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对RIPK1作为未来阿尔茨海默病治疗的一个有前景靶点的新见解。

Novel insights into RIPK1 as a promising target for future Alzheimer's disease treatment.

作者信息

Li Shang, Qu Lailiang, Wang Xiaobing, Kong Lingyi

机构信息

Jiangsu Key Laboratory of Bioactive Natural Product Research and State Key Laboratory of Natural Medicines, School of Traditional Chinese Pharmacy, China Pharmaceutical University, Nanjing 210009, People's Republic of China.

Jiangsu Key Laboratory of Bioactive Natural Product Research and State Key Laboratory of Natural Medicines, School of Traditional Chinese Pharmacy, China Pharmaceutical University, Nanjing 210009, People's Republic of China.

出版信息

Pharmacol Ther. 2022 Mar;231:107979. doi: 10.1016/j.pharmthera.2021.107979. Epub 2021 Sep 2.

Abstract

Alzheimer's disease (AD) is an intractable neurodegenerative disease showing a clinical manifestation with memory loss, cognitive impairment and behavioral dysfunction. The predominant pathological characteristics of AD include neuronal loss, β-amyloid (Aβ) deposition and hyperphosphorylated Tau induced neurofibrillary tangles (NFTs), while considerable studies proved these could be triggered by neuronal death and neuroinflammation. Receptor-interacting protein kinase 1 (RIPK1) is a serine/threonine kinase existed at the cross-point of cell death and inflammatory signaling pathways. Emerging investigations have shed light on RIPK1 for its potential role in AD progression. The present review makes a bird's eye view on the functions of RIPK1 and mainly focus on the underlying linkages between RIPK1 and AD from comprehensive aspects including neuronal death, Aβ and Tau, inflammasome activation, BBB rupture, AMPK/mTOR, mitochondrial dysfunction and O-glcNAcylation. Moreover, the discovery of RIPK1 inhibitors, ongoing clinical trials along with future RIPK1-targeted therapeutics are also reviewed.

摘要

阿尔茨海默病(AD)是一种难治性神经退行性疾病,临床表现为记忆丧失、认知障碍和行为功能障碍。AD的主要病理特征包括神经元丢失、β-淀粉样蛋白(Aβ)沉积和过度磷酸化的 Tau 诱导神经原纤维缠结(NFTs),而大量研究证明这些可能由神经元死亡和神经炎症引发。受体相互作用蛋白激酶 1(RIPK1)是一种丝氨酸/苏氨酸激酶,存在于细胞死亡和炎症信号通路的交叉点。新出现的研究揭示了RIPK1在AD进展中的潜在作用。本综述对RIPK1的功能进行了全面审视,并主要从神经元死亡、Aβ和Tau、炎性小体激活、血脑屏障破裂、AMPK/mTOR、线粒体功能障碍和O-连接N-乙酰葡糖胺化等多个方面聚焦于RIPK1与AD之间的潜在联系。此外,还综述了RIPK1抑制剂的发现、正在进行的临床试验以及未来以RIPK1为靶点的治疗方法。

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