Alzheimer's Center at Temple, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, United States of America.
Alzheimer's Center at Temple, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, United States of America.
Biochim Biophys Acta Mol Cell Res. 2020 May;1867(5):118664. doi: 10.1016/j.bbamcr.2020.118664. Epub 2020 Jan 30.
Alzheimer's disease (AD) is the most common form of neurodegenerative disorder with dementia, accounting for approximately 70% of the all cases. Currently, 5.8 million people in the U.S. are living with AD and by 2050 this number is expected to double resulting in a significant socio-economic burden. Despite intensive research, the exact mechanisms that trigger AD are still not known and at the present there is no cure for it. In recent years, many signaling pathways associated with AD neuropathology have been explored as possible candidate targets for the treatment of this condition including glycogen synthase kinase-3β (GSK3-β). GSK3-β is considered a key player in AD pathophysiology since dysregulation of this kinase influences all the major hallmarks of the disease including: tau phosphorylation, amyloid-β production, memory, neurogenesis and synaptic function. The present review summarizes the current understanding of the GSK3-β neurobiology with particular emphasis on its effects on specific signaling pathways associated with AD pathophysiology. Moreover, it discusses the feasibility of targeting GSK3-β for AD treatment and provides a summary of the current research effort to develop GSK3-β inhibitors in preclinical and clinical studies.
阿尔茨海默病(AD)是最常见的神经退行性疾病痴呆症,约占所有病例的 70%。目前,美国有 580 万人患有 AD,到 2050 年,这一数字预计将翻一番,这将给社会经济带来巨大负担。尽管进行了深入研究,但触发 AD的确切机制仍不清楚,目前尚无治愈方法。近年来,许多与 AD 神经病理学相关的信号通路已被探索为治疗该疾病的可能候选靶点,包括糖原合酶激酶-3β(GSK3-β)。GSK3-β 被认为是 AD 病理生理学中的关键参与者,因为这种激酶的失调会影响疾病的所有主要特征,包括:tau 磷酸化、淀粉样蛋白-β产生、记忆、神经发生和突触功能。本综述总结了 GSK3-β 的神经生物学的现有认识,特别强调了它对 AD 病理生理学相关特定信号通路的影响。此外,它还讨论了靶向 GSK3-β 治疗 AD 的可行性,并总结了目前在临床前和临床研究中开发 GSK3-β 抑制剂的研究进展。