RT Journal Article T1 The Biomedical Uses of Inositols: A Nutraceutical Approach to Metabolic Dysfunction in Aging and Neurodegenerative Diseases A1 López-Gambero, Antonio J. A1 Sanjuan, Carlos A1 Serrano-Castro, Pedro Jesús A1 Suárez, Juan A1 Rodríguez de Fonseca, Fernando K1 Alzheimer’s disease K1 Psychiatric disease K1 Depression K1 Anxiety K1 Down’s syndrome K1 Inositol K1 Nutraceutical K1 Insulin signaling K1 Antioxidant K1 Aging K1 Enfermedad de Alzheimer K1 Trastornos mentales K1 Depresión K1 Ansiedad K1 Síndrome de Down K1 Suplementos dietéticos K1 Antioxidantes K1 Envejecimiento AB Inositols are sugar-like compounds that are widely distributed in nature and are a part of membrane molecules, participating as second messengers in several cell-signaling processes. Isolation and characterization of inositol phosphoglycans containing myo- or d-chiro-inositol have been milestones for understanding the physiological regulation of insulin signaling. Other functions of inositols have been derived from the existence of multiple stereoisomers, which may confer antioxidant properties. In the brain, fluctuation of inositols in extracellular and intracellular compartments regulates neuronal and glial activity. Myo-inositol imbalance is observed in psychiatric diseases and its use shows efficacy for treatment of depression, anxiety, and compulsive disorders. Epi- and scyllo-inositol isomers are capable of stabilizing non-toxic forms of β-amyloid proteins, which are characteristic of Alzheimer's disease and cognitive dementia in Down's syndrome, both associated with brain insulin resistance. However, uncertainties of the intrinsic mechanisms of inositols regarding their biology are still unsolved. This work presents a critical review of inositol actions on insulin signaling, oxidative stress, and endothelial dysfunction, and its potential for either preventing or delaying cognitive impairment in aging and neurodegenerative diseases. The biomedical uses of inositols may represent a paradigm in the industrial approach perspective, which has generated growing interest for two decades, accompanied by clinical trials for Alzheimer's disease. PB MDPI YR 2020 FD 2020-08-20 LK http://hdl.handle.net/10668/3618 UL http://hdl.handle.net/10668/3618 LA en NO López-Gambero AJ, Sanjuan C, Serrano-Castro PJ, Suárez J, Rodríguez de Fonseca F. The Biomedical Uses of Inositols: A Nutraceutical Approach to Metabolic Dysfunction in Aging and Neurodegenerative Diseases. Biomedicines. 2020 Aug 20;8(9):295 DS RISalud RD Apr 8, 2025