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Pathogenic Feed-Forward Mechanisms in Alzheimer's and Parkinson's Disease Converge on GSK-3
Abdalla M Albeely1, Scott D Ryan1, Melissa L Perreault1
1Department of Molecular and Cellular Biology, University of Guelph, Guelph, ON, Canada.
Abstract:
Alzheimer's disease (AD) and Parkinson's disease (PD) share many commonalities ranging from signaling deficits such as altered cholinergic activity, neurotrophin and insulin signaling to cell stress cascades that result in proteinopathy, mitochondrial dysfunction and neuronal cell death. These pathological processes are not unidirectional, but are intertwined, resulting in a series of feed-forward loops that worsen symptoms and advance disease progression. At the center of these loops is glycogen synthase kinase-3 (GSK-3), a keystone protein involved in many of the multidirectional biological processes that contribute to AD and PD neuropathology. Here, a unified overview of the involvement of GSK-3 in the major processes involved in these diseases will be presented. The mechanisms by which these processes are linked will be discussed and the feed-forward pathways identified. In this regard, this review will put forth the notion that combination therapy, targeting these multiple facets of AD or PD neuropathology is a necessary next step in the search for effective therapies.
Insights
Alzheimer's and Parkinson's diseases share common pathways involving glycogen synthase kinase-3 (GSK-3). Targeting GSK-3 and related pathways may offer new combination therapies for these neurodegenerative diseases.
Area of Science:
- Neuroscience
- Biochemistry
- Pathology
Background:
- Alzheimer's disease (AD) and Parkinson's disease (PD) exhibit shared pathological hallmarks.
- Common signaling deficits include altered cholinergic, neurotrophin, and insulin signaling.
- Cell stress cascades lead to proteinopathy, mitochondrial dysfunction, and neuronal death in both AD and PD.
Purpose of the Study:
- To provide a unified overview of glycogen synthase kinase-3 (GSK-3) involvement in AD and PD.
- To elucidate the mechanisms linking shared pathological processes in AD and PD.
- To identify feed-forward pathways contributing to disease progression.
Main Methods:
- Literature review and synthesis of existing research on GSK-3 in neurodegenerative diseases.
- Analysis of signaling pathways and cellular stress cascades.
- Identification of interconnected neuropathological mechanisms.
Main Results:
- GSK-3 is central to intertwined feed-forward loops exacerbating AD and PD.
- GSK-3 regulates multiple biological processes contributing to neuropathology.
- Shared pathways highlight common therapeutic targets.
Conclusions:
- GSK-3 plays a pivotal role in the convergence of AD and PD pathologies.
- Understanding these interconnected pathways is crucial for therapeutic development.
- Combination therapies targeting multiple facets of AD/PD neuropathology are a necessary next step.
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