Department of Pathology and Cell Biology, Columbia University, New York, NY, United States; Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University, New York, NY, United States.
Department of Pathology and Cell Biology, Columbia University, New York, NY, United States.
Neuroscience. 2023 May 10;518:10-26. doi: 10.1016/j.neuroscience.2022.05.006. Epub 2022 May 13.
Alzheimer's disease (AD) is the most common cause of dementia resulting in widespread degeneration of the central nervous system with severe cognitive impairment. Despite the devastating toll of AD, the incomplete understanding of the complex molecular mechanisms hinders the expeditious development of effective cures. Emerging evidence from animal studies has shown that different brain cell types play distinct roles in the pathogenesis of AD. Glutamatergic neurons are preferentially affected in AD and pronounced gliosis contributes to the progression of AD in both a cell-autonomous and a non-cell-autonomous manner. Much has been discovered through genetically modified animal models, yet frequently failed translational attempts to clinical applications call for better disease models. Emerging evidence supports the significance of human-induced pluripotent stem cell (iPSC) derived brain cells in modeling disease development and progression, opening new avenues for the discovery of molecular mechanisms. This review summarizes the function of different cell types in the pathogenesis of AD, such as neurons, microglia, and astrocytes, and recognizes the potential of utilizing the rapidly growing iPSC technology in modeling AD.
阿尔茨海默病(AD)是导致痴呆的最常见原因,它会导致中枢神经系统广泛退化,严重认知障碍。尽管 AD 造成了毁灭性的影响,但对复杂分子机制的不完全了解阻碍了有效治疗方法的迅速发展。动物研究的新证据表明,不同的脑细胞类型在 AD 的发病机制中发挥着不同的作用。谷氨酸能神经元在 AD 中优先受到影响,明显的神经胶质增生以细胞自主和非细胞自主的方式促进 AD 的进展。通过基因修饰动物模型已经发现了很多,但经常失败的向临床应用的转化尝试需要更好的疾病模型。新出现的证据支持人类诱导多能干细胞(iPSC)衍生的脑细胞在模拟疾病发展和进展中的重要性,为发现分子机制开辟了新途径。本综述总结了不同细胞类型在 AD 发病机制中的作用,如神经元、小胶质细胞和星形胶质细胞,并认识到利用快速发展的 iPSC 技术模拟 AD 的潜力。