Meftah Soraya, Gan Jian
UK Dementia Research Institute, The University of Edinburgh, Edinburgh, United Kingdom.
Centre for Discovery Brain Sciences, The University of Edinburgh, Edinburgh, United Kingdom.
Front Synaptic Neurosci. 2023 Mar 9;15:1129036. doi: 10.3389/fnsyn.2023.1129036. eCollection 2023.
The synapse has consistently been considered a vulnerable and critical target within Alzheimer's disease, and synapse loss is, to date, one of the main biological correlates of cognitive decline within Alzheimer's disease. This occurs prior to neuronal loss with ample evidence that synaptic dysfunction precedes this, in support of the idea that synaptic failure is a crucial stage within disease pathogenesis. The two main pathological hallmarks of Alzheimer's disease, abnormal aggregates of amyloid or tau proteins, have had demonstrable effects on synaptic physiology in animal and cellular models of Alzheimer's disease. There is also growing evidence that these two proteins may have a synergistic effect on neurophysiological dysfunction. Here, we review some of the main findings of synaptic alterations in Alzheimer's disease, and what we know from Alzheimer's disease animal and cellular models. First, we briefly summarize some of the human evidence to suggest that synapses are altered, including how this relates to network activity. Subsequently, animal and cellular models of Alzheimer's disease are considered, highlighting mouse models of amyloid and tau pathology and the role these proteins may play in synaptic dysfunction, either in isolation or examining how the two pathologies may interact in dysfunction. This specifically focuses on neurophysiological function and dysfunction observed within these animal models, typically measured using electrophysiology or calcium imaging. Following synaptic dysfunction and loss, it would be impossible to imagine that this would not alter oscillatory activity within the brain. Therefore, this review also discusses how this may underpin some of the aberrant oscillatory patterns seen in animal models of Alzheimer's disease and human patients. Finally, an overview of some key directions and considerations in the field of synaptic dysfunction in Alzheimer's disease is covered. This includes current therapeutics that are targeted specifically at synaptic dysfunction, but also methods that modulate activity to rescue aberrant oscillatory patterns. Other important future avenues of note in this field include the role of non-neuronal cell types such as astrocytes and microglia, and mechanisms of dysfunction independent of amyloid and tau in Alzheimer's disease. The synapse will certainly continue to be an important target within Alzheimer's disease for the foreseeable future.
突触一直被认为是阿尔茨海默病中一个易损且关键的靶点,迄今为止,突触丧失是阿尔茨海默病认知衰退的主要生物学相关因素之一。这发生在神经元丧失之前,有充分证据表明突触功能障碍先于此发生,支持了突触功能衰竭是疾病发病机制中关键阶段的观点。阿尔茨海默病的两个主要病理特征,即淀粉样蛋白或tau蛋白的异常聚集,在阿尔茨海默病的动物和细胞模型中对突触生理学产生了明显影响。也有越来越多的证据表明这两种蛋白可能对神经生理功能障碍具有协同作用。在此,我们回顾阿尔茨海默病中突触改变的一些主要发现,以及我们从阿尔茨海默病动物和细胞模型中所了解到的情况。首先,我们简要总结一些人体证据,以表明突触发生了改变,包括这与网络活动的关系。随后,考虑阿尔茨海默病的动物和细胞模型,重点介绍淀粉样蛋白和tau病理的小鼠模型以及这些蛋白在突触功能障碍中可能单独发挥的作用,或研究这两种病理在功能障碍中可能如何相互作用。这特别关注在这些动物模型中观察到的神经生理功能和功能障碍,通常使用电生理学或钙成像进行测量。在突触功能障碍和丧失之后,不难想象这不会改变大脑内的振荡活动。因此,本综述还讨论了这可能如何支持在阿尔茨海默病动物模型和人类患者中看到的一些异常振荡模式。最后,涵盖了阿尔茨海默病突触功能障碍领域的一些关键方向和注意事项。这包括目前专门针对突触功能障碍的治疗方法,以及调节活动以挽救异常振荡模式的方法。该领域其他重要的未来研究方向包括非神经元细胞类型如星形胶质细胞和小胶质细胞的作用,以及阿尔茨海默病中独立于淀粉样蛋白和tau的功能障碍机制。在可预见的未来,突触肯定仍将是阿尔茨海默病中的一个重要靶点。