The Pivotal Role of NF-kB in the Pathogenesis and Therapeutics of Alzheimer's Disease.

The Pivotal Role of NF-kB in the Pathogenesis and Therapeutics of Alzheimer's Disease.
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NF-kB 在阿尔茨海默病的发病机制和治疗中的关键作用。

DOI:
10.3390/ijms23168972
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发表时间:
2022-08-11
影响因子:
5.6
通讯作者:
--
中科院分区:
生物学2区
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--
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阿尔茨海默病(AD)是世界范围内最常见的神经退行性疾病,其患病率很高,预计每20年翻一番。除了Aβ斑块和神经纤维缠结的形成外,神经炎症是AD进展的主要表型之一。事实上,核因子-κB(NF-κB)是一种公认的炎症转录因子,可促进神经退行性变。因此,在这篇综述中,我们提供了一个概述NF-κB在AD发病机制中的作用,包括它与AD小鼠模型,神经元和胶质细胞中的各种分子因子的相互作用。这些细胞类型和分子中的一些包括反应性小胶质细胞和星形胶质细胞、β-分泌酶、APOE、谷氨酸、miRNA和tau蛋白等。由于AD发展的多因素性质和许多旨在抑制AD进展的药物的失败,对AD治疗的新靶点(包括NF-κB信号通路)的追求正在上升。在此,我们提供了一个概要的药物开发景观的AD治疗,提供的观点,NF-κB抑制剂可能会产生广泛的兴趣在AD研究的未来。最终,对靶向NF-κB信号传导的化合物和小分子的进一步研究以及对不同细胞类型中NF-κB机制激活的完整理解将拓宽并为AD患者提供更多的治疗选择。
Alzheimer’s Disease (AD) is the most common neurodegenerative disease worldwide, with a high prevalence that is expected to double every 20 years. Besides the formation of Aβ plaques and neurofibrillary tangles, neuroinflammation is one the major phenotypes that worsens AD progression. Indeed, the nuclear factor-κB (NF-κB) is a well-established inflammatory transcription factor that fuels neurodegeneration. Thus, in this review, we provide an overview of the NF-κB role in the pathogenesis of AD, including its interaction with various molecular factors in AD mice models, neurons, and glial cells. Some of these cell types and molecules include reactive microglia and astrocytes, β-secretase, APOE, glutamate, miRNA, and tau protein, among others. Due to the multifactorial nature of AD development and the failure of many drugs designed to dampen AD progression, the pursuit of novel targets for AD therapeutics, including the NF-κB signaling pathway, is rising. Herein, we provide a synopsis of the drug development landscape for AD treatment, offering the perspective that NF-κB inhibitors may generate widespread interest in AD research in the future. Ultimately, the additional investigation of compounds and small molecules that target NF-κB signaling and the complete understanding of NF-κB mechanistic activation in different cell types will broaden and provide more therapeutic options for AD patients.
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