Abstract

Alzheimer’s disease (AD) is the most common (60% to 80%) age‐related disease associated with dementia and is characterized by a deterioration of behavioral and cognitive capacities leading to death in few years after diagnosis, mainly due to complications from chronic illness. The characteristic hallmarks of the disease are extracellular senile plaques (SPs) and intracellular neurofibrillary tangles (NFTs) with neuropil threads, which are a direct result of amyloid precursor protein (APP) processing to Aβ, and τ hyperphosphorylation. However, many indirect underlying processes play a role in this event. One of these underlying mechanisms leading to these histological hallmarks is the uncontrolled hyperactivation of a family of cysteine proteases called calpains. Under normal physiological condition calpains participate in many processes of cells’ life and their activation is tightly controlled. However, with an increase in age, increased oxidative stress and other excitotoxicity assaults, this regulatory system becomes impaired and result in increased activation of these proteases involving them in the pathogenesis of various diseases including neurodegeneration like AD. Reviewed here is a pool of data on the implication of calpains in the pathogenesis of AD, the underlying molecular mechanism, and the potential of targeting these enzymes for AD therapeutics.

Highlights

  • Alzheimer’s disease (AD) is currently the most widely prevalent neurodegenerative disease affecting global health, mostly affecting aged individuals

  • The Aβ peptides are the result of proteolysis of the amyloid precursor protein (APP) by two proteases, the beta APP cleaving enzyme 1 (BACE1), called β‐secretase, and the γ‐secretase,[5,6] and the hyperphosphorylated τ protein in the neurofibrillary tangles (NFTs) results from the dysregulation of kinase/phosphatase system, involving mainly glycogen synthase kinase 3β (GSK3β) and protein phosphatase 2A (PP2A) among other.[7]

  • Other key players in AD pathogenesis include oxidative stress seen as lipids; proteins and nucleic acid oxidations, neuroinflammation, calcium homeostasis disturbance. These inexorably lead to a decrease in PP2A and increase in GSK3β activities[8,9] which result in τ hyperphosphorylation and an increase Aβ production through increasing BACE1 activity via cyclin‐dependent kinase 5 (CDK5) activation by calpain.[10]

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Summary

Introduction

Alzheimer’s disease (AD) is currently the most widely prevalent neurodegenerative disease affecting global health, mostly affecting aged individuals.

Results
Conclusion
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