease-affected brain regions in Alzheimer’s disease patientsPancreas in T2DM patients

Elevated inflammatory markersCytokines (e.g., IL-1 , IL-1 , IL-6, TNF- ), chemokines (e.g., IL-8, MCP-1), acute phase proteins (e.g., ACT-1, Serum amyloid P), activated complement proteins (e.g., C3, C5a, C5b-9), and S100BCytokines (e.g., IL-1 , IL-6, TNF- ), chemokines (e.g., IL-8, IP-1, MCP-1, MIP-1 ), growth factor (G-CSF), S100B, and HMGB1

Immune cell infiltrationRare presence of lymphocytes or macrophagesIncreased macrophages, T-lymphocytes, and granulocytes

Involvement of pattern recognition receptors and major ligandsMSR-A, MSR-B, RAGE, TLR2, TLR4; amyloid beta, AGEMSR-A, MSR-B, RAGE, TLR2, TLR4: amylin, AGE, IP-10