Perdigão Catarina, Barata Mariana A, Araújo Margarida N, Mirfakhar Farzaneh S, Castanheira Jorge, Guimas Almeida Cláudia
Laboratory Neuronal Trafficking in Aging, CEDOC Chronic Diseases Research Center, NOVA Medical School, Universidade NOVA de Lisboa, Lisbon, Portugal.
Front Cell Neurosci. 2020 Apr 17;14:72. doi: 10.3389/fncel.2020.00072. eCollection 2020.
Alzheimer's disease (AD) is the most common neurodegenerative disease characterized by progressive memory loss. Although AD neuropathological hallmarks are extracellular amyloid plaques and intracellular tau tangles, the best correlate of disease progression is synapse loss. What causes synapse loss has been the focus of several researchers in the AD field. Synapses become dysfunctional before plaques and tangles form. Studies based on early-onset familial AD (eFAD) models have supported that synaptic transmission is depressed by β-amyloid (Aβ) triggered mechanisms. Since eFAD is rare, affecting only 1% of patients, research has shifted to the study of the most common late-onset AD (LOAD). Intracellular trafficking has emerged as one of the pathways of LOAD genes. Few studies have assessed the impact of trafficking LOAD genes on synapse dysfunction. Since endocytic traffic is essential for synaptic function, we reviewed Aβ-dependent and independent mechanisms of the earliest synaptic dysfunction in AD. We have focused on the role of intraneuronal and secreted Aβ oligomers, highlighting the dysfunction of endocytic trafficking as an Aβ-dependent mechanism of synapse dysfunction in AD. Here, we reviewed the LOAD trafficking genes APOE4, ABCA7, BIN1, CD2AP, PICALM, EPH1A, and SORL1, for which there is a synaptic link. We conclude that in eFAD and LOAD, the earliest synaptic dysfunctions are characterized by disruptions of the presynaptic vesicle exo- and endocytosis and of postsynaptic glutamate receptor endocytosis. While in eFAD synapse dysfunction seems to be triggered by Aβ, in LOAD, there might be a direct synaptic disruption by LOAD trafficking genes. To identify promising therapeutic targets and biomarkers of the earliest synaptic dysfunction in AD, it will be necessary to join efforts in further dissecting the mechanisms used by Aβ and by LOAD genes to disrupt synapses.
阿尔茨海默病(AD)是最常见的神经退行性疾病,其特征是进行性记忆丧失。尽管AD的神经病理学特征是细胞外淀粉样斑块和细胞内tau缠结,但疾病进展的最佳相关因素是突触丧失。突触丧失的原因一直是AD领域几位研究人员关注的焦点。在斑块和缠结形成之前,突触就会出现功能障碍。基于早发性家族性AD(eFAD)模型的研究支持,β-淀粉样蛋白(Aβ)触发的机制会抑制突触传递。由于eFAD很罕见,仅影响1%的患者,研究已转向对最常见的晚发性AD(LOAD)的研究。细胞内运输已成为LOAD基因的途径之一。很少有研究评估运输LOAD基因对突触功能障碍的影响。由于内吞运输对突触功能至关重要,我们综述了AD中最早突触功能障碍的Aβ依赖性和非依赖性机制。我们重点关注了神经元内和分泌的Aβ寡聚体的作用,强调内吞运输功能障碍是AD中突触功能障碍的一种Aβ依赖性机制。在这里,我们综述了具有突触联系的LOAD运输基因APOE4、ABCA7、BIN1、CD2AP、PICALM、EPH1A和SORL1。我们得出结论,在eFAD和LOAD中,最早的突触功能障碍的特征是突触前囊泡的胞吐和内吞以及突触后谷氨酸受体内吞的破坏。虽然在eFAD中,突触功能障碍似乎是由Aβ触发的,但在LOAD中,LOAD运输基因可能会直接导致突触破坏。为了确定AD中最早突触功能障碍的有前景的治疗靶点和生物标志物,有必要共同努力进一步剖析Aβ和LOAD基因破坏突触所使用的机制。