神经药理学报 ›› 2025, Vol. 15 ›› Issue (5): 16-.DOI: 10.3969/j.issn.2095-1396.2025.05.003

• 综述 • 上一篇    下一篇

内质网应激在阿尔茨海默病中的作用机制及靶向治疗进展

张健东,谷泽龙,要祎冉,赵涵菲,王怡,牛丽娇,李炜   

  1. 1. 河北北方学院药学院,张家口,075000,中国 

    2. 河北省神经药理学重点实验室,张家口,075000,中国 

    3. 河北省神经损伤与修复重点实验室,承德,067050,中国

  • 出版日期:2025-10-16 发布日期:2025-10-15
  • 通讯作者: 李炜,教授,研究生导师;E-mail:leewei318@163.com
  • 作者简介:张健东,硕士研究生;研究方向:主要从事神经药理学研究
  • 基金资助:
    河北省神经损伤与修复重点实验室开放课题(No.NJKF202402);河北北方学院面上项目(No.XJ2024021)

The Research Progress on the Mechanism of Endoplasmic Reticulum Stress in Alzheimer's Disease and the Targeted Therapy for It

ZHANG Jian-dong, GU Ze-long, YAO Yi-ran, ZHAO Han-fei, WANG Yi, NIU Li-jiao, LI Wei   

  1. 1. College of Pharmacy, Hebei North University, Zhangjiakou, 075000, China 

    2. Hebei Key Laboratory of Neuropharmacology, Zhangjiakou, 075000, China 

    3. Hebei Key Laboratory of Neural Injury and Repair, Chengde, 067050, China

  • Online:2025-10-16 Published:2025-10-15

摘要:

内质网应激(endoplasmic reticulum stress,ERS)通过激活未折叠蛋白反应通路,在转录、翻译及翻译后 多个层面调控β- 位淀粉样前体蛋白裂解酶1(beta-site APP-cleaving enzyme 1,BACE1)的表达与活性,进而 减轻阿尔茨海默病的Aβ 病理进程。PERK-eIF2α-ATF4 轴是ERS 上调BACE1 的关键机制,持续ERS 促使 PERK 磷酸化eIF2α,后者直接结合BACE1 启动子,增加其转录与蛋白水平,加速淀粉样蛋白生成。另一方面, IRE1-XBP1s 和ATF6 通路在早期ERS 中通过上调ERAD 关键因子,促进BACE1 降解和APP 非淀粉样途径切 割,对Aβ 产生具有抑制作用。因此,ERS 通过PERK、IRE1 或ATF6 通路,对BACE1 的调控呈双向性。该文对 相关机制的研究进展进行总结,以期寻找通过针对ERS 的干预,恢复蛋白稳态,减缓AD 病理进程的新策略。

关键词: 阿尔茨海默病, 内质网应激, BACE1, 未折叠蛋白反应

Abstract:

Endoplasmic reticulum stress (ERS) regulates the expression and activity of beta-site APP-cleaving enzyme 1 (BACE1) at multiple levels including transcription, translation and post-translation by activating the unfolded protein response pathway. This will further alleviate the pathological process of Aβ in Alzheimer's disease. The PERK-eIF2α-ATF4 axis is the key mechanism by which ERS upregulates BACE1. Continuous ERS could prompt PERK to phosphorylate eIF2α, which directly binds to the BACE1 promoter, increasing its transcriptional and protein levels and accelerating amyloid protein production. On the other hand, the IRE1- XBP1s and ATF6 pathways promote the degradation of BACE1 and APP non-amyloidogenic pathway cleavage by upregulating ERAD key factors in early ERS, which has an inhibitory effect on Aβ production. Therefore, the regulation of BACE1 by ERS is bidirectional through the PERK, IRE1 or ATF6 pathways. This article summarized the research progress of the relevant mechanisms, with the aim of seeking new strategies to restore protein homeostasis and slow down the pathological process of AD through intervention targeting ERS.

Key words: Alzheimer's disease, endoplasmic reticulum stress, beta-site APP-cleaving enzyme 1, unfolded protein response

中图分类号: