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.

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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