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Type 2 Diabetes and Blood Brain Barrier Improvement

NCT06322212

EARLY_PHASE1INTERVENTIONAL
University of California, Los Angeles
52 participants
Started 2024-08-01 · Completed 2026-04-30
Status: Recruiting (as of 12-23-2025)

Conditions

Type2diabetes

Linked Papers (from SciSciNet-V2)

Total Papers117
Background
117
Result
0
Derived
0
Unknown
0

Total Citations Per Year

Brief Summary

The majority of T2DM adults show thiamine (vitamin B1) deficiency which may contribute to impaired function. This study will examine patients with T2DM through brain MRI scans, cognition assessments, blood tests, and questionnaires. Our goal is to see if a thiamine treatment (taking vitamin B1 capsules) can improve function. Patients will be asked to come to UCLA two times three months apart and each visit will last about 2.5-3 hours.

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Background Papers117

LOSS OF RECENT MEMORY AFTER BILATERAL HIPPOCAMPAL LESIONS
1957
7,145 citations
Saliency, switching, attention and control: a network model of insula function
2010
4,892 citations
The Neurocircuitry of Fear, Stress, and Anxiety Disorders
2009
1,835 citations
Projection of the year 2050 burden of diabetes in the US adult population: dynamic modeling of incidence, mortality, and prediabetes prevalence
2010
1,262 citations
The Subgenual Anterior Cingulate Cortex in Mood Disorders
2008
1,020 citations
Distinct Cerebellar Contributions to Intrinsic Connectivity Networks
2009
1,012 citations
Decoding the Role of the Insula in Human Cognition: Functional Parcellation and Large-Scale Reverse Inference
2012
846 citations
Brain Connectivity Related to Working Memory Performance
2006
844 citations
Interoception in anxiety and depression
2010
768 citations
Segregated Fronto-Cerebellar Circuits Revealed by Intrinsic Functional Connectivity
2009
757 citations
Cognitive Dysfunction and Diabetes Mellitus
2008
744 citations
Fractionating the Default Mode Network: Distinct Contributions of the Ventral and Dorsal Posterior Cingulate Cortex to Cognitive Control
2011
737 citations
Common neurodegenerative pathways in obesity, diabetes, and Alzheimer's disease
2016
551 citations
The Role of Neural Plasticity in Depression: From Hippocampus to Prefrontal Cortex
2017
501 citations
Brain Atrophy in Type 2 Diabetes
2013
450 citations
Role of the anterior insula in task-level control and focal attention
2010
428 citations
The role of the hippocampus in flexible cognition and social behavior
2014
411 citations
Increased blood-brain barrier permeability in type II diabetes demonstrated by gadolinium magnetic resonance imaging
2002
398 citations
The Roles of the Caudate Nucleus in Human Classification Learning
2005
396 citations
Type 2 diabetes mellitus: From a metabolic disorder to an inflammatory condition
2015
394 citations
Prefrontal cortex and flexible cognitive control: Rules without symbols
2005
387 citations
Seeking a unified framework for cerebellar function and dysfunction: from circuit operations to cognition
2013
370 citations
A convergent functional architecture of the insula emerges across imaging modalities
2012
365 citations
Brain Structural Changes in Obstructive Sleep Apnea
2008
359 citations
A Review of the Biochemistry, Metabolism and Clinical Benefits of Thiamin(e) and Its Derivatives
2006
344 citations
Prevalence of obesity in type 2 diabetes in secondary care: association with cardiovascular risk factors
2006
323 citations
Functional anatomy of ventromedial prefrontal cortex: implications for mood and anxiety disorders
2011
318 citations
Influence of Hyperglycemia on Oxidative Stress and Matrix Metalloproteinase-9 Activation After Focal Cerebral Ischemia/Reperfusion in Rats
2007
288 citations
Randomized, Double-Blind, Placebo-Controlled Trial of Thiamine as a Metabolic Resuscitator in Septic Shock
2016
250 citations
High prevalence of low plasma thiamine concentration in diabetes linked to a marker of vascular disease
2007
247 citations
Diabetes Mellitus and Blood-Brain Barrier Dysfunction: An Overview
2014
245 citations
A 4 year follow-up study of cognitive functioning in patients with type 2 diabetes mellitus
2009
237 citations
Specificity in the Projections of Prefrontal and Insular Cortex to Ventral Striatopallidum and the Extended Amygdala
2005
231 citations
Chronic kidney disease in US adults with type 2 diabetes: an updated national estimate of prevalence based on Kidney Disease: Improving Global Outcomes (KDIGO) staging
2014
223 citations
Microstructural White Matter Abnormalities and Cognitive Functioning in Type 2 Diabetes
2012
210 citations
Cingulate Activation Increases Dynamically with Response Speed under Stimulus Unpredictability
2006
209 citations
The Human Hippocampus: Cognitive Maps or Relational Memory?
2005
203 citations
Metabolic and vascular determinants of impaired cognitive performance and abnormalities on brain magnetic resonance imaging in patients with type 2 diabetes
2007
196 citations
Role of the Blood-Brain Barrier in Central Nervous System Insulin Resistance
2019
196 citations
Reduced Brain Gray Matter Concentration in Patients With Obstructive Sleep Apnea Syndrome
2010
192 citations
High dose steroids in acute relapses of multiple sclerosis: MRI evidence for a possible mechanism of therapeutic effect.
1992
190 citations
White Matter Integrity in Obstructive Sleep Apnea before and after Treatment
2014
189 citations
Cognition–Emotion Integration in the Anterior Insular Cortex
2012
171 citations
Neurological, Psychiatric, and Biochemical Aspects of Thiamine Deficiency in Children and Adults
2019
171 citations
Anxious/Depressed Symptoms are Linked to Right Ventromedial Prefrontal Cortical Thickness Maturation in Healthy Children and Young Adults
2013
170 citations
Relationship between Obstructive Sleep Apnea Severity and Sleep, Depression and Anxiety Symptoms in Newly-Diagnosed Patients
2010
165 citations
Type 2 diabetes as a risk factor for cognitive impairment: current insights
2014
162 citations
Role of Peripheral Inflammatory Markers in Postoperative Cognitive Dysfunction (POCD): A Meta-Analysis
2013
162 citations
Cognition in the Early Stage of Type 2 Diabetes
2009
161 citations
Alzheimer’s Disease and Type 2 Diabetes: Multiple Mechanisms Contribute to Interactions
2014
160 citations
An insula-frontostriatal network mediates flexible cognitive control by adaptively predicting changing control demands
2015
148 citations
Diabetic Retinopathy and Cognitive Decline in Older People With Type 2 Diabetes
2010
144 citations
Effects of Type 2 Diabetes on 12-Year Cognitive Change
2012
142 citations
Caffeine blocks disruption of blood brain barrier in a rabbit model of Alzheimer's disease
2008
140 citations
Claudin-1 induced sealing of blood–brain barrier tight junctions ameliorates chronic experimental autoimmune encephalomyelitis
2011
136 citations
Type 2 Diabetes and Cognitive Decline in Middle-Aged Men and Women
2010
131 citations
Altered global and regional brain mean diffusivity in patients with obstructive sleep apnea
2012
129 citations
The impact of cognitive functioning on mortality and the development of functional disability in older adults with diabetes: the second longitudinal study on aging
2006
119 citations
Mapping water exchange across the blood–brain barrier using 3D diffusion‐prepared arterial spin labeled perfusion MRI
2018
110 citations
Prevalence and Risk Factors of Chronic Kidney Disease among Type 2 Diabetes Patients: A Cross-Sectional Study in Primary Care Practice
2020
109 citations
Neural Alterations and Depressive Symptoms in Obstructive Sleep Apnea Patients
2008
107 citations
Regional brain axial and radial diffusivity changes during development
2011
99 citations
Vascular Pathology and Blood-Brain Barrier Disruption in Cognitive and Psychiatric Complications of Type 2 Diabetes Mellitus
2011
94 citations
Abnormal Myelin and Axonal Integrity in Recently Diagnosed Patients with Obstructive Sleep Apnea
2014
85 citations
The Effect of Maintaining Cognition on Risk of Disability and Death
2010
84 citations
The influence of cognition on self-management of type 2 diabetes in older people
2016
83 citations
Emotional and neutral declarative memory impairments and associated white matter microstructural abnormalities in adults with type 2 diabetes
2009
83 citations
Cerebral perfusion alterations in type 2 diabetes and its relation to insulin resistance and cognitive dysfunction
2016
83 citations
Early Brain Injury Alters the Blood–Brain Barrier Phenotype in Parallel with β-Amyloid and Cognitive Changes in Adulthood
2012
82 citations
Sex Differences in White Matter Alterations Accompanying Obstructive Sleep Apnea
2012
80 citations
A two‐stage approach for measuring vascular water exchange and arterial transit time by diffusion‐weighted perfusion MRI
2011
80 citations
High-dose Parenteral Thiamine in Treatment of Wernicke’s Encephalopathy: Case Series and Review of the Literature
2017
75 citations
Neural alterations associated with anxiety symptoms in obstructive sleep apnea syndrome
2008
74 citations
Type 2 Diabetes and Cognitive Impairment
2014
72 citations
Use of dynamic contrast-enhanced MRI to measure subtle blood–brain barrier abnormalities
2010
68 citations
Cognitive Decline and Mortality in a Community‐Based Cohort: The Monongahela Valley Independent Elders Survey
2008
62 citations
Chronic type 2 diabetes reduces the integrity of the blood-brain barrier by reducing tight junction proteins in the hippocampus
2016
62 citations
Association Between Cognitive Function and Social Support with Glycemic Control in Adults with Diabetes Mellitus
2009
62 citations
Brain axial and radial diffusivity changes with age and gender in healthy adults
2013
62 citations
Regional Brain Gray Matter Changes in Patients with Type 2 Diabetes Mellitus
2020
61 citations
Increasing Ang1/Tie2 expression by simvastatin treatment induces vascular stabilization and neuroblast migration after stroke
2008
60 citations
Water Exchange across the Blood‐Brain Barrier in Obstructive Sleep Apnea: An MRI Diffusion‐Weighted Pseudo‐Continuous Arterial Spin Labeling Study
2015
59 citations
Heart Rate Responses to Autonomic Challenges in Obstructive Sleep Apnea
2013
58 citations
Effect of chronic kidney disease on the expression of thiamin and folic acid transporters
2010
57 citations
Brain putamen volume changes in newly-diagnosed patients with obstructive sleep apnea
2014
56 citations
Common medications used by patients with type 2 diabetes mellitus: what are their effects on the lipid profile?
2016
55 citations
A Diffusion Tensor Imaging Study on White Matter Abnormalities in Patients with Type 2 Diabetes Using Tract-Based Spatial Statistics
2016
54 citations
Verbal memory impairment after left insular cortex infarction
1999
51 citations
Validity of the Montreal Cognitive Assessment Screener in Adolescents and Young Adults With and Without Congenital Heart Disease
2017
51 citations
Blood–Brain Barrier Imaging in Human Neuropathologies
2014
49 citations
Should we be anxious when assessing anxiety using the Beck Anxiety Inventory in clinical insomnia patients?
2011
49 citations
Insular Cortex Metabolite Changes in Obstructive Sleep Apnea
2014
43 citations
Magnetic resonance imaging of blood–brain barrier permeability in ischemic stroke using diffusion-weighted arterial spin labeling in rats
2016
42 citations
Associations between diabetes self-management and microvascular complications in patients with type 2 diabetes
2016
41 citations
Neural substrates of verbal memory impairments in adults with type 2 diabetes mellitus
2014
41 citations
Vascular recovery promoted by atorvastatin and simvastatin after experimental intracerebral hemorrhage: magnetic resonance imaging and histological study
2010
39 citations
Global and regional putamen volume loss in patients with heart failure
2011
37 citations
Amygdala volume linked to individual differences in mental state inference in early childhood and adulthood
2013
35 citations
Development of T2-relaxation values in regional brain sites during adolescence
2010
33 citations
Brain abnormalities in cognition, anxiety, and depression regulatory regions in adolescents with single ventricle heart disease
2018
32 citations
Prevalence and risk factors of chronic kidney disease among Palestinian type 2 diabetic patients: a cross-sectional study
2020
27 citations
Associations between brain white matter integrity and disease severity in obstructive sleep apnea
2016
27 citations
Perceived cognitive deficits are associated with diabetes self-management in a multiethnic sample
2017
25 citations
Reduced caudate nuclei volumes in patients with congenital central hypoventilation syndrome
2009
24 citations
Measurement of Blood-Brain Barrier Permeability with T1-Weighted Dynamic Contrast-Enhanced MRI in Brain Tumors: A Comparative Study with Two Different Algorithms
2013
24 citations
Thiamine Level in Type I and Type II Diabetes Mellitus Patients: A Comparative Study Focusing on Hematological and Biochemical Evaluations
2020
23 citations
Global and Regional Brain Non-Gaussian Diffusion Changes in Newly Diagnosed Patients with Obstructive Sleep Apnea
2015
23 citations
Effects of Type 2 Diabetes on Brain Structure and Cognitive Function: African American–Diabetes Heart Study MIND
2015
18 citations
Metabolite Differences in the Lenticular Nucleus in Type 2 Diabetes Mellitus Shown by Proton MR Spectroscopy
2013
17 citations
Characteristics of neuropsychological functions in inpatients with poorly‐controlled type 2 diabetes mellitus
2011
16 citations
Regional brain gray matter changes in adolescents with single ventricle heart disease
2017
14 citations
Life expectancy with and without cognitive impairment by diabetes status among older Americans
2017
14 citations
Wernicke’s Encephalopathy and Korsakoff’s Syndrome Revisited
2012
13 citations
Non-Gaussian Diffusion Imaging Shows Brain Myelin and Axonal Changes in Obstructive Sleep Apnea
2016
13 citations
Wernicke’s Encephalopathy, Wet Beriberi, and Polyneuropathy in a Patient with Folate and Thiamine Deficiency Related to Gastric Phytobezoar
2015
13 citations
Ginseng Extracts, GS-KG9 and GS-E3D, Prevent Blood–Brain Barrier Disruption and Thereby Inhibit Apoptotic Cell Death of Hippocampal Neurons in Streptozotocin-Induced Diabetic Rats
2020
11 citations
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