New therapeutic targets in Alzheimer's disease: brain deregulation of calcium and zinc.

New therapeutic targets in Alzheimer's disease: brain deregulation of calcium and zinc.
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DOI:
10.1038/cddis.2011.57
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发表时间:
2011-06-23
影响因子:
9
通讯作者:
--
中科院分区:
生物学1区
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--
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阿尔茨海默病(AD)的分子决定因素仍然不完全清楚;然而,在过去的二十年中,大量的证据表明,该疾病的一个重要促成因素是两种信号阳离子:钙(Ca 2+)和锌(Zn 2+)的不平衡稳态的发展。这两种离子在中枢神经系统的生理功能中起着关键作用,但它们的大脑失调会促进淀粉样蛋白-β代谢异常以及tau磷酸化。AD还以改变的谷氨酸能激活为特征,并且谷氨酸可促进Ca 2+和Zn 2+稳态异常。这两种阳离子可以协同作用,促进自由基的产生,进一步细胞内Ca 2+和Zn 2+上升,并为自我维持的有害循环奠定基础。这些现象可能是导致AD的致病级联反应的初始步骤,因此,旨在预防Ca 2+和Zn 2+稳态异常的治疗干预可能为疾病改善策略提供很大的机会。
The molecular determinants of Alzheimer's (AD) disease are still not completely known; however, in the past two decades, a large body of evidence has indicated that an important contributing factor for the disease is the development of an unbalanced homeostasis of two signaling cations: calcium (Ca2+) and zinc (Zn2+). Both ions serve a critical role in the physiological functioning of the central nervous system, but their brain deregulation promotes amyloid-β dysmetabolism as well as tau phosphorylation. AD is also characterized by an altered glutamatergic activation, and glutamate can promote both Ca2+ and Zn2+ dyshomeostasis. The two cations can operate synergistically to promote the generation of free radicals that further intracellular Ca2+ and Zn2+ rises and set the stage for a self-perpetuating harmful loop. These phenomena can be the initial steps in the pathogenic cascade leading to AD, therefore, therapeutic interventions aiming at preventing Ca2+ and Zn2+ dyshomeostasis may offer a great opportunity for disease-modifying strategies.
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