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[离子通道调节在阿尔茨海默病中的治疗潜力]

[Therapeutic potential of ion channel modulation in Alzheimer's disease].

作者信息

Huang Bing, Yang Cheng-Min, Lu Zhi-Cheng, Tang Li-Na, Mo Sheng-Long, Jian Chong-Dong, Shang Jing-Wei

机构信息

Graduate School of Youjiang Medical University for Nationalities, Baise 533000, China.

Department of Neurology, the Affiliated Hospital of Youjiang Medical University for Nationalities, Baise 533000, China.

出版信息

Sheng Li Xue Bao. 2025 Apr 25;77(2):327-344. doi: 10.13294/j.aps.2025.0029.

Abstract

Alzheimer's disease (AD), a prototypical neurodegenerative disorder, encompasses multifaceted pathological processes. As pivotal cellular structures within the central nervous system, ion channels play critical roles in regulating neuronal excitability, synaptic transmission, and neurotransmitter release. Extensive research has revealed significant alterations in the expression and function of ion channels in AD, implicating an important role of ion channels in the pathogenesis of abnormal Aβ deposition, neuroinflammation, oxidative stress, and disruptions in calcium homeostasis and neural network functionality. This review systematically summarizes the crucial roles and underlying mechanisms of ion channels in the onset and progression of AD, highlighting how these channel abnormalities contribute to AD pathophysiology. We also discuss the therapeutic potential of ion channel modulation in AD treatment, emphasizing the importance of addressing multifactorial nature and heterogeneity of AD. The development of multi-target drugs and precision therapies is proposed as a future direction of scientific research.

摘要

阿尔茨海默病(AD)是一种典型的神经退行性疾病,包含多方面的病理过程。作为中枢神经系统中的关键细胞结构,离子通道在调节神经元兴奋性、突触传递和神经递质释放方面发挥着至关重要的作用。广泛的研究表明,AD中离子通道的表达和功能发生了显著改变,这表明离子通道在异常Aβ沉积、神经炎症、氧化应激以及钙稳态和神经网络功能紊乱的发病机制中起着重要作用。本综述系统地总结了离子通道在AD发病和进展中的关键作用及潜在机制,强调了这些通道异常如何导致AD病理生理学变化。我们还讨论了离子通道调节在AD治疗中的潜在治疗作用,强调了解决AD多因素性质和异质性的重要性。提出开发多靶点药物和精准治疗作为未来科学研究的方向。

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