Abstract
Present Alzheimer’s disease (AD) therapies suffer from inefficient effects on AD symptoms like memory or cognition, especially in later states of the disease. Used acteylcholine esterase inhibitors or the NMDA receptor antagonist memantine address one target structure which is involved in a complex, multifactorial disease progression. So the benefit for patients is presently poor. A more close insight in the AD progression identified more suggested target structures for drug development. Strategies of AD drug development concentrate on novel target structures combined with the established ones dedicated for combined therapy regimes, preferably by the use of one drug which may address two target structures. Protein kinases have been identified as promising target structures because they are involved in AD progression pathways like pathophysiological tau protein phosphorylations and amyloid β toxicity. The review article will shortly view early inhibitors of single protein kinases like glycogen synthase kinase (gsk3) β and cyclin dependent kinase 5. Novel inhibitors will be discussed which address novel AD relevant protein kinases like dual-specificity tyrosine phosphorylation regulated kinase 1A (DYRK1A). Moreover, multitargeting inhibitors will be presented which target several protein kinases and those which are suspected in influencing other AD relevant processes. Such a multitargeting is the most promising strategy to effectively hamper the multifactorial disease progression and thus gives perspective hopes for a future better patient benefit.
Highlights
Alzheimer’s disease (AD) therapies are limited by the availability of just two groups of drugs with one group consisting of just one drug
Used acteylcholine esterase inhibitors or the N -methyl D-aspartate (NMDA) receptor antagonist memantine address one target structure which is involved in a complex, multifactorial disease progression
Protein kinases have been identified as promising target structures because they are involved in AD progression pathways like pathophysiological tau protein phosphorylations and amyloid β toxicity.The review article will shortly view early inhibitors of single protein kinases like glycogen synthase kinase β and cyclin dependent kinase 5
Summary
Alzheimer’s disease (AD) therapies are limited by the availability of just two groups of drugs with one group consisting of just one drug. While a toxicity of the Aβ plaques is still under debate, their soluble precursors of non-aggregated Aβ proteins are toxic in various ways by the formation of NFTs as a result of aggregation of a hyperphosporylated and misfolded tau protein as will be discussed later (Mattson, 2004; Pakaski and Kalman, 2008; Mohandas et al, 2009; Piau et al, 2011) Such tau protein can no longer support the intracellular transport mediated by the microtubules and with the loss of neuronal function the cell is dedicated to undergo apoptosis (Iqbal and Grundke-Iqbal, 2008; Marco et al, 2010). There are certain perspectives that protein kinase inhibitors for AD therapy may show promising effects in the pathophysiological AD process on one hand and for a more effective therapy on the other hand with respect to the knowledge that present drugs are no real perspective drugs to effectively influence
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