Molecular mechanisms and genetics of Alzheimer’s disease

G. Öztan, H. Issever
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Abstract

Abstract Dementia is mostly caused by neurodegenerative diseases like Alzheimer’s disease (AD). AD is the most common form of dementia. It is caused by both genetic and environmental factors. Due to neuronal death in a number of brain regions, including the hippocampus, entorhinal areas, temporal lobe, and cingulate cortex, AD causes memory loss and gradual cognitive impairment. The condition’s two main pathogenic components are intracellular neurofibrillary tangles created by clusters of hyperphosphorylated tau protein and amyloid plaques made up of extracellular amyloid (Aβ) peptide aggregates. In contrast to the APOE- ε4 allele, which was found to have a significant impact on late-onset AD, presenilin 1, presenilin 2, amyloid precursor protein were genetic risk factors that were causal for early-onset AD. Misfolded proteins accumulate within the neuron, causing prolonged cellular stress in AD, a progressive neurodegenerative disease. Neurofibrillary tangles and senile plaques are two of the neuropathological hallmarks of Alzheimer’s disease that lead to the destruction of synapses and the death of neurons. AD is mostly caused by the death of nerves, particularly cholinergic nerves. In the absence of these cholinergic neurons, acetylcholine levels fall. This review discusses key genes involved in the pathogenesis and pathophysiology of AD, as well as the disease’s molecular mechanisms.
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阿尔茨海默病的分子机制和遗传学
摘要痴呆症多由阿尔茨海默病(AD)等神经退行性疾病引起。阿尔茨海默病是最常见的痴呆症。它是由遗传和环境因素共同引起的。由于海马、内嗅区、颞叶和扣带皮层等多个大脑区域的神经元死亡,AD会导致记忆丧失和逐渐的认知障碍。这种疾病的两个主要致病成分是由过度磷酸化的tau蛋白簇和由细胞外淀粉样蛋白(Aβ)肽聚集体组成的淀粉样斑块形成的细胞内神经原纤维缠结。与APOE- ε4等位基因对迟发性AD有显著影响相反,早老素1、早老素2、淀粉样蛋白前体蛋白是导致早发性AD的遗传危险因素。错误折叠的蛋白质在神经元内积聚,导致阿尔茨海默病(一种进行性神经退行性疾病)中延长的细胞应激。神经原纤维缠结和老年斑是阿尔茨海默病的两种神经病理学特征,它们会导致突触破坏和神经元死亡。阿尔茨海默病多由神经死亡,尤其是胆碱能神经死亡引起。在缺乏这些胆碱能神经元的情况下,乙酰胆碱水平下降。本文就阿尔茨海默病的发病机制、病理生理及分子机制进行综述。
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