A therapeutic or physiological intervention aimed at restoring the optimal rate and direction of glycolysis, the metabolic pathway that converts glucose into pyruvate, particularly within the central nervous system or other metabolically flexible tissues. This correction addresses the common age-related decline or dysregulation in glucose utilization, ensuring adequate energy substrate is available for cellular function. It is a core strategy in reversing states of regional cerebral hypometabolism.
Origin
This term is derived from cellular metabolism and clinical research into metabolic disorders, recognizing that impaired glucose processing is a hallmark of many chronic diseases and cognitive decline. The “correction” aspect emphasizes a deliberate action to fix a deviation from the healthy, efficient rate of energy flow. It is intrinsically linked to insulin sensitivity and mitochondrial health.
Mechanism
Correction is mechanistically achieved by enhancing the activity of key rate-limiting glycolytic enzymes, such as phosphofructokinase, or by improving glucose transporter (GLUT) expression and function on the cell membrane. Hormonal optimization, particularly of insulin and certain thyroid hormones, can significantly influence this flux by modulating the cellular uptake of glucose. The overall goal is to increase the flow of carbon substrates through the glycolytic pathway to meet the high energetic demands of neuronal activity and synaptic transmission.
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