Mitochondria-associated membranes (MAMs): a potential therapeutic target for treating Alzheimer's disease
Weiwei Yu1, Haiqiang Jin1, Yining Huang1
1Department of Neurology, Peking University First Hospital, 8 Xishiku Street Xicheng District, Beijing, China 100034.
Abstract:
Alzheimer's disease (AD), a progressive neurodegenerative disorder, is a leading global health concern for individuals and society. However, the potential mechanisms underlying the pathogenesis of AD have not yet been elucidated. Currently, the most widely acknowledged hypothesis is amyloid cascade owing to the brain characteristics of AD patients, including great quantities of extracellular β-amyloid (Aβ) plaques and intracellular neurofibrillary tangles (NFTs). Nevertheless, the amyloid cascade hypothesis cannot address certain pathologies that precede Aβ deposition and NFTs formation in AD, such as aberrant calcium homeostasis, abnormal lipid metabolism, mitochondrial dysfunction and autophagy. Notably, these earlier pathologies are closely associated with mitochondria-associated membranes (MAMs), the physical structures connecting the endoplasmic reticulum (ER) and mitochondria, which mediate the communication between these two organelles. It is plausible that MAMs might be involved in a critical step in the cascade of earlier events, ultimately inducing neurodegeneration in AD. In this review, we focus on the role of MAMs in the regulation of AD pathologies and the potential molecular mechanisms related to MAM-mediated pathological changes in AD. An enhanced recognition of the preclinical pathogenesis in AD could provide new therapeutic strategies, shifting the modality from treatment to prevention.
Insights
Mitochondria-associated membranes (MAMs) may play a key role in early Alzheimer's disease (AD) pathogenesis. Understanding MAMs' function could lead to new preventative therapies for this neurodegenerative disorder.
Area of Science:
- Neuroscience
- Cell Biology
- Biochemistry
Background:
- Alzheimer's disease (AD) is a progressive neurodegenerative disorder with significant global health impact.
- The amyloid cascade hypothesis, focusing on beta-amyloid (Aβ) plaques and neurofibrillary tangles (NFTs), is widely accepted but doesn't explain all AD pathologies.
- Early AD pathologies include disrupted calcium homeostasis, lipid metabolism, mitochondrial dysfunction, and impaired autophagy.
Purpose of the Study:
- To review the role of mitochondria-associated membranes (MAMs) in regulating Alzheimer's disease (AD) pathologies.
- To explore the molecular mechanisms underlying MAM-mediated pathological changes in AD.
- To highlight the potential of targeting MAMs for novel therapeutic strategies in AD.
Main Methods:
- Literature review focusing on the role of MAMs in AD pathogenesis.
- Analysis of molecular mechanisms linking MAMs to early AD pathologies.
- Synthesis of current understanding of MAMs in relation to endoplasmic reticulum (ER) and mitochondria communication.
Main Results:
- Mitochondria-associated membranes (MAMs), connecting the ER and mitochondria, are implicated in early AD pathologies.
- Aberrant MAMs function may precede Aβ deposition and NFTs formation.
- MAMs are involved in regulating calcium homeostasis, lipid metabolism, mitochondrial function, and autophagy in the context of AD.
Conclusions:
- MAMs are critically involved in the cascade of early events leading to neurodegeneration in Alzheimer's disease.
- Understanding MAMs' role offers potential for developing preventative strategies against AD.
- Targeting MAMs could shift AD treatment paradigms from managing symptoms to preventing disease onset.
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