Nong Yuhan, Kim Jung Soo, Jia Litian, Arancio Ottavio, Wang Qi
Department of Biomedical Engineering, Columbia University, New York, NY, USA.
Departments of Pathology & Cell Biology, and Medicine, Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University, New York, NY, USA.
J Alzheimers Dis. 2025 Jul;106(2):391-409. doi: 10.1177/13872877251342273. Epub 2025 Jul 1.
The accumulation of amyloid-β (Aβ) peptides is a hallmark of Alzheimer's disease (AD). Central to AD pathology is the production of Aβ peptides through the amyloidogenic processing of amyloid-β protein precursor (AβPP) by β-secretase (BACE-1) and γ-secretase. Recent studies have shifted focus from Aβ plaque deposits to the more toxic soluble Aβ oligomers. One significant way in which Aβ peptides impair neuronal information processing is by influencing neurotransmitter receptor function. These receptors, including adrenergic, acetylcholine, dopamine, 5-HT, glutamate, and gamma-aminobutyric acid (GABA) receptors, play a crucial role in regulating synaptic transmission, which underlies perceptual and cognitive functions. This review explores how Aβ interacts with these key neurotransmitter receptors and how these interactions contribute to neural dysfunction in AD. Moreover, we examine how agonists and antagonists of these receptors influence Aβ pathology, offering new perspectives on potential therapeutic strategies to curb AD progression effectively and improve patients' quality of life.
淀粉样β蛋白(Aβ)肽的积累是阿尔茨海默病(AD)的一个标志。AD病理学的核心是通过β-分泌酶(BACE-1)和γ-分泌酶对淀粉样β蛋白前体(AβPP)进行淀粉样生成加工来产生Aβ肽。最近的研究已将重点从Aβ斑块沉积转移到毒性更强的可溶性Aβ寡聚体上。Aβ肽损害神经元信息处理的一个重要方式是影响神经递质受体功能。这些受体,包括肾上腺素能、乙酰胆碱、多巴胺、5-羟色胺、谷氨酸和γ-氨基丁酸(GABA)受体,在调节突触传递中起关键作用,而突触传递是感知和认知功能的基础。本综述探讨了Aβ如何与这些关键神经递质受体相互作用,以及这些相互作用如何导致AD中的神经功能障碍。此外,我们研究了这些受体的激动剂和拮抗剂如何影响Aβ病理学,为有效遏制AD进展和改善患者生活质量的潜在治疗策略提供了新的视角。
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