Department of Neurodegeneration Diagnostics, Medical University of Białystok, 15-089 Białystok, Poland.
Department of Biochemical Diagnostics, Medical University of Białystok, 15-089 Białystok, Poland.
Int J Mol Sci. 2018 Jun 27;19(7):1884. doi: 10.3390/ijms19071884.
It is estimated that Alzheimer’s disease (AD) affects tens of millions of people, comprising not only suffering patients, but also their relatives and caregivers. AD is one of age-related neurodegenerative diseases (NDs) characterized by progressive synaptic damage and neuronal loss, which result in gradual cognitive impairment leading to dementia. The cause of AD remains still unresolved, despite being studied for more than a century. The hallmark pathological features of this disease are senile plaques within patients’ brain composed of amyloid beta (Aβ) and neurofibrillary tangles (NFTs) of Tau protein. However, the roles of Aβ and Tau in AD pathology are being questioned and other causes of AD are postulated. One of the most interesting theories proposed is the causative role of amyloid β oligomers (AβOs) aggregation in the pathogenesis of AD. Moreover, binding of AβOs to cell membranes is probably mediated by certain proteins on the neuronal cell surface acting as AβO receptors. The aim of our paper is to describe alternative hypotheses of AD etiology, including genetic alterations and the role of misfolded proteins, especially Aβ oligomers, in Alzheimer’s disease. Furthermore, in this review we present various putative cellular AβO receptors related to toxic activity of oligomers.
据估计,阿尔茨海默病(AD)影响了数千万人,不仅包括患病患者,还包括他们的亲属和护理人员。AD 是一种与年龄相关的神经退行性疾病(NDs),其特征是进行性突触损伤和神经元丧失,导致认知能力逐渐下降,最终导致痴呆。尽管已经研究了一个多世纪,但 AD 的病因仍未得到解决。这种疾病的标志性病理特征是患者大脑中的老年斑,由淀粉样蛋白β(Aβ)和 Tau 蛋白的神经原纤维缠结(NFTs)组成。然而,Aβ和 Tau 在 AD 病理学中的作用受到质疑,并提出了其他 AD 的病因。其中最有趣的理论之一是淀粉样蛋白β寡聚物(AβOs)聚集在 AD 发病机制中的致病作用。此外,AβOs 与细胞膜的结合可能是由神经元细胞表面的某些蛋白质介导的,这些蛋白质作为 AβO 受体发挥作用。我们本文的目的是描述 AD 病因的替代假说,包括遗传改变和错误折叠蛋白(尤其是 Aβ寡聚物)在阿尔茨海默病中的作用。此外,在这篇综述中,我们介绍了与寡聚物的毒性活性相关的各种潜在的细胞 AβO 受体。