靶向治疗阿尔茨海默病的治疗前景的分子洞察。

Molecular Insight into the Therapeutic Promise of Targeting for Alzheimer's Disease.

机构信息

Department of Pharmacy, Southeast University, Dhaka, Bangladesh.

Pharmakon Neuroscience Research Network, Dhaka, Bangladesh.

出版信息

Oxid Med Cell Longev. 2020 May 15;2020:5086250. doi: 10.1155/2020/5086250. eCollection 2020.

Abstract

Alzheimer's disease (AD) is a progressive neurodegenerative disease that causes chronic cognitive dysfunction. Most of the AD cases are late onset, and the apolipoprotein E () isoform is a key genetic risk factor. The gene has 3 key alleles in humans including , , and . Among them, is the most potent genetic risk factor for late-onset AD (LOAD), while has a defensive effect. Research data suggest that leads to the pathogenesis of AD through various processes such as accelerated beta-amyloid aggregations that raised neurofibrillary tangle formation, cerebrovascular diseases, aggravated neuroinflammation, and synaptic loss. However, the precise mode of actions regarding in what way leads to AD pathology remains unclear. Since contributes to several pathological pathways of AD, targeting might serve as a promising strategy for the development of novel drugs to combat AD. In this review, we focus on the recent studies about -targeted therapeutic strategies that have been advanced in animal models and are being prepared for use in humans for the management of AD.

摘要

阿尔茨海默病(AD)是一种进行性神经退行性疾病,可导致慢性认知功能障碍。大多数 AD 病例为迟发性发病,载脂蛋白 E()异构体是关键的遗传风险因素。人类基因有 3 个关键等位基因,包括、和。其中,是晚发性 AD(LOAD)最强的遗传风险因素,而具有保护作用。研究数据表明,通过加速β-淀粉样蛋白聚集导致神经原纤维缠结形成、脑血管疾病、加重神经炎症和突触丧失等多种过程导致 AD 的发病机制。然而,关于如何导致 AD 病理的确切作用模式仍不清楚。由于 参与 AD 的几种病理途径,针对的治疗策略可能成为开发治疗 AD 的新型药物的有前途的策略。在这篇综述中,我们重点介绍了针对的治疗策略的最新研究进展,这些策略已在动物模型中得到推进,并正在准备用于人类 AD 的治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/613b/7245681/2361bc1f69e2/OMCL2020-5086250.001.jpg

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