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Metabotropic receptors are membrane receptors that act through a secondary messenger, whereas ionotropic receptors are ligand-gated channels Fig. These are the major therapeutic targets for AD prevention. Ravi Rajmohan and P. Cynthia L. Bethea and colleagues discuss the role of the neurotransmitter serotonin in altering the mood and anxiety levels of persons with overt symptoms of AD [ 13 ]. They review recent literature on AD, depression, and serotonin. They present research that points to a link between increased depression in women and a higher prevalence of AD.
They discuss serotonin neuron viability in AD progression, the involvement of the caspase-independent pathway, and apoptosis-inducing factors in serotonin-neuron viability, as well as gene expression related to neurodegeneration and neuron viability in AD progression, in adult and aged menopausal macaques.
Their article focuses on ovarian steroids, particularly estrogen, which are crucial for the production of serotonin and for neuronal health. Saurabh Kumar Jha and colleagues discuss stress-induced synaptic dysfunction and neurotransmitter release in AD [ 18 ]. They emphasize that communication between neurons at synaptic junctions is an elegant process that facilitates the transmission of various electro-chemical signals in the central nervous system.
They discuss mechanisms associated with the alteration of signal transmission across synapses in the neocortex and hippocampus— alterations that lead to insidious cognitive and memory decline in AD. Rui Wang and P. Excitatory glutamatergic neurotransmission via NMDAR is critical for synaptic plasticity and survival of neurons. Studies indicate that NMDAR-mediated responses are induced by regionalized receptor activities, followed by different downstream signaling pathways.
Ramesh Kandimalla and P. Hemachandra Reddy update research into therapeutics of neurotransmitters in AD pathogenesis and progression [ 20 ]. They assess the latest developments in neurotransmitter research that use cell and mouse models of AD. They also review clinical trials studying the impact of neurotransmitter agonists and antagonists in persons with AD. Lan Guo and colleagues discuss the association between mitochondrial dysfunction and synaptic transmission deficits in AD [ 21 ].
Impaired mitochondrial energy production, deregulated mitochondrial calcium handling, and excess mitochondrial reactive oxygen species ROS generation and release play important roles in mediating the deregulation of synaptic transmission in AD. They also explain mechanisms by which synapses are injured in particular AD-related conditions. They suggest that a better understanding of mitochondrial dysfunction and synaptic stress in AD may lead to therapeutic strategies that target mitochondrial deficits and that protect synaptic transmission known to be affected in AD [ 21 ].
Synaptic damage, an early pathological event in AD, correlates strongly with increased cognitive deficits and memory loss [ 22 ]. Mitochondria are essential organelles that supply the nucleuotide adenosine triphosphate ATP for several synaptic functions.
This mechanism suggests that mitochondria are the promising targets of new therapeutics inAD [ 22 ]. Abstract Alzheimer's disease is characterized by markedly reduced concentration of acetylcholine in hippocampus and neocortex, caused by degeneration of cholinergic neurons. Publication types English Abstract Review. Substances Neurotransmitter Agents. Wu, Z. Guo, M. Gearing, and G. Tackenberg, S. Grinschgl, A. Trutzel, et al. Masson, M. Emerit, M. Hamon, and M. Glikmann-Johnston, M. Saling, D.
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