Nakashima Moeka, Suga Naoko, Fukumoto Akari, Yoshikawa Sayuri, Matsuda Satoru
Department of Food Science and Nutrition, Nara Women's University Kita-Uoya Nishimachi, Nara 630-8506, Japan.
Int J Physiol Pathophysiol Pharmacol. 2024 Oct 15;16(5):96-110. doi: 10.62347/MTWV3745. eCollection 2024.
Alzheimer's disease is the most general type of cognitive impairments. Until recently, strategies that prevent its clinical progression have remained more elusive. Consequently, research direction should be for finding effective neuroprotective agents. It has been suggested oxidative stress, mitochondrial injury, and inflammation level might lead to brain cell death in many neurological disorders. Therefore, several autophagy-targeted bioactive compounds may be promising candidate therapeutics for the prevention of brain cell damage. Interestingly, some risk genes to Alzheimer's disease are expressed within brain cells, which may be linked to cholesterol metabolism, lipid transport, endocytosis, exocytosis and/or caveolae formation, suggesting that caveolae may be a fruitful therapeutic target to improve cognitive impairments. This review would highlight the latest advances in therapeutic technologies to improve the treatment of Alzheimer's disease. In particular, a paradigm that serotonin and N-methyl-d-aspartate (NMDA) receptors agonist/antagonist within caveolae structure might possibly improve the cognitive impairment. Consequently, cellular membrane biophysics should improve our understanding of the pathology of the cognitive dysfunction associated with Alzheimer's disease. Here, this research direction for the purpose of therapy may open the potential to move a clinical care toward disease-modifying treatment strategies with certain benefits for patients.
阿尔茨海默病是最常见的认知障碍类型。直到最近,预防其临床进展的策略仍然难以捉摸。因此,研究方向应该是寻找有效的神经保护剂。有人提出,氧化应激、线粒体损伤和炎症水平可能导致许多神经系统疾病中的脑细胞死亡。因此,几种靶向自噬的生物活性化合物可能是预防脑细胞损伤的有前景的候选治疗药物。有趣的是,一些阿尔茨海默病的风险基因在脑细胞中表达,这可能与胆固醇代谢、脂质转运、内吞作用、胞吐作用和/或小窝形成有关,表明小窝可能是改善认知障碍的一个富有成效的治疗靶点。本综述将重点介绍改善阿尔茨海默病治疗的治疗技术的最新进展。特别是,一种范式认为,小窝结构内的5-羟色胺和N-甲基-D-天冬氨酸(NMDA)受体激动剂/拮抗剂可能改善认知障碍。因此,细胞膜生物物理学应该能增进我们对与阿尔茨海默病相关的认知功能障碍病理学的理解。在此,为治疗目的的这一研究方向可能为朝着对患者有一定益处的疾病修饰治疗策略推进临床护理开辟潜力。