Adenosine receptor signalling in Alzheimer's disease
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Published on: October 30, 2018
Phuc N H Trinh1,2, Jo-Anne Baltos1,2, Shane D Hellyer1
1Drug Discovery Biology, Monash Institute of Pharmaceutical Sciences, Monash University, Parkville, VIC, 3052, Australia.
Abstract:
Alzheimer's disease (AD) is the most common dementia in the elderly and its increasing prevalence presents treatment challenges. Despite a better understanding of the disease, the current mainstay of treatment cannot modify pathogenesis or effectively address the associated cognitive and memory deficits. Emerging evidence suggests adenosine G protein-coupled receptors (GPCRs) are promising therapeutic targets for Alzheimer's disease. The adenosine A1 and A2A receptors are expressed in the human brain and have a proposed involvement in the pathogenesis of dementia. Targeting these receptors preclinically can mitigate pathogenic β-amyloid and tau neurotoxicity whilst improving cognition and memory. In this review, we provide an accessible summary of the literature on Alzheimer's disease and the therapeutic potential of A1 and A2A receptors. Although there are no available medicines targeting these receptors approved for treating dementia, we provide insights into some novel strategies, including allosterism and the targeting of oligomers, which may increase drug discovery success and enhance the therapeutic response.
Insights
Adenosine receptors offer new therapeutic targets for Alzheimer's disease (AD) treatment. Targeting these receptors may reduce neurotoxicity and improve cognitive deficits associated with dementia.
Area of Science:
- Neuroscience
- Pharmacology
- Gerontology
Background:
- Alzheimer's disease (AD) is the leading cause of dementia in older adults, posing significant treatment challenges.
- Current AD treatments do not modify disease progression or fully alleviate cognitive and memory impairments.
- Adenosine G protein-coupled receptors (GPCRs) are emerging as promising therapeutic targets for AD.
Purpose of the Study:
- To review the current literature on Alzheimer's disease.
- To explore the therapeutic potential of adenosine A1 and A2A receptors for AD.
- To discuss novel strategies for drug discovery targeting these receptors.
Main Methods:
- Literature review summarizing research on Alzheimer's disease.
- Analysis of the role of adenosine A1 and A2A receptors in dementia pathogenesis.
- Exploration of preclinical findings on targeting these receptors.
Main Results:
- Adenosine A1 and A2A receptors are present in the human brain and implicated in dementia.
- Preclinical studies show targeting these receptors can reduce beta-amyloid and tau neurotoxicity.
- Improved cognition and memory were observed in preclinical models targeting these receptors.
Conclusions:
- Adenosine A1 and A2A receptors represent a viable therapeutic avenue for Alzheimer's disease.
- Novel strategies like allosterism and targeting receptor oligomers may enhance drug discovery.
- Further research into these targets could lead to more effective dementia treatments.
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