Joshi Nishit, Vaidya Bhupesh, Sharma Shyam Sunder
Department of Pharmacology and Toxicology, National Institute of Pharmaceutical Education and Research, S.A.S. Nagar, Mohali, India.
Basic Clin Pharmacol Toxicol. 2024 Oct;135(4):375-400. doi: 10.1111/bcpt.14073. Epub 2024 Aug 29.
Alzheimer's disease (AD) is a devastating disorder with a multifaceted aetiology characterized by dementia, which later progresses to cognitive impairment. Significant efforts have been made to develop pharmacological interventions that slow down the pathogenesis of AD. However, conventional drugs have failed to satisfactorily treat AD and are more focussed towards symptomatic management. Thus, there is a gap in the literature regarding novel targets and modulators targeting them for the effective treatment of AD. Recent studies have demonstrated that modulation of transient receptor potential (TRP) channels has the potential to halt AD pathogenesis at an early stage and rescue hippocampal neurons from death. Amongst several members, TRP channels like TRPA1, TRPC6, TRPM2 and TRPV2 have shown promising results in the attenuation of neurobehavioural cognitive deficits as well as signalling pathways governing such cognitive decline. Furthermore, as these channels govern the ionic balance in the cell, their beneficial effects have also been known to maintain the homeostasis of Ca, which is the major culprit eliciting the vicious cycle of excitotoxicity, mitochondrial dysfunction, ROS generation and neurodegeneration. Despite such tremendous potential of TRP channel modulators, their clinical investigation remains elusive. Therefore, in the present review, we have discussed such agents in the light of TRP channels as molecular targets for the amelioration of AD both at the preclinical and clinical levels.
阿尔茨海默病(AD)是一种病因多方面的毁灭性疾病,其特征为痴呆,随后会发展为认知障碍。人们已做出重大努力来开发减缓AD发病机制的药物干预措施。然而,传统药物未能令人满意地治疗AD,且更侧重于对症治疗。因此,关于有效治疗AD的新靶点及其调节剂,文献中存在空白。最近的研究表明,调节瞬时受体电位(TRP)通道有可能在早期阶段阻止AD发病,并挽救海马神经元免于死亡。在多个成员中,TRPA1、TRPC6、TRPM2和TRPV2等TRP通道在减轻神经行为认知缺陷以及控制这种认知衰退的信号通路方面已显示出有前景的结果。此外,由于这些通道控制细胞内的离子平衡,它们的有益作用还在于维持钙的稳态,而钙是引发兴奋毒性、线粒体功能障碍、活性氧生成和神经退行性变恶性循环的主要罪魁祸首。尽管TRP通道调节剂具有如此巨大的潜力,但其临床研究仍然难以捉摸。因此,在本综述中,我们根据TRP通道,讨论了这些药物作为在临床前和临床水平改善AD的分子靶点的情况。