Department of Pharmacy, Faculty of Pharmacy, Integral University, Lucknow, India.
Department of Pharmaceutics, Faculty of Pharmaceutical Sciences, Rama University, Mandhana, Bithoor Road, Kanpur, Uttar Pradesh, India.
Drug Res (Stuttg). 2023 Jun;73(5):247-250. doi: 10.1055/a-2015-8041. Epub 2023 Mar 8.
The pathophysiological processes of dementia and cognitive impairment are linked to advanced glycation end products (AGEs) and their receptor (RAGE).The neurofibrillary tangles (NFTs) of abnormally hyperphosphorylated tau protein and senile plaques (SPs), which are brought on by amyloid beta (Aβ) deposition, are the hallmarks of Alzheimer's disease (AD), a progressive neurodegenerative condition. Advanced glycation end products that are produced as a result of vascular dysfunction are bound by the receptor for advanced glycation end products (RAGE). Dementia and cognitive impairment could develop when RAGE binds to Aβ and produces reactive oxygen species, aggravating Aβ buildup and ultimately resulting in SPs and NFTs. RAGE could be a more powerful biomarker than Aβ because it is implicated in early AD. The resident immune cells in the brain known as microglia are essential for healthy brain function. Microglia is prominent in the amyloid plaques' outside border as well as their central region in Alzheimer's disease. Microglial cells, in the opinion of some authors, actively contribute to the formation of amyloid plaques. In this review, we first discuss the early diagnosis of dementia and cognitive impairment, and then detail the interaction between RAGE and Aβ and Tau that is necessary to cause dementia and cognitive impairment pathology, and it is anticipated that the creation of RAGE probes will help in the diagnosis and treatment of dementia and cognitive impairment.
痴呆和认知障碍的病理生理过程与晚期糖基化终产物(AGEs)及其受体(RAGE)有关。阿尔茨海默病(AD)是一种进行性神经退行性疾病,其特征是异常过度磷酸化的tau 蛋白神经原纤维缠结(NFTs)和由淀粉样β(Aβ)沉积引起的老年斑(SPs)。由于血管功能障碍而产生的晚期糖基化终产物与晚期糖基化终产物受体(RAGE)结合。当 RAGE 与 Aβ结合并产生活性氧时,可能会导致痴呆和认知障碍,从而加剧 Aβ的积累,最终导致 SPs 和 NFTs 的形成。RAGE 可能比 Aβ更有价值,因为它与早期 AD 有关。大脑中的常驻免疫细胞——小胶质细胞对大脑的健康功能至关重要。在阿尔茨海默病中,小胶质细胞在淀粉样斑块的外边界和中心区域都很明显。一些作者认为,小胶质细胞积极参与了淀粉样斑块的形成。在这篇综述中,我们首先讨论了痴呆和认知障碍的早期诊断,然后详细介绍了 RAGE 和 Aβ和 Tau 之间的相互作用,这是导致痴呆和认知障碍病理的必要条件,预计 RAGE 探针的创建将有助于痴呆和认知障碍的诊断和治疗。