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环核苷酸信号转导与磷酸二酯酶抑制:挑战阿尔茨海默病

Cyclic Nucleotides Signaling and Phosphodiesterase Inhibition: Defying Alzheimer's Disease.

机构信息

Chitkara College of Pharmacy, Chitkara University, Punjab, India

Govt. College of Pharmacy, Rohru, District Shimla, Himachal Pradesh-171207, India

出版信息

Curr Drug Targets. 2020;21(13):1371-1384. doi: 10.2174/1389450121666200727104728.

Abstract

Defects in brain functions associated with aging and neurodegenerative diseases benefit insignificantly from existing options, suggesting that there is a lack of understanding of pathological mechanisms. Alzheimer's disease (AD) is such a nearly untreatable, allied to age neurological deterioration for which only the symptomatic cure is available and the agents able to mould progression of the disease, is still far away. The altered expression of phosphodiesterases (PDE) and deregulated cyclic nucleotide signaling in AD has provoked a new thought of targeting cyclic nucleotide signaling in AD. Targeting cyclic nucleotides as an intracellular messenger seems to be a viable approach for certain biological processes in the brain and controlling substantial. Whereas, the synthesis, execution, and/or degradation of cyclic nucleotides has been closely linked to cognitive deficits. In relation to cognition, the cyclic nucleotides (cAMP and cGMP) have an imperative execution in different phases of memory, including gene transcription, neurogenesis, neuronal circuitry, synaptic plasticity and neuronal survival, etc. AD is witnessed by impairments of these basic processes underlying cognition, suggesting a crucial role of cAMP/cGMP signaling in AD populations. Phosphodiesterase inhibitors are the exclusive set of enzymes to facilitate hydrolysis and degradation of cAMP and cGMP thereby, maintains their optimum levels initiating it as an interesting target to explore. The present work reviews a neuroprotective and substantial influence of PDE inhibition on physiological status, pathological progression and neurobiological markers of AD in consonance with the intensities of cAMP and cGMP.

摘要

与衰老和神经退行性疾病相关的大脑功能缺陷从现有治疗方法中获益甚微,这表明我们对病理机制的理解还不够。阿尔茨海默病(AD)就是这样一种几乎无法治愈的疾病,它与年龄相关的神经衰退有关,目前只有对症治疗,能够控制疾病进展的药物还很遥远。AD 中磷酸二酯酶(PDE)的表达改变和环核苷酸信号的失调引起了靶向 AD 中环核苷酸信号的新思路。靶向环核苷酸作为细胞内信使,似乎是大脑中某些生物过程的可行方法,可以有效控制。然而,环核苷酸(cAMP 和 cGMP)的合成、执行和/或降解与认知缺陷密切相关。在认知方面,环核苷酸(cAMP 和 cGMP)在记忆的不同阶段(包括基因转录、神经发生、神经元回路、突触可塑性和神经元存活等)中起着至关重要的作用。AD 患者的这些认知基础过程受损,表明 cAMP/cGMP 信号在 AD 患者中起着关键作用。磷酸二酯酶抑制剂是唯一能够促进 cAMP 和 cGMP 水解和降解的酶类,从而维持其最佳水平,因此成为一个有趣的探索目标。本研究综述了 PDE 抑制对 AD 生理状态、病理进展和神经生物学标志物的神经保护和显著影响,以及 cAMP 和 cGMP 的强度。

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