Mhillaj Emanuela, Cuomo Vincenzo, Mancuso Cesare
aDepartment of Physiology and Pharmacology, Sapienza University of Rome bInstitute of Pharmacology, Catholic University School of Medicine, Rome, Italy.
Behav Pharmacol. 2017 Apr;28(2 and 3-Spec Issue):95-111. doi: 10.1097/FBP.0000000000000296.
Over the last few years, several papers have become available in the literature on both the main hallmarks of Alzheimer's disease (AD) and the several intracellular pathways whose alteration is responsible for its onset and progression. The use of transgenic and nontransgenic animal models has played a key role in achieving such a remarkable amount of preclinical data, allowing researchers to dissect the cellular changes occurring in the AD brain. In addition, the huge amount of preclinical evidence arising from these animal models was necessary for the further clinical development of pharmacological agents capable of interfering with most of the impaired neural pathways in AD patients. In this respect, a significant role is played by the dysfunction of excitatory and inhibitory neurotransmission responsible for the cognitive and behavioral symptoms described in AD patients. The aim of this review is to summarize the main animal models that contributed toward unraveling the pathological changes in neurotransmitter synthesis, release, and receptor binding in AD preclinical studies. The review also provides an updated description of the current pharmacological agents - still under clinical development - acting on the neurotransmitter systems.
在过去几年里,文献中出现了几篇关于阿尔茨海默病(AD)主要特征以及几种细胞内信号通路的论文,这些信号通路的改变是其发病和进展的原因。转基因和非转基因动物模型的使用在获取如此大量的临床前数据方面发挥了关键作用,使研究人员能够剖析AD大脑中发生的细胞变化。此外,这些动物模型产生的大量临床前证据对于能够干扰AD患者大多数受损神经通路的药物的进一步临床开发是必要的。在这方面,负责AD患者所描述的认知和行为症状的兴奋性和抑制性神经传递功能障碍起着重要作用。本综述的目的是总结在AD临床前研究中有助于揭示神经递质合成、释放和受体结合病理变化的主要动物模型。该综述还提供了目前仍在临床开发中的作用于神经递质系统的药物的最新描述。