Exploring the Endoplasmic Reticulum's Role in Alzheimer's Disease and Its Potential as a Therapeutic Target
Raed Obaid Saleh1, Majid S Jabir2, Jaafaru Sani Mohammed3
1Department of Medical Laboratories Techniques, College of Health and Medical Techniques, University of Al Maarif, Al Anbar, Iraq.
Journal of Biochemical and Molecular Toxicology
|July 28, 2025
Summary
Alzheimer's disease involves endoplasmic reticulum (ER) stress, disrupting protein folding and leading to neuronal death. Targeting ER stress pathways offers potential new treatments for this neurodegenerative condition.
Area of Science:
- Neuroscience
- Cell Biology
- Biochemistry
Background:
- Alzheimer's disease (AD) is a progressive neurodegenerative disorder characterized by cognitive decline and dementia.
- The precise mechanisms driving AD pathogenesis remain incompletely understood.
- Endoplasmic reticulum (ER) dysfunction, leading to ER stress, is increasingly implicated in AD development.
Purpose of the Study:
- To review the critical role of the endoplasmic reticulum (ER) in Alzheimer's disease (AD).
- To elucidate the mechanisms by which ER dysfunction exacerbates AD progression.
- To evaluate emerging therapeutic strategies targeting ER stress for AD treatment.
Main Methods:
- Literature review of studies investigating ER function in AD.
- Analysis of research on ER stress, unfolded protein response (UPR), and AD hallmarks (amyloid-beta plaques, tau hyperphosphorylation).
- Evaluation of preclinical and clinical data on ER-targeted therapies for AD.
Main Results:
- ER stress is a significant contributor to AD pathogenesis, linked to protein misfolding and neuronal dysfunction.
- The unfolded protein response (UPR) can promote neuronal cell death when chronically activated by ER stress in AD.
- ER stress pathways interact with amyloid-beta accumulation and tau hyperphosphorylation, key features of AD.
- Targeting ER stress shows promise in preclinical models for mitigating AD pathology and symptoms.
Conclusions:
- Endoplasmic reticulum stress is a central mechanism in Alzheimer's disease progression.
- Restoring ER homeostasis presents a viable therapeutic strategy for Alzheimer's disease.
- Further research into ER-targeted interventions is warranted to develop effective treatments for AD.
Related Concept Videos
Alzheimer's Disease: Treatment
262
Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
262
Alzheimer's Disease: Overview
669
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
669
The Endoplasmic Reticulum
15.7K
The endoplasmic reticulum or ER makes up for more than half of the membranes in a cell and accounts for 10% of total cell volume. It is also the primary protein and lipid synthesis factory for most cell organelles, such as the Golgi apparatus, lysosomes, secretory vesicles, and the plasma membrane. Despite being the most extensive and functionally complex subcellular organelle, ER was the last to be discovered. After years of deliberation, Keith Porter and George Palade in the year 1954,...
15.7K
Export of Misfolded Proteins out of the ER
3.9K
After folding, the ER assesses the quality of secretory and membrane proteins. The correctly folded proteins are cleared by the calnexin cycle for transport to their final destination, while misfolded proteins are held back in the ER lumen. The ER chaperones attempt to unfold and refold the misfolded proteins but sometimes fail to achieve the correct native conformation. Such terminally misfolded proteins are then exported to the cytosol by ER-associated degradation or ERAD pathway for...
3.9K
Role of ER in the Secretory Pathway
5.6K
Eukaryotic cells have a special pathway that enables communication between various intracellular membrane-bound compartments and also with the extracellular environment. This pathway is termed as the secretory pathway.
Components of the secretory pathway
About a third of proteins synthesized in the cell are sorted via the secretory route. They shuffle between different compartments in membrane-bound vesicles until they reach their final destination. The main intracellular compartments involved...
Components of the secretory pathway
About a third of proteins synthesized in the cell are sorted via the secretory route. They shuffle between different compartments in membrane-bound vesicles until they reach their final destination. The main intracellular compartments involved...
5.6K
ER Retrieval Pathway
3.9K
In the secretory pathway, vesicles transport proteins from one cellular compartment to another in forward transport to deliver the protein to its correct location. Occasionally, misfolded proteins and incorrect proteins escape their original compartments, and a retrieval pathway is used to return the escaped proteins to their original compartment.
The ER uses many checkpoints to prevent the entry of incorrectly folded or a resident protein as cargo onto a transport vesicle. These mechanisms...
The ER uses many checkpoints to prevent the entry of incorrectly folded or a resident protein as cargo onto a transport vesicle. These mechanisms...
3.9K


