Second Department of Internal Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
LifeScience Innovation Center, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
Curr Alzheimer Res. 2018;15(14):1283-1296. doi: 10.2174/1567205015666181004143432.
The pathogenic mechanisms of Alzheimer's Disease (AD) involve the deposition of abnormally misfolded proteins, amyloid β protein (Aβ) and tau protein. Aβ comprises senile plaques, and tau aggregates form Neurofibrillary Tangles (NFTs), both of which are hallmarks of AD. Autophagy is the main conserved pathway for the degeneration of aggregated proteins, Aβ, tau and dysfunctional organelles in the cell. Many animal model studies have demonstrated that autophagy normally functions as the protective factor against AD progression associated with intracytoplasmic toxic Aβ and tau aggregates. The upregulation of autophagy can also be favorable in AD treatment. An improved understanding of the signaling pathways that regulate autophagy is critical to developing AD treatments. The cellular and molecular machineries of autophagy, their function in the pathogenesis of AD, and current drug discovery strategies will be discussed in this review.
阿尔茨海默病(AD)的发病机制涉及异常错误折叠蛋白的沉积,包括淀粉样β蛋白(Aβ)和tau 蛋白。Aβ 组成老年斑,tau 聚集形成神经原纤维缠结(NFTs),这两者都是 AD 的标志。自噬是细胞内聚集蛋白、Aβ、tau 和功能失调细胞器退化的主要保守途径。许多动物模型研究表明,自噬通常作为保护性因素发挥作用,可对抗与细胞内毒性 Aβ 和 tau 聚集相关的 AD 进展。自噬的上调在 AD 治疗中也可能是有利的。改善对调节自噬的信号通路的理解对于开发 AD 治疗方法至关重要。本文将讨论自噬的细胞和分子机制、它们在 AD 发病机制中的作用以及当前的药物发现策略。
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