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Wnt信号通路在阿尔茨海默病发展中的作用:一个潜在的治疗靶点?

The role of Wnt signaling in the development of Alzheimer's disease: a potential therapeutic target?

作者信息

Wan Wenbin, Xia Shijin, Kalionis Bill, Liu Lumei, Li Yaming

机构信息

Geriatrics Department of Traditional Chinese Medicine, Huadong Hospital, Fudan University, Shanghai 200040, China.

Shanghai Institute of Geriatrics, Huadong Hospital, Fudan University, Shanghai 200040, China.

出版信息

Biomed Res Int. 2014;2014:301575. doi: 10.1155/2014/301575. Epub 2014 May 4.

Abstract

Accumulating evidence supports a key role for Wnt signaling in the development of the central nervous system (CNS) during embryonic development and in the regulation of the structure and function of the adult brain. Alzheimer's disease (AD) is the most common form of senile dementia, which is characterized by β -amyloid (A β ) deposition in specific brain regions. However, the molecular mechanism underlying AD pathology remains elusive. Dysfunctional Wnt signaling is associated with several diseases such as epilepsy, cancer, metabolic disease, and AD. Increasing evidence suggests that downregulation of Wnt signaling, induced by A β , is associated with disease progression of AD. More importantly, persistent activation of Wnt signaling through Wnt ligands, or inhibition of negative regulators of Wnt signaling, such as Dickkopf-1 (DKK-1) and glycogen synthase kinase-3 β (GSK-3 β ) that are hyperactive in the disease state, is able to protect against A β toxicity and ameliorate cognitive performance in AD. Together, these data suggest that Wnt signaling might be a potential therapeutic target of AD. Here, we review recent studies related to the progression of AD where Wnt signaling might be relevant and participate in the development of the disease. Then, we focus on the potential relevance of manipulating the Wnt signaling pathway for the treatment of AD.

摘要

越来越多的证据支持Wnt信号在胚胎发育过程中中枢神经系统(CNS)发育以及成人大脑结构和功能调节中起关键作用。阿尔茨海默病(AD)是最常见的老年痴呆形式,其特征是特定脑区出现β-淀粉样蛋白(Aβ)沉积。然而,AD病理的分子机制仍不清楚。功能失调的Wnt信号与多种疾病相关,如癫痫、癌症、代谢疾病和AD。越来越多的证据表明,由Aβ诱导的Wnt信号下调与AD的疾病进展有关。更重要的是,通过Wnt配体持续激活Wnt信号,或抑制Wnt信号的负调节因子,如在疾病状态下过度活跃的Dickkopf-1(DKK-1)和糖原合酶激酶-3β(GSK-3β),能够抵御Aβ毒性并改善AD患者的认知表现。总之,这些数据表明Wnt信号可能是AD的一个潜在治疗靶点。在此,我们综述了近期与AD进展相关的研究,其中Wnt信号可能与之相关并参与疾病的发展。然后,我们重点关注操纵Wnt信号通路对AD治疗的潜在相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78c9/4026919/8de49328c6a3/BMRI2014-301575.001.jpg

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