School of Science, Monash University Malaysia, 47500 Bandar Sunway, Selangor, Malaysia.
School of Pharmacy, Monash University Malaysia, 47500 Bandar Sunway, Selangor, Malaysia.
Curr Neuropharmacol. 2022;20(8):1554-1563. doi: 10.2174/1570159X20666211223124715.
Alzheimer's disease (AD), the most common form of dementia, is pathologically characterized by the deposition of amyloid-β plaques and the formation of neurofibrillary tangles. In a neurodegenerative brain, glucose metabolism is also impaired and considered as one of the key features in AD patients. The impairment causes a reduction in glucose transporters and the uptake of glucose as well as alterations in the specific activity of glycolytic enzymes. Recently, it has been reported that α-amylase, a polysaccharide-degrading enzyme, is present in the human brain. The enzyme is known to be associated with various diseases such as type 2 diabetes mellitus and hyperamylasaemia. With this information at hand, we hypothesize that α-amylase could have a vital role in the demented brains of AD patients. This review aims to shed insight into the possible link between the expression levels of α-amylase and AD. Lastly, we also cover the diverse role of amylase inhibitors and how they could serve as a therapeutic agent to manage or stop AD progression.
阿尔茨海默病(AD)是最常见的痴呆症形式,其病理特征为淀粉样β斑块的沉积和神经原纤维缠结的形成。在神经退行性脑疾病中,葡萄糖代谢也受到损害,被认为是 AD 患者的关键特征之一。这种损害导致葡萄糖转运体减少和葡萄糖摄取减少,以及糖酵解酶的特定活性发生改变。最近有报道称,α-淀粉酶,一种多糖降解酶,存在于人类大脑中。该酶与 2 型糖尿病和高淀粉酶血症等多种疾病有关。有了这些信息,我们假设α-淀粉酶在 AD 患者的痴呆大脑中可能起着至关重要的作用。本综述旨在深入了解α-淀粉酶的表达水平与 AD 之间的可能联系。最后,我们还介绍了淀粉酶抑制剂的多种作用,以及它们如何作为治疗剂来控制或阻止 AD 的进展。