Rivera Antonio Astrid Mayleth, Padilla Martínez Itzia Irene, Torres-Ramos Mónica A, Rosales-Hernández Martha Cecilia
Laboratorio de Biofísica y Biocatálisis, Sección de Estudios de Posgrado e Investigación, Escuela Superior de Medicina, Instituto Politécnico Nacional, Plan de San Luis y Salvador Díaz Mirón s/n, MéxicoCiudad de México, México.
Laboratorio de Química Supramolecular y Nanociencias, Unidad Profesional Interdisciplinaria de Biotecnología, Instituto Politécnico Nacional, MéxicoCiudad de México, México.
J Enzyme Inhib Med Chem. 2025 Dec;40(1):2456282. doi: 10.1080/14756366.2025.2456282. Epub 2025 Feb 14.
Alzheimer's disease (AD) is a major neurodegenerative disorder more common in older adults. One of the leading AD hypotheses involves the amyloid beta (A) production, it is associated to oxidative stress, neuroinflammation, and neurovascular damage. The interaction of A with the blood vessel wall contributes to the disruption of the blood-brain barrier (BBB), allowing neutrophil infiltration containing the myeloperoxidase enzyme (MPO), which produces hypochlorous acid (HOCl) a potent oxidant. Also, MPO could be released from the microglia cells and interact with the amyloid beta plaques. This review aims to study the role of MPO in the progression of AD, in particular its contribution to oxidative stress and neuroinflammation. Furthermore, to explore the MPO-potential as AD-biomarker to evaluate the therapeutic potential of its inhibitors to mitigate the neurotoxicity. Finally, revise MPO inhibitors that could act as dual inhibitors acting on MPO and acetylcholinesterase and or another target involved in AD.
阿尔茨海默病(AD)是一种主要发生于老年人的常见神经退行性疾病。AD的主要假说之一涉及β-淀粉样蛋白(Aβ)的产生,它与氧化应激、神经炎症和神经血管损伤有关。Aβ与血管壁的相互作用导致血脑屏障(BBB)破坏,使含有髓过氧化物酶(MPO)的中性粒细胞浸润,MPO可产生强效氧化剂次氯酸(HOCl)。此外,MPO可从小胶质细胞释放并与β-淀粉样蛋白斑块相互作用。本综述旨在研究MPO在AD进展中的作用,特别是其对氧化应激和神经炎症的影响。此外,探讨MPO作为AD生物标志物的潜力,以评估其抑制剂减轻神经毒性的治疗潜力。最后,综述可作为作用于MPO和乙酰胆碱酯酶及AD中其他相关靶点的双重抑制剂的MPO抑制剂。