Nature Communications,
Journal Year:
2023,
Volume and Issue:
14(1)
Published: Nov. 28, 2023
Nicotinamide
adenine
dinucleotide
(NAD)
replenishment
therapy
using
nicotinamide
riboside
(NR)
shows
promise
for
Parkinson's
disease
(PD)
and
other
neurodegenerative
disorders.
However,
the
optimal
dose
of
NR
remains
unknown,
doses
exceeding
2000
mg
daily
have
not
been
tested
in
humans.
To
evaluate
safety
high-dose
therapy,
we
conducted
a
single-center,
randomized,
placebo-controlled,
double-blind,
phase
I
trial
on
20
individuals
with
PD,
randomized
1:1
1500
twice
(n
=
10)
or
placebo
four
weeks.
The
was
at
Department
Neurology,
Haukeland
University
Hospital,
Bergen,
Norway.
primary
outcome
safety,
defined
as
frequency
moderate
severe
adverse
events.
Secondary
outcomes
were
tolerability
mild
events,
change
whole
blood
urine
NAD
metabolome,
clinical
severity
measured
by
MDS-UPDRS.
All
participants
completed
trial.
met
all
prespecified
outcomes.
well
tolerated
no
significant
difference
associated
improvement
total
MDS-UPDRS
scores.
this
also
shorter
interval
since
last
levodopa
dose.
greatly
augmented
metabolome
up
to
5-fold
increase
NAD+
levels.
While
NR-recipients
exhibited
slight
initial
rise
serum
homocysteine
levels,
integrity
methyl
donor
pool
remained
intact.
Our
results
support
extending
range
II
trials
3000
per
day,
appropriate
monitoring.
Clinicaltrials.gov
identifier:
NCT05344404.
Frontiers in Immunology,
Journal Year:
2020,
Volume and Issue:
11
Published: Nov. 30, 2020
CD38
is
a
molecule
that
can
act
as
an
enzyme,
with
NAD-depleting
and
intracellular
signaling
activity,
or
receptor
adhesive
functions.
be
found
expressed
either
on
the
cell
surface,
where
it
may
face
extracellular
milieu
cytosol,
in
compartments,
such
endoplasmic
reticulum,
nuclear
membrane,
mitochondria.
The
main
expression
of
observed
hematopoietic
cells,
some
cell-type
specific
differences
between
mouse
human.
role
immune
cells
ranges
from
modulating
differentiation
to
effector
functions
during
inflammation,
regulate
recruitment,
cytokine
release,
NAD
availability.
In
line
appears
also
play
critical
inflammatory
processes
autoimmunity,
although
whether
has
pathogenic
regulatory
effects
varies
depending
disease,
cell,
animal
model
analyzed.
Given
complexity
physiology
been
difficult
completely
understand
biology
this
autoimmune
inflammation.
review,
we
analyze
current
knowledge
controversies
regarding
inflammation
autoimmunity
novel
molecular
tools
clarify
gaps
field.
Biomedicines,
Journal Year:
2021,
Volume and Issue:
9(5), P. 524 - 524
Published: May 7, 2021
Alzheimer's
disease
(AD)
is
a
neurodegenerative
associated
with
human
aging.
Ten
percent
of
individuals
over
65
years
have
AD
and
its
prevalence
continues
to
rise
increasing
age.
There
are
currently
no
effective
modifying
treatments
for
AD,
resulting
in
increasingly
large
socioeconomic
personal
costs.
Increasing
age
an
increase
low-grade
chronic
inflammation
(inflammaging)
that
may
contribute
the
process
AD.
Although
exact
mechanisms
remain
unclear,
aberrant
elevation
reactive
oxygen
nitrogen
species
(RONS)
levels
from
several
endogenous
exogenous
processes
brain
not
only
affect
cell
signaling,
but
also
trigger
cellular
senescence,
inflammation,
pyroptosis.
Moreover,
compromised
immune
privilege
allows
infiltration
peripheral
cells
infectious
agents
play
role.
Additionally,
meta-inflammation
as
well
gut
microbiota
dysbiosis
drive
neuroinflammatory
process.
Considering
inflammatory/immune
pathways
dysregulated
parallel
cognitive
dysfunction
elucidating
relationship
between
central
nervous
system
facilitate
development
safe
therapy
We
discuss
some
current
ideas
on
inflammaging
appear
summarize
details
few
immunomodulatory
strategies
being
developed
selectively
target
detrimental
aspects
neuroinflammation
without
affecting
defense
against
pathogens
tissue
damage.
Cells,
Journal Year:
2022,
Volume and Issue:
11(12), P. 1885 - 1885
Published: June 10, 2022
Alzheimer’s
disease
(AD)
is
a
neurodegenerative
disorder
molecularly
characterized
by
the
formation
of
amyloid
β
(Aβ)
plaques
and
type
2
microtubule-associated
protein
(Tau)
abnormalities.
Multiple
studies
have
shown
that
many
brain’s
immunological
cells,
specifically
microglia
astrocytes,
are
involved
in
AD
pathogenesis.
Cells
innate
immune
system
play
an
essential
role
eliminating
pathogens
but
also
regulate
brain
homeostasis
AD.
When
activated,
cells
can
cause
programmed
cell
death
through
multiple
pathways,
including
pyroptosis,
apoptosis,
necroptosis,
PANoptosis.
The
often
results
release
proinflammatory
cytokines
propagate
response
eliminate
Aβ
aggregated
Tau
proteins.
However,
chronic
neuroinflammation,
which
result
from
death,
has
been
linked
to
diseases
worsen
Therefore,
must
be
tightly
balanced
appropriately
clear
these
AD-related
structural
abnormalities
without
inducing
neuroinflammation.
In
this
review,
we
discuss
responses,
inflammatory
cytokine
secretion
as
they
relate
Therapeutic
strategies
targeting
mechanisms
will
critical
consider
for
future
preventive
or
palliative
treatments
Nature Genetics,
Journal Year:
2023,
Volume and Issue:
55(3), P. 377 - 388
Published: Feb. 23, 2023
Identification
of
therapeutic
targets
from
genome-wide
association
studies
(GWAS)
requires
insights
into
downstream
functional
consequences.
We
harmonized
8,613
RNA-sequencing
samples
14
brain
datasets
to
create
the
MetaBrain
resource
and
performed
cis-
trans-expression
quantitative
trait
locus
(eQTL)
meta-analyses
in
multiple
region-
ancestry-specific
(n
≤
2,759).
Many
16,169
cortex
cis-eQTLs
were
tissue-dependent
when
compared
with
blood
cis-eQTLs.
inferred
cell
types
for
3,549
by
interaction
analysis.
prioritized
186
31
brain-related
traits
using
Mendelian
randomization
co-localization
including
40
an
type,
such
as
a
neuron-specific
cis-eQTL
(CYP24A1)
sclerosis.
further
describe
737
trans-eQTLs
526
unique
variants
108
genes.
used
brain-specific
gene-co-regulation
networks
link
GWAS
loci
prioritize
additional
genes
five
central
nervous
system
diseases.
This
study
represents
valuable
post-GWAS
research
on
Life Sciences,
Journal Year:
2023,
Volume and Issue:
328, P. 121814 - 121814
Published: May 25, 2023
Excitotoxicity
is
classically
defined
as
the
neuronal
damage
caused
by
excessive
release
of
glutamate,
and
subsequent
activation
excitatory
plasma
membrane
receptors.
In
mammalian
brain,
this
phenomenon
mainly
driven
glutamate
receptors
(GRs).
common
to
several
chronic
disorders
Central
Nervous
System
(CNS)
considered
primary
mechanism
loss
function
cell
death
in
acute
CNS
diseases
(e.g.
ischemic
stroke).
Multiple
mechanisms
pathways
lead
excitotoxic
including
pro-death
signaling
cascade
events
downstream
receptors,
calcium
(Ca2+)
overload,
oxidative
stress,
mitochondrial
impairment,
synaptic
cleft
well
altered
energy
metabolism.
Here,
we
review
current
knowledge
on
molecular
that
underlie
excitotoxicity,
emphasizing
role
Nicotinamide
Adenine
Dinucleotide
(NAD)
We
also
discuss
novel
promising
therapeutic
strategies
treat
highlighting
recent
clinical
trials.
Finally,
will
shed
light
ongoing
search
for
stroke
biomarkers,
an
exciting
field
research,
which
may
improve
diagnosis,
prognosis
allow
better
treatment
options.
International Journal of Molecular Sciences,
Journal Year:
2023,
Volume and Issue:
24(3), P. 1869 - 1869
Published: Jan. 18, 2023
Aging
is
the
most
prominent
risk
factor
for
late-onset
Alzheimer’s
disease.
associates
with
a
chronic
inflammatory
state
both
in
periphery
and
central
nervous
system,
evidence
thereof
mechanisms
leading
to
neuroinflammation
being
discussed.
Nonetheless,
significantly
enhanced
by
accumulation
of
amyloid
beta
accelerates
progression
disease
through
various
pathways
discussed
present
review.
Decades
clinical
trials
targeting
2
abnormal
proteins
disease,
tau,
led
many
failures.
As
such,
via
different
strategies
could
prove
valuable
therapeutic
strategy,
although
much
research
still
needed
identify
appropriate
time
window.
Active
focusing
on
identifying
early
biomarkers
help
translating
these
novel
from
bench
bedside.
Drugs,
Journal Year:
2023,
Volume and Issue:
83(15), P. 1387 - 1408
Published: Sept. 20, 2023
Novel
agents
addressing
non-amyloid,
non-tau
targets
in
Alzheimer's
Disease
(AD)
comprise
70%
of
the
AD
drug
development
pipeline
currently
clinical
trials.
Most
target
processes
identified
Common
Research
Ontology
(CADRO)
are
represented
by
novel
Inflammation
and
synaptic
plasticity/neuroprotection
CADRO
categories
with
largest
number
candidate
therapies.
Within
these
categories,
there
few
overlapping
among
test
agents.
Additional
being
evaluated
include
apolipoprotein
E
$$\varepsilon$$
4
(APOE4)
effects,
lipids
lipoprotein
receptors,
neurogenesis,
oxidative
stress,
bioenergetics
metabolism,
vascular
factors,
cell
death,
growth
factors
hormones,
circadian
rhythm,
epigenetic
regulators.
We
highlight
current
drugs
tested
within
their
mechanisms.
Trials
will
be
informative
regarding
which
can
modulated
to
produce
a
slowing
decline.
Possible
therapeutic
combinations
may
suggested
trial
outcomes.
Biomarkers
evolving
concert
new
agents,
biomarker
outcomes
offer
means
supporting
disease
modification
putative
treatment.
Identification
corresponding
therapeutics
an
important
advancing
treatments
for
AD.
Seminars in Immunopathology,
Journal Year:
2023,
Volume and Issue:
45(3), P. 347 - 365
Published: March 14, 2023
Abstract
In
ischemic
stroke,
the
primary
neuronal
injury
caused
by
disruption
of
energy
supply
is
further
exacerbated
secondary
sterile
inflammation.
The
inflammatory
cascade
largely
initiated
purine
adenosine
triphosphate
(ATP)
which
extensively
released
to
interstitial
space
during
brain
ischemia
and
functions
as
an
extracellular
danger
signaling
molecule.
By
engaging
P2
receptors,
ATP
activates
microglia
leading
cytokine
chemokine
production
subsequent
immune
cell
recruitment
from
periphery
amplifies
post-stroke
ectonucleotidases
CD39
CD73
shape
balance
environment
stepwise
degrading
itself
has
neuroprotective
anti-inflammatory
properties.
effects
are
mainly
mediated
through
A
1
receptors
inhibition
glutamatergic
excitotoxicity,
while
capacities
have
been
primarily
attributed
2A
receptor
activation
on
infiltrating
cells
in
subacute
phase
after
stroke.
this
review,
we
summarize
current
state
knowledge
ATP-adenosine
axis
discuss
contradictory
results,
point
out
potential
pitfalls
towards
translating
therapeutic
approaches
rodent
stroke
models
human
patients.
Cold Spring Harbor Perspectives in Biology,
Journal Year:
2024,
Volume and Issue:
16(7), P. a041356 - a041356
Published: Feb. 5, 2024
In
addition
to
their
many
functions
in
the
healthy
central
nervous
system
(CNS),
astrocytes
respond
CNS
damage
and
disease
through
a
process
called
"reactivity."
Recent
evidence
reveals
that
astrocyte
reactivity
is
heterogeneous
spectrum
of
potential
changes
occur
context-specific
manner.
These
are
determined
by
diverse
signaling
events
vary
not
only
with
nature
severity
different
insults
but
also
location
CNS,
genetic
predispositions,
age,
potentially
"molecular
memory"
previous
events.
Astrocyte
can
be
associated
both
essential
beneficial
as
well
harmful
effects.
The
available
information
rapidly
expanding
much
has
been
learned
about
molecular
diversity
reactivity.
Emerging
functional
associations
point
toward
roles
for
determining
outcome
disorders.