gamma-secretase as a therapeutic target for treatment of Alzheimer's disease.

gamma-secretase as a therapeutic target for treatment of Alzheimer's disease.
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DOI:
10.2174/138161206775474206
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发表时间:
2006-01
影响因子:
3.1
通讯作者:
T. Tomita;T. Iwatsubo
T. Tomita;T. Iwatsubo
中科院分区:
医学4区
文献类型:
--
作者:
T. Tomita;T. Iwatsubo

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阿尔茨海默病(AD)是伴随衰老的痴呆的最常见原因,其病理特征在于含有淀粉样β肽(Abeta)的老年斑和由磷酸化tau组成的神经元缠结。遗传学和生物学研究提供的证据表明,Abeta的产生和沉积有助于AD的病因学。γ-分泌酶是产生Abeta的C末端的关键酶,其决定了Abeta的聚集性和沉积倾向。通过抑制γ-分泌酶活性调节Abeta产生的药物可以为AD提供有效的治疗方法,尽管最近的研究表明γ-分泌酶在胚胎发育中发挥重要作用的新信号通路中起重要作用。本文综述了γ-分泌酶生物学的最新进展,阐明了这种不寻常的酶的蛋白水解机制,调节和组成。此外,我们还回顾了抑制剂的最新进展,并为通过抑制γ-分泌酶活性有效治疗AD提供了方向。
Alzheimer's disease (AD) is the most common cause of dementia with aging, that is pathologically characterized by senile plaques that contain amyloid-beta peptides (Abeta) and neurofibrillary tangles comprised of phosphorylated tau. Genetic and biological studies provide evidence that the production and deposition of Abeta contribute to the etiology of AD. gamma-Secretase is the pivotal enzyme in generating the C terminus of Abeta, that determines its aggregability and propensity for deposition. Drugs that regulate the production of Abeta by inhibiting gamma-secretase activity could provide an effective therapeutics for AD, although recent studies suggest that gamma-secretase plays important roles in novel signaling pathways that play essential roles in embryonic development. This review focuses on recent progresses in the gamma-secretase biology that shed substantial light on the proteolytic mechanism, regulation and composition of this unusual enzyme. Moreover, we review the recent development of inhibitors and provide a direction for the effective treatment of AD through inhibition of gamma-secretase activity.