A review.This review is focused on the mechanistic aspects of the insulin-induced H2O2 signaling pathway in neurons and the mols. affecting it, which act as risk factors for developing central insulin resistance.Insulin-induced H2O2 promotes insulin receptor activation and the mitochondria act as the insulin-sensitive H2O2 source, providing a direct mol. link between mitochondrial dysfunction and irregular insulin receptor activation.In this view, the accumulation of dysfunctional mitochondria during chronol. ageing and Alzheimer's disease (AD) is a risk factor that may contribute to the development of dysfunctional cerebral insulin receptor signaling and insulin resistance.Due to the high significance of insulin-induced H2O2 for insulin receptor activation, oxidative stress-induced upregulation of antioxidant enzymes, e.g., in AD brains, may represent another risk factor contributing to the development of insulin resistance.As insulin-induced H2O2 signaling requires fully functional mitochondria, pharmacol. strategies based on activating mitochondria biogenesis in the brain are central to the treatment of diseases associated with dysfunctional insulin receptor signaling in this organ.