Liu Shu-Lei, Wang Chong, Jiang Teng, Tan Lan, Xing Ang, Yu Jin-Tai
Department of Neurology, Qingdao Municipal Hospital, School of Medicine, Qingdao University, Qingdao, China.
Department of Neurology, Nanjing Brain Hospital, Nanjing Medical University, Nanjing, China.
Mol Neurobiol. 2016 Sep;53(7):4328-42. doi: 10.1007/s12035-015-9369-x. Epub 2015 Jul 31.
Alzheimer's disease (AD) is known as the most fatal chronic neurodegenerative disease in adults along with progressive loss of memory and other cognitive function disorders. Cyclin-dependent kinase 5 (Cdk5), a unique member of the cyclin-dependent kinases (Cdks), is reported to intimately associate with the process of the pathogenesis of AD. Cdk5 is of vital importance in the development of CNS and neuron movements such as neuronal migration and differentiation, synaptic functions, and memory consolidation. However, when neurons suffer from pathological stimuli, Cdk5 activity becomes hyperactive and causes aberrant hyperphosphorylation of various substrates of Cdk5 like amyloid precursor protein (APP), tau and neurofilament, resulting in neurodegenerative diseases like AD. Deregulation of Cdk5 contributes to an array of pathological events in AD, ranging from formation of senile plaques and neurofibrillary tangles, synaptic damage, mitochondrial dysfunction to cell cycle reactivation as well as neuronal cell apoptosis. More importantly, an inhibition of Cdk5 activity with inhibitors such as RNA inference (RNAi) could protect from memory decline and neuronal cell loss through suppressing β-amyloid (Aβ)-induced neurotoxicity and tauopathies. This review will briefly describe the above-mentioned possible roles of Cdk5 in the physiological and pathological mechanisms of AD, further discussing recent advances and challenges in Cdk5 as a therapeutic target.
阿尔茨海默病(AD)是成人中最致命的慢性神经退行性疾病,伴有记忆力逐渐丧失和其他认知功能障碍。细胞周期蛋白依赖性激酶5(Cdk5)是细胞周期蛋白依赖性激酶(Cdks)的一个独特成员,据报道与AD的发病机制密切相关。Cdk5在中枢神经系统发育和神经元运动(如神经元迁移和分化、突触功能和记忆巩固)中至关重要。然而,当神经元受到病理刺激时,Cdk5活性会变得过度活跃,并导致Cdk5的各种底物(如淀粉样前体蛋白(APP)、tau蛋白和神经丝)异常过度磷酸化,从而导致像AD这样的神经退行性疾病。Cdk5失调会导致AD一系列病理事件,从老年斑和神经原纤维缠结的形成、突触损伤、线粒体功能障碍到细胞周期重新激活以及神经元细胞凋亡。更重要的是,用RNA干扰(RNAi)等抑制剂抑制Cdk5活性可以通过抑制β-淀粉样蛋白(Aβ)诱导的神经毒性和tau蛋白病来防止记忆衰退和神经元细胞丢失。本文将简要描述Cdk5在AD生理和病理机制中的上述可能作用,进一步讨论Cdk5作为治疗靶点的最新进展和挑战。