Chitkara College of Pharmacy, Chitkara University, Punjab, 140401, India.
Government College of Pharmacy, Rohru, District Shimla, Himachal Pradesh, 171207, India.
Neurochem Res. 2021 Dec;46(12):3103-3122. doi: 10.1007/s11064-021-03418-7. Epub 2021 Aug 12.
Apoptosis is an intrinsic biochemical, cellular process that regulates cell death and is crucial for cell survival, cellular homeostasis, and maintaining the optimum functional status. Apoptosis in a predetermined and programmed manner regulates several molecular events, including cell turnover, embryonic development, and immune system functions but may be the exclusive contributor to several disorders, including neurodegenerative manifestations, when it functions in an aberrant and disorganized manner. Alzheimer's disease (AD) is a fatal, chronic neurodegenerative disorder where apoptosis has a compelling and divergent role. The well-characterized pathological features of AD, including extracellular plaques of amyloid-beta, intracellular hyperphosphorylated tangles of tau protein (NFTs), inflammation, mitochondrial dysfunction, oxidative stress, and excitotoxic cell death, also instigate an abnormal apoptotic cascade in susceptible brain regions (cerebral cortex, hippocampus). The apoptotic players in these regions affect cellular organelles (mitochondria and endoplasmic reticulum), interact with trophic factors, and several pathways, including PI3K/AKT, JNK, MAPK, mTOR signalling. This dysregulated apoptotic cascade end with an abnormal neuronal loss which is a primary event that may precede the other events of AD progression and correlates well with the degree of dementia. The present review provides insight into the diverse and versatile apoptotic mechanisms that are indispensable for neuronal survival and constitute an integral part of the pathological progression of AD. Identification of potential targets (restoring apoptotic and antiapoptotic balance, caspases, TRADD, RIPK1, FADD, TNFα, etc.) may be valuable and advantageous to decide the fate of neurons and to develop potential therapeutics for treatment of AD.
细胞凋亡是一种内在的生化、细胞过程,它调节细胞死亡,对细胞存活、细胞内稳态和维持最佳功能状态至关重要。凋亡以预定的、程序化的方式调节包括细胞更替、胚胎发育和免疫系统功能在内的几个分子事件,但当它以异常和紊乱的方式发挥作用时,可能是包括神经退行性表现在内的几种疾病的唯一贡献者。阿尔茨海默病 (AD) 是一种致命的、慢性神经退行性疾病,其中凋亡起着引人注目的、不同的作用。AD 的特征性病理特征包括细胞外淀粉样β斑块、细胞内过度磷酸化的 tau 蛋白缠结 (NFTs)、炎症、线粒体功能障碍、氧化应激和兴奋性细胞死亡,也会引发易感性脑区(大脑皮层、海马体)中异常的凋亡级联反应。这些区域中的凋亡参与者影响细胞细胞器(线粒体和内质网),与营养因子相互作用,并涉及多种途径,包括 PI3K/AKT、JNK、MAPK、mTOR 信号通路。这种失调的凋亡级联反应最终导致异常的神经元丧失,这是 AD 进展的其他事件之前的主要事件,并且与痴呆程度密切相关。本综述深入探讨了多样化和多功能的凋亡机制,这些机制对神经元的存活至关重要,是 AD 病理进展的一个组成部分。确定潜在的靶标(恢复凋亡和抗凋亡平衡、半胱天冬酶、TRADD、RIPK1、FADD、TNFα 等)可能具有重要意义和优势,可以决定神经元的命运,并开发治疗 AD 的潜在治疗方法。
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