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. Author manuscript; available in PMC: 2016 Jan 31.
Published in final edited form as: Acta Neuropathol. 2015 Jan 22;129(2):183–206. doi: 10.1007/s00401-015-1386-3

Fig. 3.

Fig. 3

Dysfunctional insulin signaling induced by AβOs provides one link to AD etiology. Diabetes causes a reduction in brain insulin and brain insulin signaling as well as an increase in glucose and lipids. This leads to an increase in Aβ production and a reduction in AβO clearance, causing a buildup of oligomers in the brain. As AβO levels rise, they bind synapses and cause neuronal damage, resulting in a decrease in insulin receptors and further reducing insulin signaling in brain cells. This vicious cycle results in cognitive failure and AD