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钙信号假说:阿尔茨海默病中不可忽视的发病机制。

Calcium signaling hypothesis: A non-negligible pathogenesis in Alzheimer's disease.

作者信息

Wang Minghui, Zhang Hu, Liang Jiling, Huang Jielun, Wu Tong, Chen Ning

机构信息

Tianjiu Research and Development Center for Exercise Nutrition and Foods, Hubei Key Laboratory of Exercise Training and Monitoring, College of Sports Medicine, Wuhan Sports University, Wuhan 430079, China.

Tianjiu Research and Development Center for Exercise Nutrition and Foods, Hubei Key Laboratory of Exercise Training and Monitoring, College of Sports Medicine, Wuhan Sports University, Wuhan 430079, China.

出版信息

J Adv Res. 2025 Jan 8. doi: 10.1016/j.jare.2025.01.007.

Abstract

BACKGROUND

Alzheimer's disease (AD) presents a significant challenge to global healthcare systems, with an exacerbation by an aging population. Although the plethora of hypotheses are proposed to elucidate the underlying mechanisms of AD, from amyloid-beta (Aβ) accumulation and Tau protein aggregation to neuroinflammation, a comprehensive understanding of its pathogenesis remains elusive. Recent research has highlighted the critical role of calcium (Ca) signaling pathway in the progression of AD, indicating a complex interplay between Ca dysregulation and various pathological processes.

AIM OF REVIEW

This review aims to consolidate the current understanding of the role of Ca signaling dysregulation in AD, thus emphasizing its central role amidst various pathological hypotheses. We aim to evaluate the potential of the Ca signaling hypothesis to unify existing theories of AD pathogenesis and explore its implications for developing innovative therapeutic strategies through targeting Ca dysregulation.

KEY SCIENTIFIC CONCEPTS OF REVIEW

The review focuses on three principal concepts. First, the indispensable role of Ca homeostasis in neuronal function and its disruption in AD. Second, the interaction between Ca signaling dysfunction and established AD hypotheses posited that Ca dysregulation is a unifying pathway. Third, the dual role of Ca in neurodegeneration and neuroprotection, highlighting the nuanced effects of Ca levels on AD pathology.

摘要

背景

阿尔茨海默病(AD)给全球医疗保健系统带来了重大挑战,且随着人口老龄化而加剧。尽管人们提出了众多假说来阐明AD的潜在机制,从β-淀粉样蛋白(Aβ)积累、 Tau蛋白聚集到神经炎症,但对其发病机制的全面理解仍然难以捉摸。最近的研究强调了钙(Ca)信号通路在AD进展中的关键作用,表明钙失调与各种病理过程之间存在复杂的相互作用。

综述目的

本综述旨在巩固目前对钙信号失调在AD中作用的理解,从而强调其在各种病理假说中的核心作用。我们旨在评估钙信号假说统一现有AD发病机制理论的潜力,并探讨其通过针对钙失调开发创新治疗策略的意义。

综述的关键科学概念

本综述聚焦于三个主要概念。第一,钙稳态在神经元功能中的不可或缺的作用及其在AD中的破坏。第二,钙信号功能障碍与既定AD假说之间的相互作用,认为钙失调是一条统一的途径。第三,钙在神经退行性变和神经保护中的双重作用,突出了钙水平对AD病理的细微影响。

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