Sola-Sevilla Noemi, Puerta Elena
Department of Pharmacology and Toxicology, Faculty of Pharmacy, University of Navarra, Navarra Institute for Health Research (IdiSNA), Pamplona, Spain.
Neural Regen Res. 2024 Jan;19(1):124-131. doi: 10.4103/1673-5374.375315.
Alzheimer's disease is the most common cause of dementia globally with an increasing incidence over the years, bringing a heavy burden to individuals and society due to the lack of an effective treatment. In this context, sirtuin 2, the sirtuin with the highest expression in the brain, has emerged as a potential therapeutic target for neurodegenerative diseases. This review summarizes and discusses the complex roles of sirtuin 2 in different molecular mechanisms involved in Alzheimer's disease such as amyloid and tau pathology, microtubule stability, neuroinflammation, myelin formation, autophagy, and oxidative stress. The role of sirtuin 2 in all these processes highlights its potential implication in the etiology and development of Alzheimer's disease. However, its presence in different cell types and its enormous variety of substrates leads to apparently contradictory conclusions when it comes to understanding its specific functions. Further studies in sirtuin 2 research with selective sirtuin 2 modulators targeting specific sirtuin 2 substrates are necessary to clarify its specific functions under different conditions and to validate it as a novel pharmacological target. This will contribute to the development of new treatment strategies, not only for Alzheimer's disease but also for other neurodegenerative diseases.
阿尔茨海默病是全球痴呆最常见的病因,且其发病率多年来呈上升趋势,由于缺乏有效治疗方法,给个人和社会带来了沉重负担。在此背景下,在大脑中表达量最高的sirtuin 2已成为神经退行性疾病的潜在治疗靶点。本综述总结并讨论了sirtuin 2在阿尔茨海默病涉及的不同分子机制中的复杂作用,如淀粉样蛋白和tau病理、微管稳定性、神经炎症、髓鞘形成、自噬和氧化应激。sirtuin 2在所有这些过程中的作用凸显了其在阿尔茨海默病病因和发展中的潜在影响。然而,它在不同细胞类型中的存在以及其大量的底物,在理解其具体功能时会导致明显相互矛盾的结论。有必要使用针对特定sirtuin 2底物的选择性sirtuin 2调节剂对sirtuin 2进行进一步研究,以阐明其在不同条件下的具体功能,并验证其作为新型药理学靶点的有效性。这将有助于开发新的治疗策略,不仅针对阿尔茨海默病,也针对其他神经退行性疾病。