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AGES in brain ageing: AGE-inhibitors as neuroprotective and anti-dementia drugs?
S Dukic-Stefanovic1, R Schinzel, P Riederer
1Physiological Chemistry I, Biocenter, University of Würzburg, Germany.
Abstract:
In Alzheimer's disease, age-related cellular changes such as compromised energy production and increased radical formation are worsened by the presence of AGEs as additional, AD specific stress factors. Intracellular AGEs (most likely derived from methylglyoxal) crosslink cytoskeletal proteins and render them insoluble. These aggregates inhibit cellular functions including transport processes and contribute to neuronal dysfunction and death. Extracellular AGEs, which accumulate in ageing tissue (but most prominently on long-lived protein deposits like the senile plaques) exert chronic oxidative stress on neurons. In addition, they activate glial cells to produce free radicals (superoxide and NO) and neurotoxic cytokines such as TNF-alpha. Drugs, which inhibit the formation of AGEs by specific chemical mechanisms (AGE-inhibitors), including aminoguanidine, carnosine, tenilsetam, OPB-9195 and pyridoxamine, attenuate the development of (AGE-mediated) diabetic complications. Assuming that 'carbonyl stress' contributes significantly to the progression of Alzheimer's disease, AGE-inhibitors might also become interesting novel therapeutic drugs for treatment of AD.
Insights
Advanced Glycation End-products (AGEs) worsen Alzheimer's disease (AD) by impairing cellular functions and increasing oxidative stress. AGE-inhibitors show potential as novel therapeutic drugs for AD treatment.
Area of Science:
- Neuroscience
- Biochemistry
- Pathology
Background:
- Alzheimer's disease (AD) involves age-related cellular dysfunction, exacerbated by Advanced Glycation End-products (AGEs).
- Intracellular AGEs, likely from methylglyoxal, crosslink proteins, forming insoluble aggregates that disrupt neuronal transport and function.
- Extracellular AGEs accumulate in aging tissues and amyloid plaques, inducing oxidative stress and glial cell activation.
Purpose of the Study:
- To investigate the role of AGEs and carbonyl stress in Alzheimer's disease progression.
- To explore the potential therapeutic benefits of AGE-inhibitors in AD.
Main Methods:
- Analysis of AGEs' impact on cellular processes in AD models.
- Review of existing AGE-inhibitor efficacy in other conditions (e.g., diabetic complications).
Main Results:
- AGEs contribute to neuronal dysfunction and death through cytoskeletal damage and oxidative stress.
- Activated glial cells release neurotoxic factors like TNF-alpha in response to AGEs.
- AGE-inhibitors have demonstrated efficacy in mitigating AGE-mediated complications in diabetes.
Conclusions:
- Carbonyl stress from AGEs is a significant factor in Alzheimer's disease pathogenesis.
- AGE-inhibitors represent a promising therapeutic strategy for Alzheimer's disease treatment.
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