Caveolae with serotonin and NMDA receptors as promising targets for the treatment of Alzheimer's disease.

Moeka Nakashima, Naoko Suga, Akari Fukumoto, Sayuri Yoshikawa, Satoru Matsuda
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Abstract

Alzheimer's disease is the most general type of cognitive impairments. Until recently, strategies that prevent its clinical progression have remained more elusive. Consequently, research direction should be for finding effective neuroprotective agents. It has been suggested oxidative stress, mitochondrial injury, and inflammation level might lead to brain cell death in many neurological disorders. Therefore, several autophagy-targeted bioactive compounds may be promising candidate therapeutics for the prevention of brain cell damage. Interestingly, some risk genes to Alzheimer's disease are expressed within brain cells, which may be linked to cholesterol metabolism, lipid transport, endocytosis, exocytosis and/or caveolae formation, suggesting that caveolae may be a fruitful therapeutic target to improve cognitive impairments. This review would highlight the latest advances in therapeutic technologies to improve the treatment of Alzheimer's disease. In particular, a paradigm that serotonin and N-methyl-d-aspartate (NMDA) receptors agonist/antagonist within caveolae structure might possibly improve the cognitive impairment. Consequently, cellular membrane biophysics should improve our understanding of the pathology of the cognitive dysfunction associated with Alzheimer's disease. Here, this research direction for the purpose of therapy may open the potential to move a clinical care toward disease-modifying treatment strategies with certain benefits for patients.

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具有血清素和 NMDA 受体的腔隙是治疗阿尔茨海默病的前景看好的靶点。
阿尔茨海默病是最常见的认知障碍类型。直到最近,防止其临床发展的策略仍然比较难以捉摸。因此,研究方向应该是寻找有效的神经保护剂。有研究表明,氧化应激、线粒体损伤和炎症水平可能会导致许多神经系统疾病的脑细胞死亡。因此,一些以自噬为靶点的生物活性化合物可能是预防脑细胞损伤的有希望的候选疗法。有趣的是,阿尔茨海默病的一些风险基因在脑细胞中表达,这些基因可能与胆固醇代谢、脂质转运、内吞、外吞和/或洞穴形成有关,这表明洞穴可能是改善认知障碍的一个富有成效的治疗靶点。本综述将重点介绍改善阿尔茨海默病治疗的治疗技术的最新进展。特别是,洞穴结构中的5-羟色胺和N-甲基-d-天冬氨酸(NMDA)受体激动剂/拮抗剂范例可能会改善认知障碍。因此,细胞膜生物物理学应能提高我们对阿尔茨海默病相关认知功能障碍病理的认识。在此,这个以治疗为目的的研究方向可能会开启临床护理向疾病改变治疗策略发展的潜力,为患者带来一定的益处。
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