Signal Transduction and Targeted Therapy,
Journal Year:
2024,
Volume and Issue:
9(1)
Published: Aug. 23, 2024
Abstract
Alzheimer’s
disease
(AD)
stands
as
the
predominant
form
of
dementia,
presenting
significant
and
escalating
global
challenges.
Its
etiology
is
intricate
diverse,
stemming
from
a
combination
factors
such
aging,
genetics,
environment.
Our
current
understanding
AD
pathologies
involves
various
hypotheses,
cholinergic,
amyloid,
tau
protein,
inflammatory,
oxidative
stress,
metal
ion,
glutamate
excitotoxicity,
microbiota-gut-brain
axis,
abnormal
autophagy.
Nonetheless,
unraveling
interplay
among
these
pathological
aspects
pinpointing
primary
initiators
require
further
elucidation
validation.
In
past
decades,
most
clinical
drugs
have
been
discontinued
due
to
limited
effectiveness
or
adverse
effects.
Presently,
available
primarily
offer
symptomatic
relief
often
accompanied
by
undesirable
side
However,
recent
approvals
aducanumab
(
1
)
lecanemab
2
Food
Drug
Administration
(FDA)
present
potential
in
disrease-modifying
Nevertheless,
long-term
efficacy
safety
need
Consequently,
quest
for
safer
more
effective
persists
formidable
pressing
task.
This
review
discusses
pathogenesis,
advances
diagnostic
biomarkers,
latest
updates
trials,
emerging
technologies
drug
development.
We
highlight
progress
discovery
selective
inhibitors,
dual-target
allosteric
modulators,
covalent
proteolysis-targeting
chimeras
(PROTACs),
protein-protein
interaction
(PPI)
modulators.
goal
provide
insights
into
prospective
development
application
novel
drugs.
International Journal of Nanomedicine,
Journal Year:
2019,
Volume and Issue:
Volume 14, P. 5541 - 5554
Published: July 1, 2019
Abstract:
Currently,
47
million
people
live
with
dementia
globally,
and
it
is
estimated
to
increase
more
than
threefold
(∼131
million)
by
2050.
Alzheimer's
disease
(AD)
one
of
the
major
causative
factors
induce
progressive
dementia.
AD
a
neurodegenerative
disease,
its
pathogenesis
has
been
attributed
extracellular
aggregates
amyloid
β
(Aβ)
plaques
intracellular
neurofibrillary
tangles
made
hyperphosphorylated
τ-protein
in
cortical
limbic
areas
human
brain.
It
characterized
memory
loss
neurocognitive
dysfunction.
The
anomalous
processing
APP
β-secretases
γ-secretases
leads
production
Aβ
40
42
monomers,
which
further
oligomerize
aggregate
into
senile
plaques.
also
intensifies
through
infectious
agents
like
HIV.
Additionally,
during
pathogenesis,
presence
high
concentrations
peptides
central
nervous
system
initiates
microglial
infiltration.
Upon
coming
vicinity
Aβ,
microglia
get
activated,
endocytose
contribute
toward
their
clearance
via
TREM2
surface
receptors,
simultaneously
triggering
innate
immunoresponse
against
aggregation.
In
addition
detailed
report
on
leading
AD,
present
review
discusses
current
state
art
therapeutics
diagnostics,
including
labeling
imaging
techniques
employed
as
contrast
for
better
visualization
sensing
points
an
urgent
need
nanotechnology
efficient
therapeutic
strategy
bioavailability
drugs
system.
Keywords:
beta,
amyloidogenesis,
precursor
proteins,
β-secretases,
γ-secretases,
tau
phosphorylation
Journal of Alzheimer s Disease,
Journal Year:
2017,
Volume and Issue:
58(1), P. 1 - 15
Published: March 31, 2017
The
gut
microbiota
comprises
a
complex
community
of
microorganism
species
that
resides
in
our
gastrointestinal
ecosystem
and
whose
alterations
influence
not
only
various
disorders
but
also
central
nervous
system
such
as
Alzheimer's
disease
(AD).
AD,
the
most
common
form
dementia,
i
s
neurodegenerative
disorder
associated
with
impaired
cognition
cerebral
accumulation
amyloid-β
peptides
(Aβ).
Most
notably,
microbiota-gut-brain
axis
is
bidirectional
communication
fully
understood,
includes
neural,
immune,
endocrine,
metabolic
pathways.
Studies
germ-free
animals
exposed
to
pathogenic
microbial
infections,
antibiotics,
probiotics,
or
fecal
transplantation
suggest
role
for
host
AD-related
pathogenesis.
increased
permeability
blood-brain
barrier
induced
by
dysbiosis
may
mediate
affect
AD
pathogenesis
other
disorders,
especially
those
aging.
In
addition,
bacteria
populating
can
secrete
large
amounts
amyloids
lipopolysaccharides,
which
might
contribute
modulation
signaling
pathways
production
proinflammatory
cytokines
AD.
Moreover,
imbalances
induce
inflammation
obesity,
type
2
diabetes
mellitus,
purpose
this
review
summarize
discuss
current
findings
elucidate
development
Understanding
underlying
mechanisms
provide
new
insights
into
novel
therapeutic
strategies
ACS Nano,
Journal Year:
2016,
Volume and Issue:
10(2), P. 2860 - 2870
Published: Feb. 4, 2016
Mitochondrial
oxidative
stress
is
a
key
pathologic
factor
in
neurodegenerative
diseases,
including
Alzheimer's
disease.
Abnormal
generation
of
reactive
oxygen
species
(ROS),
resulting
from
mitochondrial
dysfunction,
can
lead
to
neuronal
cell
death.
Ceria
(CeO2)
nanoparticles
are
known
function
as
strong
and
recyclable
ROS
scavengers
by
shuttling
between
Ce(3+)
Ce(4+)
oxidation
states.
Consequently,
targeting
ceria
selectively
mitochondria
might
be
promising
therapeutic
approach
for
diseases.
Here,
we
report
the
design
synthesis
triphenylphosphonium-conjugated
that
localize
suppress
death
5XFAD
transgenic
disease
mouse
model.
The
mitigate
gliosis
morphological
damage
observed
these
mice.
Altogether,
our
data
indicate
potential
candidate
Acta Neuropathologica,
Journal Year:
2018,
Volume and Issue:
136(6), P. 821 - 853
Published: Nov. 28, 2018
Alzheimer's
disease
(AD)
is
a
progressive
neurodegenerative
with
complex
and
heterogeneous
pathophysiology.
The
number
of
people
living
AD
predicted
to
increase;
however,
there
are
no
disease-modifying
therapies
currently
available
none
have
been
successful
in
late-stage
clinical
trials.
Fluid
biomarkers
measured
cerebrospinal
fluid
(CSF)
or
blood
hold
promise
for
enabling
more
effective
drug
development
establishing
personalized
medicine
approach
diagnosis
treatment.
Biomarkers
used
programmes
should
be
qualified
specific
context
use
(COU).
These
COUs
include,
but
not
limited
to,
subject/patient
selection,
assessment
state
and/or
prognosis,
mechanism
action,
dose
optimization,
response
monitoring,
efficacy
maximization,
toxicity/adverse
reactions
identification
minimization.
core
CSF
Aβ42,
t-tau,
p-tau
recognized
by
research
guidelines
their
diagnostic
utility
being
considered
qualification
subject
selection
However,
need
better
understand
potential
other
COUs,
as
well
identify
additional
reflecting
aspects
Several
novel
proposed,
role
pathology
yet
validated.
In
this
review,
we
summarize
some
the
pathological
mechanisms
implicated
sporadic
highlight
data
several
established
(including
BACE1,
TREM2,
YKL-40,
IP-10,
neurogranin,
SNAP-25,
synaptotagmin,
α-synuclein,
TDP-43,
ferritin,
VILIP-1,
NF-L)
associated
each
mechanism.
We
discuss
biomarker.
Journal of Neurochemistry,
Journal Year:
2016,
Volume and Issue:
138(6), P. 785 - 805
Published: June 23, 2016
Abstract
Synapses
are
essential
components
of
neurons
and
allow
information
to
travel
coordinately
throughout
the
nervous
system
adjust
behavior
environmental
stimuli
control
body
functions,
memories,
emotions.
Thus,
optimal
synaptic
communication
is
required
for
proper
brain
physiology,
slight
perturbations
synapse
function
can
lead
disorders.
In
fact,
increasing
evidence
has
demonstrated
relevance
dysfunction
as
a
major
determinant
many
neurological
diseases.
This
notion
led
concept
synaptopathies
diseases
with
defects
shared
pathogenic
features.
this
review,
which
was
initiated
at
13th
International
Society
Neurochemistry
Advanced
School,
we
discuss
basic
concepts
structure
function,
provide
critical
view
how
aberrant
physiology
may
contribute
neurodevelopmental
disorders
(autism,
Down
syndrome,
startle
disease,
epilepsy)
well
neurodegenerative
(Alzheimer
Parkinson
disease).
We
finally
appropriateness
potential
implications
gathering
under
single
term.
Understanding
common
causes
intrinsic
differences
in
disease‐associated
could
offer
novel
clues
toward
synapse‐based
therapeutic
intervention
neuropsychiatric
image
Review,
(
ISN
)
(Alzheimer's
Parkinson's
diseases),
gathered
together
term
synaptopathies.
Read
Editorial
Highlight
article
on
page
783
.
Frontiers in Aging Neuroscience,
Journal Year:
2018,
Volume and Issue:
10
Published: April 25, 2018
Amyloid-ß
(Aß)
is
best
known
as
the
misfolded
peptide
that
involved
in
pathogenesis
of
Alzheimer's
disease
(AD),
and
it
currently
primary
therapeutic
target
attempts
to
arrest
course
this
disease.
This
notoriety
has
overshadowed
evidence
Aß
serves
several
important
physiological
functions.
present
throughout
lifespan,
been
found
all
vertebrates
examined
thus
far,
its
molecular
sequence
shows
a
high
degree
conservation.
These
features
are
typical
factor
contributes
significantly
biological
fitness,
suggestion
supported
by
functions
beneficial
for
brain.
The
putative
roles
include
protecting
body
from
infections,
repairing
leaks
blood-brain
barrier,
promoting
recovery
injury,
regulating
synaptic
function.
Evidence
these
comes
vitro
vivo
studies,
which
have
shown
cellular
production
rapidly
increases
response
challenge
often
diminishes
upon
recovery.
further
adverse
outcomes
clinical
trials
attempted
deplete
order
treat
AD.
We
suggest
anti-Aß
therapies
will
produce
fewer
effects
if
triggers
deposition
(e.g.
pathogens,
hypertension
diabetes)
addressed
first.
Nature Communications,
Journal Year:
2015,
Volume and Issue:
6(1)
Published: Nov. 9, 2015
The
age-dependent
deposition
of
amyloid-β
peptides,
derived
from
amyloid
precursor
protein
(APP),
is
a
neuropathological
hallmark
Alzheimer's
disease
(AD).
Despite
age
being
the
greatest
risk
factor
for
AD,
molecular
mechanisms
linking
ageing
to
APP
processing
are
unknown.
Here
we
show
that
asparagine
endopeptidase
(AEP),
pH-controlled
cysteine
proteinase,
activated
during
and
mediates
proteolytic
processing.
AEP
cleaves
at
N373
N585
residues,
selectively
influencing
amyloidogenic
fragmentation
APP.
in
normal
mice
an
manner,
strongly
5XFAD
transgenic
mouse
model
human
AD
brains.
Deletion
or
APP/PS1
decreases
senile
plaque
formation,
ameliorates
synapse
loss,
elevates
long-term
potentiation
protects
memory.
Blockade
cleavage
by
alleviates
pathological
behavioural
deficits.
Thus,
acts
as
δ-secretase,
contributing
pathogenic
AD.
Frontiers in Aging Neuroscience,
Journal Year:
2016,
Volume and Issue:
8
Published: Feb. 23, 2016
Alzheimer's
disease
(AD)
is
characterized
pathologically
by
the
deposition
of
-amyloid
peptides
(A)
and
accumulation
neurofibrillary
tangles
(NFTs)
composed
hyper-phosphorylated
tau.
Regardless
pathological
hallmarks,
synaptic
dysfunction
widely
accepted
as
a
causal
event
in
AD.
Of
two
major
types
synapses
CNS:
glutamatergic
GABAergic,
which
provide
excitatory
inhibitory
outputs
respectively,
abundant
data
implicate
an
impaired
system
during
progression.
However,
emerging
evidence
supports
notion
that
disrupted
default
neuronal
network
underlies
memory,
alterations
GABAergic
circuits,
either
plays
primary
role
or
compensatory
response
to
excitotoxicity,
may
also
contribute
AD
disrupting
overall
function.
The
goal
this
review
overview
involvement
A,
tau
apoE4,
genetic
risk
factor
late-onset
AD,
neurotransmission
potential
modulating
function
therapy.