Reversal of Calcium Dysregulation as Potential Approach for Treating Alzheimer's Disease
Elena Popugaeva1, Daria Chernyuk1, Ilya Bezprozvanny1,2
1Laboratory of Molecular Neurodegeneration, Peter the Great St Petersburg Polytechnic University, St Petersburg, Russian Federation.
Abstract:
Despite decades of research and effort, there is still no effective disease-modifying treatment for Alzheimer's Disease (AD). Most of the recent AD clinical trials were targeting amyloid pathway, but all these trials failed. Although amyloid pathology is a hallmark and defining feature of AD, targeting the amyloid pathway has been very challenging due to low efficacy and serious side effects. Alternative approaches or mechanisms for our understanding of the major cause of memory loss in AD need to be considered as potential therapeutic targets. Increasing studies suggest that Ca2+ dysregulation in AD plays an important role in AD pathology and is associated with other AD abnormalities, such as excessive inflammation, increased ROS, impaired autophagy, neurodegeneration, synapse, and cognitive dysfunction. Ca2+ dysregulation in cytosolic space, Endoplasmic Reticulum (ER) and mitochondria have been reported in the context of various AD models. Drugs or strategies, to correct the Ca2+ dysregulation in AD, have been demonstrated to be promising as an approach for the treatment of AD in preclinical models. This review will discuss the mechanisms of Ca2+ dysregulation in AD and associated pathology and discuss potential approaches or strategies to develop novel drugs for the treatment of AD by targeting Ca2+ dysregulation.
Insights
Calcium (Ca2+) dysregulation is implicated in Alzheimer's Disease (AD) pathology, contributing to cognitive decline. Targeting Ca2+ imbalances offers a promising therapeutic strategy for AD treatment, moving beyond failed amyloid-focused approaches.
Area of Science:
- Neuroscience
- Biochemistry
- Pharmacology
Background:
- Current Alzheimer's Disease (AD) treatments lack efficacy, with amyloid-targeting therapies failing in clinical trials.
- Amyloid pathology, while a hallmark of AD, presents significant challenges for therapeutic intervention due to low efficacy and adverse effects.
- Alternative therapeutic targets are crucial for addressing the complex pathology of AD and memory loss.
Purpose of the Study:
- To review the mechanisms underlying calcium (Ca2+) dysregulation in Alzheimer's Disease (AD).
- To explore the association between Ca2+ dysregulation and other AD pathologies, including inflammation, oxidative stress, and neurodegeneration.
- To discuss potential therapeutic strategies targeting Ca2+ dysregulation for AD treatment.
Main Methods:
- Literature review of studies investigating Ca2+ homeostasis in AD.
- Analysis of research on Ca2+ dysregulation in cytosolic space, Endoplasmic Reticulum (ER), and mitochondria in AD models.
- Examination of preclinical data on drugs and strategies aimed at correcting Ca2+ dysregulation in AD.
Main Results:
- Ca2+ dysregulation is increasingly recognized as a significant factor in AD pathogenesis.
- Imbalances in Ca2+ are linked to inflammation, reactive oxygen species (ROS), impaired autophagy, neurodegeneration, and synaptic dysfunction in AD.
- Preclinical studies show that correcting Ca2+ dysregulation can be a viable therapeutic approach for AD.
Conclusions:
- Ca2+ dysregulation is a critical contributor to Alzheimer's Disease (AD) pathology and cognitive decline.
- Targeting Ca2+ pathways presents a promising alternative to amyloid-centric approaches for AD drug development.
- Further research into Ca2+ modulating strategies could lead to novel disease-modifying treatments for AD.
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