Institute of Experimental Medicine, Czech Academy of Sciences, 142 20 Prague, Czech Republic.
Second Faculty of Medicine, Charles University, 150 06 Prague, Czech Republic.
Int J Mol Sci. 2021 Sep 7;22(18):9689. doi: 10.3390/ijms22189689.
Ischemic brain injury and Alzheimer's disease (AD) both lead to cell death in the central nervous system (CNS) and thus negatively affect particularly the elderly population. Due to the lack of a definitive cure for brain ischemia and AD, it is advisable to carefully study, compare, and contrast the mechanisms that trigger, and are involved in, both neuropathologies. A deeper understanding of these mechanisms may help ameliorate, or even prevent, the destructive effects of neurodegenerative disorders. In this review, we deal with ischemic damage and AD, with the main emphasis on the common properties of these CNS disorders. Importantly, we discuss the Wnt signaling pathway as a significant factor in the cell fate determination and cell survival in the diseased adult CNS. Finally, we summarize the interesting findings that may improve or complement the current sparse and insufficient treatments for brain ischemia and AD, and we delineate prospective directions in regenerative medicine.
缺血性脑损伤和阿尔茨海默病(AD)均导致中枢神经系统(CNS)中的细胞死亡,从而对老年人产生负面影响。由于缺乏针对脑缺血和 AD 的明确治疗方法,因此建议仔细研究、比较和对比触发这两种神经病理学的机制,并研究其参与机制。对这些机制的更深入了解可能有助于减轻甚至预防神经退行性疾病的破坏性影响。在这篇综述中,我们探讨了缺血性损伤和 AD,主要重点是这些 CNS 疾病的共同特征。重要的是,我们讨论了 Wnt 信号通路作为决定成年 CNS 中病变细胞命运和细胞存活的重要因素。最后,我们总结了一些有趣的发现,这些发现可能改善或补充目前针对脑缺血和 AD 的治疗方法,并且描绘了再生医学的未来发展方向。