Matysek Adrian, Kimmantudawage Sumudu Perera, Feng Lei, Maier Andrea B
Department of Human Genetics, University of Amsterdam, Amsterdam UMC, University Medical Centers, Amsterdam, Netherlands.
Department of Medicine and Aged Care, Royal Melbourne Hospital, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, VIC, Australia.
Front Aging. 2022 Jul 18;3:898853. doi: 10.3389/fragi.2022.898853. eCollection 2022.
Dementia is a global challenge with 10 million individuals being diagnosed every year. Currently, there are no established disease-modifying treatments for dementia. Impaired nutrient sensing has been implicated in the pathogenesis of dementia. Compounds that inhibit the glycogen synthase kinase-3 (GSK3) pathway have been investigated as a possible treatment to attenuate the progression of the disease, particularly the suppression of the hyper-phosphorylation process of the tau protein. Systematically summarizing compounds which have been tested to inhibit the GSK3 pathway to treat cognitive impairment and dementia. PubMed, Embase and Web of Science databases were searched from inception until 28 July 2021 for articles published in English. Interventional animal studies inhibiting the GSK3 pathway in Alzheimer's disease (AD), Parkinson's dementia, Lewy body dementia, vascular dementia, mild cognitive impairment (MCI) and normal cognitive ageing investigating the change in cognition as the outcome were included. The Systematic Review Centre for Laboratory animal Experimentation's risk of bias tool for animal studies was applied. Out of 4,154 articles, 29 described compounds inhibiting the GSK3 pathway. All studies were based on animal models of MCI, AD or normal cognitive ageing. Thirteen out of 21 natural compounds and five out of nine synthetic compounds tested in MCI and dementia animal models showed an overall positive effect on cognition. No articles reported human studies. The risk of bias was largely unclear. Novel therapeutics involved in the modulation of the GSK3 nutrient sensing pathway have the potential to improve cognitive function. Overall, there is a clear lack of translation from animal models to humans.
痴呆症是一项全球性挑战,每年有1000万人被诊断出患有此病。目前,尚无已确立的可改变疾病进程的痴呆症治疗方法。营养感知受损与痴呆症的发病机制有关。抑制糖原合酶激酶-3(GSK3)通路的化合物已被研究作为一种可能的治疗方法,以减缓疾病进展,特别是抑制tau蛋白的过度磷酸化过程。系统总结已测试的抑制GSK3通路以治疗认知障碍和痴呆症的化合物。对PubMed、Embase和Web of Science数据库从创建到2021年7月28日发表的英文文章进行检索。纳入了在阿尔茨海默病(AD)、帕金森痴呆症、路易体痴呆症、血管性痴呆症、轻度认知障碍(MCI)和正常认知衰老中抑制GSK3通路并将认知变化作为结果进行研究的干预性动物研究。应用了实验动物系统评价中心的动物研究偏倚风险工具。在4154篇文章中,29篇描述了抑制GSK3通路的化合物。所有研究均基于MCI、AD或正常认知衰老的动物模型。在MCI和痴呆症动物模型中测试的21种天然化合物中有13种以及9种合成化合物中有5种对认知显示出总体积极作用。没有文章报道人体研究。偏倚风险在很大程度上尚不清楚。涉及调节GSK3营养感知通路的新型疗法有可能改善认知功能。总体而言,从动物模型到人类的转化明显不足。