Department of Internal Medicine, Gerontology & Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Department of Physiology and Pharmacology, Wake Forest School of Medicine, Winston-Salem, NC, USA.
J Alzheimers Dis. 2019;68(1):33-38. doi: 10.3233/JAD-181043.
Currently there is no cure or effective disease-modifying therapy for Alzheimer's disease (AD), the most common form of dementia that is becoming a global threat to public health. It is important to develop novel therapeutic strategies targeting AD pathophysiology particularly synaptic failure and cognitive impairments. Recent studies revealed several molecular signaling pathways potentially linked to brain pathology and synaptic failure in AD, including AMP-activated protein kinase (AMPK), a master kinase that plays a central role in the maintenance of cellular energy homeostasis. Particularly, hyperactive AMPK via phosphorylation has been linked to AD-associated synaptic plasticity impairments, indicating suppression of AMPK activity might be beneficial for cognitive deficiency in AD. In this review, we will discuss how targeting dysregulation of AMPK signaling could be a feasible therapeutic approach for AD.
目前,针对阿尔茨海默病(AD)这种最常见的痴呆症,即正在成为全球公共健康威胁的疾病,尚无治愈方法或有效的疾病修正疗法。因此,开发针对 AD 病理生理学的新的治疗策略非常重要,尤其是针对突触功能障碍和认知障碍。最近的研究揭示了几种可能与 AD 中的脑病理学和突触功能障碍相关的分子信号通路,包括 AMP 激活的蛋白激酶(AMPK),这是一种在维持细胞能量平衡中起核心作用的主激酶。特别是,通过磷酸化而过度活跃的 AMPK 与 AD 相关的突触可塑性障碍有关,这表明抑制 AMPK 活性可能有益于 AD 中的认知缺陷。在这篇综述中,我们将讨论针对 AMPK 信号的失调进行靶向治疗可能是治疗 AD 的一种可行方法。