Department of Biochemistry and Molecular Biology, School of Medicine, Kyung Hee University, Seoul 02447, Republic of Korea.
Biomedical Science Institute, Kyung Hee University, Seoul 02447, Republic of Korea.
Int J Mol Sci. 2024 Jun 24;25(13):6901. doi: 10.3390/ijms25136901.
Alzheimer's disease (AD) is the most prevalent neurodegenerative disorder and affects millions of individuals globally. AD is associated with cognitive decline and memory loss that worsens with aging. A statistical report using U.S. data on AD estimates that approximately 6.9 million individuals suffer from AD, a number projected to surge to 13.8 million by 2060. Thus, there is a critical imperative to pinpoint and address AD and its hallmark tau protein aggregation early to prevent and manage its debilitating effects. Amyloid-β and tau proteins are primarily associated with the formation of plaques and neurofibril tangles in the brain. Current research efforts focus on degrading amyloid-β and tau or inhibiting their synthesis, particularly targeting APP processing and tau hyperphosphorylation, aiming to develop effective clinical interventions. However, navigating this intricate landscape requires ongoing studies and clinical trials to develop treatments that truly make a difference. Genome-wide association studies (GWASs) across various cohorts identified 40 loci and over 300 genes associated with AD. Despite this wealth of genetic data, much remains to be understood about the functions of these genes and their role in the disease process, prompting continued investigation. By delving deeper into these genetic associations, novel targets such as kinases, proteases, cytokines, and degradation pathways, offer new directions for drug discovery and therapeutic intervention in AD. This review delves into the intricate biological pathways disrupted in AD and identifies how genetic variations within these pathways could serve as potential targets for drug discovery and treatment strategies. Through a comprehensive understanding of the molecular underpinnings of AD, researchers aim to pave the way for more effective therapies that can alleviate the burden of this devastating disease.
阿尔茨海默病(AD)是最常见的神经退行性疾病,影响着全球数以百万计的人。AD 与认知能力下降和记忆力减退有关,随着年龄的增长而恶化。一项使用美国 AD 数据的统计报告估计,约有 690 万人患有 AD,到 2060 年,这一数字预计将飙升至 1380 万。因此,迫切需要尽早确定和解决 AD 及其标志性的 tau 蛋白聚集问题,以预防和管理其致残影响。淀粉样蛋白-β和 tau 蛋白主要与大脑中斑块和神经原纤维缠结的形成有关。目前的研究重点是降解淀粉样蛋白-β和 tau 或抑制其合成,特别是针对 APP 处理和 tau 过度磷酸化,旨在开发有效的临床干预措施。然而,要在这一复杂的领域中取得进展,需要进行持续的研究和临床试验,以开发真正有影响的治疗方法。全基因组关联研究(GWAS)在多个队列中确定了 40 个位点和 300 多个与 AD 相关的基因。尽管有了如此丰富的遗传数据,但这些基因的功能及其在疾病过程中的作用仍有许多需要了解,这促使人们继续进行研究。通过深入研究这些遗传关联,激酶、蛋白酶、细胞因子和降解途径等新的靶点为 AD 中的药物发现和治疗干预提供了新的方向。本综述深入探讨了 AD 中被破坏的复杂生物学途径,并确定了这些途径中的遗传变异如何可能成为药物发现和治疗策略的潜在靶点。通过对 AD 的分子基础有更全面的了解,研究人员旨在为更有效的治疗方法铺平道路,以减轻这种破坏性疾病的负担。