Department of Molecular Medicine and Medical Biotechnology, Federico II University, Napoli, Italy.
CEINGE-Biotecnologie Avanzate, Napoli, Italy.
J Cell Physiol. 2022 Oct;237(10):3803-3815. doi: 10.1002/jcp.30864. Epub 2022 Aug 22.
Genetic studies support the amyloid cascade as the leading hypothesis for the pathogenesis of Alzheimer's disease (AD). Although significant efforts have been made in untangling the amyloid and other pathological events in AD, ongoing interventions for AD have not been revealed efficacious for slowing down disease progression. Recent advances in the field of genetics have shed light on the etiology of AD, identifying numerous risk genes associated with late-onset AD, including genes related to intracellular endosomal trafficking. Some of the bases for the development of AD may be explained by the recently emerging AD genetic "hubs," which include the processing pathway of amyloid precursor protein and the endocytic pathway. The endosomal genetic hub may represent a common pathway through which many pathological effects can be mediated and novel, alternative biological targets could be identified for therapeutic interventions. The aim of this review is to focus on the genetic and biological aspects of the endosomal compartments related to AD progression. We report recent studies which describe how changes in endosomal genetics impact on functional events, such as the amyloidogenic and non-amyloidogenic processing, degradative pathways, and the importance of receptors related to endocytic trafficking, including the 37/67 kDa laminin-1 receptor ribosomal protein SA, and their implications for neurodegenerative diseases.
遗传研究支持淀粉样蛋白级联反应是阿尔茨海默病(AD)发病机制的主要假说。尽管在阐明 AD 中的淀粉样蛋白和其他病理事件方面做出了巨大努力,但 AD 的持续干预措施并未显示出能减缓疾病进展的效果。遗传学领域的最新进展揭示了 AD 的病因,确定了许多与迟发性 AD 相关的风险基因,包括与细胞内内体转运相关的基因。AD 发病的一些基础可以用最近出现的 AD 遗传“枢纽”来解释,其中包括淀粉样前体蛋白的加工途径和内吞途径。内体遗传枢纽可能代表许多病理效应可以通过的共同途径,并可以确定新的、替代的生物治疗靶点。本文的目的是重点关注与 AD 进展相关的内体隔室的遗传和生物学方面。我们报告了最近的研究,这些研究描述了内体遗传学的变化如何影响功能性事件,如淀粉样蛋白和非淀粉样蛋白加工、降解途径,以及与内吞运输相关的受体的重要性,包括 37/67 kDa 层粘连蛋白-1 受体核糖体蛋白 SA,以及它们对神经退行性疾病的影响。