Xu Jian, Kurup Pradeep, Nairn Angus C, Lombroso Paul J
Child Study Center, Yale University School of Medicine, New Haven, CT, USA.
Adv Pharmacol. 2012;64:303-25. doi: 10.1016/B978-0-12-394816-8.00009-X.
Alzheimer's disease (AD) is the most common form of dementia among the elderly, affecting millions of people worldwide and representing a substantial economic burden. AD is a progressive disease associated with memory loss and impaired cognitive function. The neuropathology is characterized by cortical accumulation of amyloid plaques and neurofibrillary tangles (NFTs). Amyloid plaques are small, aggregated peptides called beta amyloid (Aβ) and NFTs are aggregates of hyperphosphorylated Tau protein. Because Aβ disrupts multiple intracellular signaling pathways, resulting in some of the clinical symptoms of AD, understanding the underlying molecular mechanisms has implications for the diagnosis and treatment of AD. Recent studies have demonstrated that Aβ regulates striatal-enriched protein tyrosine phosphatase (STEP) (PTPN5). Aβ accumulation is associated with increases in STEP levels and activity that in turn disrupts glutamate receptor trafficking to and from the neuronal membrane. These findings indicate that modulating STEP levels or inhibiting its activity may have beneficial effects for patients with AD, making it an important target for drug discovery. This article reviews the biology of STEP and its role in AD as well as the potential clinical applications.
阿尔茨海默病(AD)是老年人中最常见的痴呆形式,影响着全球数百万人,并构成了巨大的经济负担。AD是一种与记忆丧失和认知功能受损相关的进行性疾病。其神经病理学特征是淀粉样斑块和神经原纤维缠结(NFTs)在皮质中积累。淀粉样斑块是一种称为β淀粉样蛋白(Aβ)的小聚集肽,而NFTs是过度磷酸化的 Tau 蛋白聚集体。由于Aβ破坏多种细胞内信号通路,导致AD的一些临床症状,因此了解其潜在的分子机制对AD的诊断和治疗具有重要意义。最近的研究表明,Aβ调节富含纹状体的蛋白酪氨酸磷酸酶(STEP)(PTPN5)。Aβ积累与STEP水平和活性增加有关,进而破坏谷氨酸受体在神经元膜上的转运。这些发现表明,调节STEP水平或抑制其活性可能对AD患者有益,使其成为药物研发的重要靶点。本文综述了STEP的生物学特性及其在AD中的作用以及潜在的临床应用。