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坏死性凋亡激活在阿尔茨海默病中的治疗意义

Therapeutic implications of necroptosis activation in Alzheimer´s disease.

作者信息

Carrazana Elizabeth, Salvadores Natalia

机构信息

Laboratory of Neurodegenerative Diseases, Center for Biomedicine, Universidad Mayor, Temuco, Chile.

出版信息

Alzheimers Res Ther. 2024 Dec 26;16(1):275. doi: 10.1186/s13195-024-01649-8.

DOI:10.1186/s13195-024-01649-8
PMID:39726013
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11670415/
Abstract

In recent years, a growing body of research has unveiled the involvement of the necroptosis pathway in the pathogenesis of Alzheimer's disease (AD). This evidence has shed light on the mechanisms underlying neuronal death in AD, positioning necroptosis at the forefront as a potential target for therapeutic intervention. This review provides an update on the current knowledge on this emerging, yet rapidly advancing topic, encompassing all published studies that present supporting proof of the role of the necroptosis pathway in the neurodegenerative processes of AD. The implication of misfolded tau and amyloid-β (Aβ) aggregates is highlighted, with evidence suggesting their direct or indirect involvement in necroptosis activation. In summary, the review underscores the significance of understanding the complex interplay between necroptosis, protein aggregates, and neurodegeneration in AD. The findings advocate for a comprehensive approach, combining therapeutic and early diagnostic strategies, to intervene in the disease process before irreversible damage occurs.

摘要

近年来,越来越多的研究揭示了坏死性凋亡途径在阿尔茨海默病(AD)发病机制中的作用。这些证据阐明了AD中神经元死亡的潜在机制,使坏死性凋亡成为治疗干预的一个潜在前沿靶点。本综述对这一新兴且发展迅速的主题的当前知识进行了更新,涵盖了所有发表的表明坏死性凋亡途径在AD神经退行性过程中作用的支持性证据的研究。错误折叠的tau蛋白和淀粉样β(Aβ)聚集体的影响得到了强调,有证据表明它们直接或间接参与坏死性凋亡的激活。总之,该综述强调了理解AD中坏死性凋亡、蛋白质聚集体和神经退行性变之间复杂相互作用的重要性。这些发现提倡采用综合方法,结合治疗和早期诊断策略,在不可逆损伤发生之前干预疾病进程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dae9/11670415/23f3a2e187f0/13195_2024_1649_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dae9/11670415/23f3a2e187f0/13195_2024_1649_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dae9/11670415/23f3a2e187f0/13195_2024_1649_Fig1_HTML.jpg

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本文引用的文献

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A phase I randomized study to evaluate safety, pharmacokinetics, and pharmacodynamics of SIR2446M, a selective RIPK1 inhibitor, in healthy participants.一项评估 SIR2446M(一种选择性 RIPK1 抑制剂)在健康参与者中的安全性、药代动力学和药效学的 I 期随机研究。
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2024 Alzheimer's disease facts and figures.
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APOE4/4 is linked to damaging lipid droplets in Alzheimer's disease microglia.载脂蛋白 E4/4 与阿尔茨海默病小胶质细胞中的脂滴损伤有关。
Nature. 2024 Apr;628(8006):154-161. doi: 10.1038/s41586-024-07185-7. Epub 2024 Mar 13.
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Safety, pharmacokinetics, and target engagement of a brain penetrant RIPK1 inhibitor, SAR443820 (DNL788), in healthy adult participants.在健康成年参与者中,一种穿透血脑屏障的 RIPK1 抑制剂 SAR443820(DNL788)的安全性、药代动力学和靶点结合情况。
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MEG3 activates necroptosis in human neuron xenografts modeling Alzheimer's disease.MEG3 激活人神经元异种移植物模型中的坏死性凋亡。
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