Pharmacology Unit, Department of Biomedical Sciences, School of Medicine and Health Sciences, Universidad del Rosario, Bogotá 111221, Colombia.
Medical and Health Sciences Education Research Group, School of Medicine and Health Sciences, Universidad del Rosario, Bogotá 111221, Colombia.
Int J Mol Sci. 2023 May 22;24(10):9067. doi: 10.3390/ijms24109067.
Alzheimer's disease (AD) is a chronic neurodegenerative disease and the most frequent cause of progressive dementia in senior adults. It is characterized by memory loss and cognitive impairment secondary to cholinergic dysfunction and N-methyl-D-aspartate (NMDA)-mediated neurotoxicity. Intracellular neurofibrillary tangles, extracellular plaques composed of amyloid-β (Aβ), and selective neurodegeneration are the anatomopathological hallmarks of this disease. The dysregulation of calcium may be present in all the stages of AD, and it is associated with other pathophysiological mechanisms, such as mitochondrial failure, oxidative stress, and chronic neuroinflammation. Although the cytosolic calcium alterations in AD are not completely elucidated, some calcium-permeable channels, transporters, pumps, and receptors have been shown to be involved at the neuronal and glial levels. In particular, the relationship between glutamatergic NMDA receptor (NMDAR) activity and amyloidosis has been widely documented. Other pathophysiological mechanisms involved in calcium dyshomeostasis include the activation of L-type voltage-dependent calcium channels, transient receptor potential channels, and ryanodine receptors, among many others. This review aims to update the calcium-dysregulation mechanisms in AD and discuss targets and molecules with therapeutic potential based on their modulation.
阿尔茨海默病(AD)是一种慢性神经退行性疾病,也是老年人进行性痴呆的最常见原因。它的特征是由于胆碱能功能障碍和 N-甲基-D-天冬氨酸(NMDA)介导的神经毒性导致的记忆丧失和认知障碍。细胞内神经原纤维缠结、由淀粉样β(Aβ)组成的细胞外斑块以及选择性神经退行性变是这种疾病的解剖病理学特征。钙的失调可能存在于 AD 的所有阶段,并与其他病理生理机制相关,如线粒体功能衰竭、氧化应激和慢性神经炎症。尽管 AD 中的细胞质钙变化尚未完全阐明,但已经表明一些钙通透性通道、转运体、泵和受体在神经元和神经胶质水平上参与其中。特别是,谷氨酸能 NMDA 受体(NMDAR)活性与淀粉样变性之间的关系已被广泛记录。钙稳态失调涉及的其他病理生理机制包括 L 型电压依赖性钙通道、瞬时受体电位通道和兰尼碱受体的激活等。本综述旨在更新 AD 中钙失调的机制,并讨论基于其调节的具有治疗潜力的靶点和分子。