In addition, increasing evidence has suggested that insulin could cross the blood-brain barrier and affect several processes in the brain, including neuronal survival and growth, DA transmission, maintenance of synapses, and pathways involved in cognition; moreover, a process analogous to the peripheral insulin resistance occurs in the brain of patients with PD, even in those without diabetes, demonstrating that the insulin signaling pathway was a potential target for PD [30]. This evidence concerns the gene INS and Parkinson disease.