Yao Qing, Long Chubing, Yi Pengcheng, Zhang Guangyong, Wan Wei, Rao Xiuqin, Ying Jun, Liang Weidong, Hua Fuzhou
Department of Anesthesiology, The Second Affiliated Hospital of Nanchang University, Nanchang City, Jiangxi Province, China.
Key Laboratory of Anesthesiology of Jiangxi Province, Nanchang City, Jiangxi Province, China.
CNS Neurosci Ther. 2024 Apr;30(4):e14721. doi: 10.1111/cns.14721.
Alzheimer's disease (AD) is a neurodegenerative disorder distinguished by a swift cognitive deterioration accompanied by distinctive pathological hallmarks such as extracellular Aβ (β-amyloid) peptides, neuronal neurofibrillary tangles (NFTs), sustained neuroinflammation, and synaptic degeneration. The elevated frequency of AD cases and its proclivity to manifest at a younger age present a pressing challenge in the quest for novel therapeutic interventions. Numerous investigations have substantiated the involvement of C/EBPβ in the progression of AD pathology, thus indicating its potential as a therapeutic target for AD treatment.
Several studies have demonstrated an elevation in the expression level of C/EBPβ among individuals afflicted with AD. Consequently, this review predominantly delves into the association between C/EBPβ expression and the pathological progression of Alzheimer's disease, elucidating its underlying molecular mechanism, and pointing out the possibility that C/EBPβ can be a new therapeutic target for AD.
A systematic literature search was performed across multiple databases, including PubMed, Google Scholar, and so on, utilizing predetermined keywords and MeSH terms, without temporal constraints. The inclusion criteria encompassed diverse study designs, such as experimental, case-control, and cohort studies, restricted to publications in the English language, while conference abstracts and unpublished sources were excluded.
Overexpression of C/EBPβ exacerbates the pathological features of AD, primarily by promoting neuroinflammation and mediating the transcriptional regulation of key molecular pathways, including δ-secretase, apolipoprotein E4 (APOE4), acidic leucine-rich nuclear phosphoprotein-32A (ANP32A), transient receptor potential channel 1 (TRPC1), and Forkhead BoxO (FOXO).
The correlation between overexpression of C/EBPβ and the pathological development of AD, along with its molecular mechanisms, is evident. Investigating the pathways through which C/EBPβ regulates the development of AD reveals numerous multiple vicious cycle pathways exacerbating the pathological progression of the disease. Furthermore, the exacerbation of pathological progression due to C/EBPβ overexpression and its molecular mechanism is not limited to AD but also extends to other neurodegenerative diseases such as amyotrophic lateral sclerosis (ALS), Parkinson's disease (PD), and multiple sclerosis (MS).
The overexpression of C/EBPβ accelerates the irreversible progression of AD pathophysiology. Additionally, C/EBPβ plays a crucial role in mediating multiple pathways linked to AD pathology, some of which engender vicious cycles, leading to the establishment of feedback mechanisms. To sum up, targeting C/EBPβ could hold promise as a therapeutic strategy not only for AD but also for other degenerative diseases.
阿尔茨海默病(AD)是一种神经退行性疾病,其特征是认知迅速衰退,并伴有独特的病理特征,如细胞外Aβ(β-淀粉样蛋白)肽、神经元神经原纤维缠结(NFTs)、持续的神经炎症和突触退化。AD病例的高发病率及其在年轻时发病的倾向,在寻求新的治疗干预措施方面构成了紧迫的挑战。大量研究证实C/EBPβ参与了AD病理的进展,因此表明其作为AD治疗靶点的潜力。
多项研究表明,AD患者中C/EBPβ的表达水平升高。因此,本综述主要探讨C/EBPβ表达与阿尔茨海默病病理进展之间的关联,阐明其潜在的分子机制,并指出C/EBPβ可能成为AD新治疗靶点的可能性。
利用预先确定的关键词和医学主题词(MeSH),在包括PubMed、谷歌学术等多个数据库中进行系统的文献检索,不受时间限制。纳入标准包括各种研究设计,如实验性、病例对照和队列研究,仅限于英文出版物,同时排除会议摘要和未发表的资料。
C/EBPβ的过表达加剧了AD的病理特征,主要是通过促进神经炎症和介导关键分子途径的转录调控,包括δ-分泌酶、载脂蛋白E4(APOE4)、酸性富含亮氨酸的核磷蛋白-32A(ANP32A)、瞬时受体电位通道1(TRPC1)和叉头盒O(FOXO)。
C/EBPβ过表达与AD病理发展之间的相关性及其分子机制是明显的。研究C/EBPβ调节AD发展的途径揭示了许多加剧疾病病理进展的恶性循环途径。此外,C/EBPβ过表达导致的病理进展加剧及其分子机制不仅限于AD,还扩展到其他神经退行性疾病,如肌萎缩侧索硬化症(ALS)、帕金森病(PD)和多发性硬化症(MS)。
C/EBPβ的过表达加速了AD病理生理的不可逆进展。此外,C/EBPβ在介导与AD病理相关的多种途径中起关键作用,其中一些途径会产生恶性循环,导致反馈机制的建立。总之,靶向C/EBPβ可能不仅对AD,而且对其他退行性疾病都有望成为一种治疗策略。