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A Timeline of Ca2+/cAMP Signalling: From Basic Research to Potential Therapeutics for Dementia
1Department of Pharmacology, Escola Paulista de Medicina, Universidade Federal de São Paulo, Rua Pedro de Toledo, 669, Vila Clementino, São Paulo, SP, Postal Code: 04039-032, Brazil.
Background:
The hypothesis that a dyshomeostasis of Ca2+ increases the incidence of dementia has been established. Several discoveries have emphasized the concept that a decrease in the excess of Ca2+ could be an interesting pharmacological target to alleviate dementia symptoms. Aging along with a healthy brain can be supported by daily exercise, self-control in caloric ingestion, and participation in intellectually challenging events. These lifestyle factors may alleviate the excess of Ca2+ resulting from a Ca2+ dyshomeostasis. Curiously, epidemiological and clinical studies have also reported a clinical relationship between hypertension, diabetes, and other inflammatory processes, and a higher risk of cognition decline. Considering the cumulative data from the scientific literature, including data of high evidence such as meta-analysis and systematic reviews, we can now link a Ca2+ dyshomeostasis as an upstream factor for hypertension, diabetes and other inflammatory processes, and dementia. Several reports have also indicated that increasing cAMP levels may induce neuroprotective outcomes, thus alleviating dementia symptoms.
Methods:
With these concepts in mind, we found that the pharmacological manipulation of Ca2+/cAMP signalling could be a novel plausible target to treat dementia. This article puts together fundamental concepts and current therapies to treat dementia, including novel therapeutics coming from the pharmacological manipulation of Ca2+/cAMP signalling.
Results:
Then, combined with improvements in the lifestyle issues, these novel therapeutics may allow sustained improvements in the life quality of age-related neurological patients.
Conclusions:
In addition, considering coronavirus disease 2019 (COVID-19) is a rapidly evolving field, this article also reviewed recent reports about Ca2+ channel blockers' role in restoring Ca2+ signalling disruption due to COVID-19. Finally, this article also presents a timeline of the major events in Ca2+/cAMP signaling.
Insights
Calcium (Ca2+) dyshomeostasis is linked to dementia. Targeting Ca2+/cAMP signaling offers a novel therapeutic strategy for dementia and related conditions like hypertension and diabetes.
Area of Science:
- Neuroscience
- Pharmacology
- Cell Biology
Background:
- Calcium (Ca2+) dyshomeostasis is increasingly recognized as a contributing factor to dementia.
- Lifestyle factors such as exercise and cognitive engagement may mitigate Ca2+ excess.
- A link exists between hypertension, diabetes, inflammatory processes, and cognitive decline, with Ca2+ dyshomeostasis as a potential upstream cause.
Purpose of the Study:
- To explore the pharmacological manipulation of Ca2+/cAMP signaling as a novel therapeutic target for dementia.
- To review current dementia therapies and novel approaches targeting Ca2+/cAMP signaling.
- To discuss the role of Ca2+ channel blockers in COVID-19-related signaling disruptions.
Main Methods:
- Review of fundamental concepts and current therapies for dementia.
- Analysis of scientific literature on Ca2+/cAMP signaling and its role in neurological disorders.
- Inclusion of recent reports on Ca2+ channel blockers and COVID-19.
Main Results:
- Pharmacological targeting of Ca2+/cAMP signaling presents a promising avenue for dementia treatment.
- Combined therapeutic strategies involving novel drugs and lifestyle improvements may enhance patient quality of life.
- Ca2+ channel blockers show potential in restoring disrupted Ca2+ signaling.
Conclusions:
- Ca2+/cAMP signaling modulation is a potential novel therapeutic strategy for dementia.
- Integration of lifestyle changes and novel therapeutics can improve outcomes for age-related neurological conditions.
- Understanding Ca2+/cAMP signaling dynamics is crucial for developing effective dementia treatments.
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