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解锁希望:GSK-3 抑制剂与 Wnt 通路在阿尔茨海默病治疗中的激活作用。

Unlocking hope: GSK-3 inhibitors and Wnt pathway activation in Alzheimer's therapy.

机构信息

Department of Pharmacology, JSS College of Pharmacy, JSS Academy of Higher Education and Research, Ooty, India.

Department of Pharmaceutics, JSS College of Pharmacy, JSS Academy of Higher Education and Research, Ooty, India.

出版信息

J Drug Target. 2024 Sep;32(8):909-917. doi: 10.1080/1061186X.2024.2365263. Epub 2024 Jun 11.

Abstract

Alzheimer's disease (AD) is a complex neurodegenerative disorder characterised by progressive cognitive decline and the accumulation of amyloid-β plaques and tau tangles. The Wnt signalling pathway known for its crucial role in neurodevelopment and adult neurogenesis has emerged as a potential target for therapeutic intervention in AD. Glycogen synthase kinase-3 beta (GSK-3β), a key regulator of the Wnt pathway, plays a pivotal role in AD pathogenesis by promoting tau hyperphosphorylation and neuroinflammation. Several preclinical studies have demonstrated that inhibiting GSK-3β leads to the activation of Wnt pathway thereby promoting neuroprotective effects, and mitigating cognitive deficits in AD animal models. The modulation of Wnt signalling appears to have multifaceted benefits including the reduction of amyloid-β production, tau hyperphosphorylation, enhancement of synaptic plasticity, and inhibition of neuroinflammation. These findings suggest that targeting GSK-3β to activate Wnt pathway may represent a novel approach for slowing or halting the progression of AD. This hypothesis reviews the current state of research exploring the activation of Wnt pathway through the inhibition of GSK-3β as a promising therapeutic strategy in AD.

摘要

阿尔茨海默病(AD)是一种复杂的神经退行性疾病,其特征是认知能力逐渐下降,β淀粉样蛋白斑块和 tau 缠结的积累。Wnt 信号通路因其在神经发育和成人神经发生中的关键作用而成为 AD 治疗干预的潜在靶点。糖原合酶激酶-3β(GSK-3β)是 Wnt 通路的关键调节剂,通过促进 tau 过度磷酸化和神经炎症,在 AD 发病机制中发挥关键作用。几项临床前研究表明,抑制 GSK-3β可激活 Wnt 通路,从而促进神经保护作用,并减轻 AD 动物模型中的认知缺陷。Wnt 信号的调节似乎具有多方面的益处,包括减少淀粉样蛋白-β的产生、tau 过度磷酸化、增强突触可塑性和抑制神经炎症。这些发现表明,通过抑制 GSK-3β 来靶向 Wnt 通路可能代表一种减缓或阻止 AD 进展的新方法。本假说综述了目前通过抑制 GSK-3β 激活 Wnt 通路作为 AD 有希望的治疗策略的研究现状。

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