Abstract
Alzheimer’s disease (AD) is a prevalent and debilitating neurological condition with no curable therapies in the pipeline. Alzheimer’s disease-related neurodegeneration negatively influences various brain cells, including astrocytes, neurons, and microglia. Interactions between healthy neural cell types and AD hallmarks: Aβ plaques and tau fibril deposits have been shown to produce detrimental cellular stresses and deterioration in brain functions. Astrocytes help to regulate nutritional balance, cerebral blood flow, tissue healing, and the blood–brain barrier. They engage in the CNS’s inflammatory/immune responses. Evidence also suggests that astrocytes have neuroprotective and neurotoxic effects based on the disease stage and microenvironment. Changes in astrocyte function have been observed in individuals with early-onset Alzheimer’s disease, displaying disproportions in gliotransmission, neurotransmitter homeostasis, astroglial atrophy, disruptions in synaptic associations, neuroinflammation, and neurodegeneration. Moreover, the presence of Aβ plaques appears to impact astrocytes, affecting calcium levels and pro-inflammatory activity via RAGE-NF-kB pathway. The conventional treatment approaches for AD-related neuropathology are not anticipated to be comprehensive. The rationale for this may be that AD treatment involves a therapeutic strategy to minimize its cascading recurrence, and most drugs are inefficient at developing effective responses. Hence, researchers are keen on exploring the roles of astrocytes and their molecular pathways to identify potent therapies in AD. This review provides a broad approach, emphasizing the roles of astrocytes in healthy brains and their pathological changes in AD, as well as potential astrocyte-related therapy regimens. Novel strategies comprising astrocytes and aimed at alleviating oxidative stress and neuroinflammation in AD have also been presented.
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Abbreviations
- 2 ERK:
-
Extracellular signal-regulated kinase
- ABCC1:
-
ATP-binding cassette subfamily C member 1
- AD:
-
Alzheimer’s disease
- AICD:
-
Amyloid precursor protein intracellular domain
- ALS:
-
Amyotrophic lateral sclerosis
- AMPA:
-
α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor
- APP:
-
Amyloid precursor protein
- ATP:
-
Adenosine triphosphate
- Aβ:
-
Amyloid-beta
- B CN:
-
Calcineurin
- BBB:
-
Blood–brain barrier
- BMP:
-
Bone morphogenetic proteins
- CBF:
-
Cerebral blood flow
- CFB:
-
Complement factor
- CNS:
-
Central nervous system
- CNTF:
-
Ciliary neurotrophic factor
- Cx43:
-
Gap junction alpha-1 protein
- DAM:
-
Disease-associated macrophages
- DG:
-
Dentate gyrate
- EAAT2:
-
Excitatory amino acid transporter
- EGFR:
-
Epidermal growth factor receptor
- GABA:
-
Gamma-aminobutyric acid
- GFAP:
-
Glial fibrillary acidic protein
- GH:
-
Growth hormone
- GLAST1:
-
Glutamate transporter
- GLT-1:
-
l-glutamate transporter
- GSH:
-
Glutathione
- GSK3β:
-
Glycogen synthase kinase-3 beta
- HMGB1:
-
High mobility group box 1 protein
- IkB-α:
-
Nuclear factor of kappa light polypeptide gene enhancer in B-cell inhibitor
- ILGF-1:
-
Insulin-like growth factor 1
- JAK:
-
Janus kinase
- LRPs:
-
Lipoprotein receptor-related protein
- MAO-B:
-
Monoamine oxidase B
- MAP-2:
-
Microtubule-associated protein 2
- MEK1/MAP2K:
-
Mitogen-activated protein kinase
- MMP:
-
Mitochondrial membrane potential
- MX1S:
-
MX dynamin-like GTPase 1
- MyD88:
-
Myeloid differentiation primary response 88
- NADPH:
-
Reduced nicotinamide adenine dinucleotide phosphate
- NFAT:
-
Nuclear factor of activated T cells
- NF-kB:
-
Nuclear factor kappa B
- NFTs:
-
Interneuronal neurofibrillary tangles
- NICD:
-
Notch intracellular domain
- NMDAR:
-
N-methyl-D-aspartate receptor
- NOTCH:
-
Notch homolog 1, translocation-associated
- NOX:
-
NADPH-oxidized
- NPCs:
-
Neural precursor cells
- NRF2:
-
Nuclear factor-erythroid factor 2-related factor 2
- NSCs:
-
Neural stem cells
- OXPHOS:
-
Oxidative phosphorylation
- PAR:
-
Poly(ADP-ribose) polymers
- PARP:
-
Poly (ADP-ribose) polymerase-1
- PD:
-
Parkinson’s disease
- PGC-1α:
-
Peroxisome proliferator-activated receptor-gamma coactivator
- PHF:
-
Paired helical fragments
- ptau:
-
Phosphorylated tau
- RAGE:
-
Receptor for advanced glycation end products
- RBP-J:
-
Recombination signal binding protein for immunoglobulin kappa J region
- ROCK inhibitor:
-
Rho-kinase inhibitor
- ROS:
-
Reactive oxygen species
- R-SMADs:
-
Receptor-regulated Smads
- S100B:
-
S100 calcium-binding protein B
- sAPP-β:
-
Soluble amyloid precursor protein beta
- SGZ:
-
Sub-granular zones
- sNMDAR:
-
Synaptic N-methyl-D-aspartate receptor
- SOCS3:
-
Suppressor of cytokine signalling 3
- SR:
-
Scavenger receptor
- STAT:
-
Signal transducer and activator of transcription
- TFAM:
-
Mitochondrial transcription factor A
- TG:
-
Transgenic mice
- TGIF:
-
Transforming growth-interacting factor
- TLR4:
-
Toll-like receptor 4
- TNF-α:
-
Tumour necrosis factor alpha
- TRF:
-
Thyrotropin-releasing factor
- TTP:
-
Alpha-tocopherol transfer protein
- U.S. FDA:
-
United States Food and Drug Administration
- V-SVZ:
-
Ventricular–sub-ventricular zones
- α-TCP:
-
Alpha-tocopherol
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Acknowledgment
All the schematic diagrams were made using Biorender.com software.
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Shareena, G., Kumar, D., Wu, D. (2023). Traversing Through the Trajectory of Pathogenic Astrocytes in Alzheimer’s Disease. In: Kumar, D., Patil, V.M., Wu, D., Thorat, N. (eds) Deciphering Drug Targets for Alzheimer’s Disease. Springer, Singapore. https://doi.org/10.1007/978-981-99-2657-2_8
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