Neurodegeneration |
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Neurodegenerative diseases refer to a group of age-associated conditions with progressive loss of neuronal structure and function, often accompanied by aberrant protein accumulation, resulting in cognitive disability, motor deficits and dementia. The four most common neurodegenerative diseases - Alzheimer’s disease, Parkinson’s disease, Huntington’s disease and amyotrophic lateral sclerosis (ALS) - each have different clinical presentations and affect different neuronal populations and brain areas. However, commonalities have been identified between the diseases, suggesting that abnormal protein aggregation and failure of autophagy, mitochondrial dysfunction and oxidative stress, as well as inflammatory environment and reactive microglia contribute to the development of all these diseases. |
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Most common neurodegenerative diseases and their pathologies
Explore Neurodegeneration Pathways |
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Alzheimer'sAlzheimer’s Disease (AD) is marked by a progressive cognitive impairment including memory loss and behavioral changes. Numerous environmental and generic risk factors have been associated with developing this generally sporadic disease. AD is characterized by amyloid-beta accumulation in extracellular neural tissues, as well as intracellular neurofibrillary tangles consisting of phosphorylated tau protein. The result is a deterioration of cholinergic neurons and loss of synaptic function in the hippocampus and cerebral cortex.
Major protein targets involved in AD research
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Parkinson'sParkinson’s Disease (PD) is a common neurodegenerative disease characterized by the loss of midbrain dopaminergic neurons, mainly in the substantia nigra. It is defined by the presence of alpha-synuclein aggregates (Lewy bodies) and accumulation of defective mitochondria, leading to neuronal death. PD patients display a variety of motor symptoms such as resting tremors, rigidity and postural instability, along with non-motor symptoms including depression, sleep disorder and olfactory dysfunction. Sporadic forms of the disease constitute more than 90% of cases and the onset occurs over the age of 60. Currently, there is no cure for PD, but its motor symptoms can be alleviated temporarily with dopamine inducing approaches. New therapies concentrate on neuroprotective and disease-modifying strategies.
Major protein targets involved in PD research
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Huntington'sHuntington’s Disease (HD) is marked by a progressive degeneration of neurons of the striatum and cortex. The disease is familial and follows an autosomal dominant inheritance pattern. It is characterized by a polyglutamine repeat expansion in the huntingtin protein that results in formation of neuronal inclusions and subsequent neuronal loss. This leads to movement, psychiatric and cognitive impairments. Patients are usually diagnosed at 40 years of age and have life expectancy of around 15 years. Currently, no cure exists for the disease.
Major protein targets involved in HD research
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ALSAmyotrophic Lateral Sclerosis (ALS) is a disease of degeneration of motor neurons in the brain and the spinal cord. It is the third most common neurodegenerative disease. Its symptoms include loss of control of muscle movement as well as muscle weakness, atrophy, twitching and cramps. The onset of the disease occurs approximately at 60 years old and patients survive on average three years from diagnosis. Most cases of ALS are sporadic and involve a number of genes, only some identified so far. However, 60% of familial ALS can be attributed to mutations in four genes: SOD1, TDP-43/TARDBP, FUS and C9orf72. Aberrant autophagy and RNA metabolism are two processes heavily implicated in the disease progression. Protein aggregates are also a common feature of ALS.
Major protein targets involved in ALS research
Content developed by Michalina Hanzel, PhD Postdoctoral Associate at The Rockefeller University. Dr. Hanzel is currently studying synaptic function in the cerebellum to understand neurodevelopmental disorders and has a background in developmental neurobiology, molecular and cell biology. Select References Bates, G.P., Dorsey, R., Gusella, J.F. et al. (2015). Huntington disease. Nat Rev Dis Primers. 11-2. https://doi.org/10.1038/nrdp.2015.5 Brown, R.H., Al-Chalabi, A. (2017). Amyotrophic Lateral Sclerosis. N Engl J Med. Jul 13;377(2):162-172. https://doi.org/10.1056/NEJMra1603471 Davis, M., Stroud, C. eds (2013). Neurodegeneration: Exploring Commonalities Across Diseases: Workshop Summary USA: National Academy of Sciences. p4-15. Dugger, B.N., & Dickson, D.W. (2017). Pathology of neurodegenerative diseases. Cold Spring Harb. Perspect. Biol. 9. https://doi.org/10.1101/cshperspect.a028035 Edwards, F.A. (2019). A Unifying Hypothesis for Alzheimer’s Disease: From Plaques to Neurodegeneration. Trends Neurosci. https://doi.org/10.1016/j.tins.2019.03.003 Irwin, D.J., Lee, V.M., Trojanowski, J.Q. (2013). Parkinson’s disease dementia: convergence of α-synuclein, tau and amyloid-β pathologies. Nat Rev Neurosci. 14(9):626–636. https://doi.org/10.1038/nrn3549 Kumar, A., Singh, A., & Ekavali. (2015). A review on Alzheimer’s disease pathophysiology and its management: An update. Pharmacol. Reports. 67, 195–203. https://doi.org/10.1016/j.pharep.2014.09.004 Penzes, P., Remmers, C., Cahill, M.E., Jones, K.A., VanLeeuwen, J.-E., & Woolfrey, K.M. (2014). Structural Alterations of Synapses in Psychiatric and Neurodegenerative Disorders. In The Synapse, (Elsevier), pp. 281–300. https://doi.org/10.1016/B978-0-12-418675-0.00009-2 Tan, S.H., Karri, V., Tay, N.W.R., Chang, K.H., Ah, H.Y., Ng, P.Q., Ho, H.S., Keh, H.W., & Candasamy, M. (2019). Emerging pathways to neurodegeneration: Dissecting the critical molecular mechanisms in Alzheimer’s disease, Parkinson’s disease. Biomed. Pharmacother. 111, 765–777. https://doi.org/10.1016/j.biopha.2018.12.101 |