4.5 Review

Promising protein biomarkers in the early diagnosis of Alzheimer's disease

Journal

METABOLIC BRAIN DISEASE
Volume 37, Issue 6, Pages 1727-1744

Publisher

SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s11011-021-00847-9

Keywords

Neurodegeneration; Alzheimer's disease; Proteins; Diagnosis; Biomarkers

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Alzheimer's disease is a multifactorial disease that leads to cognitive impairments through the devastation of neurons, with proteins playing a crucial role. Efforts are being made to target proteins like amyloid precursor protein and tau protein for developing effective anti-AD therapies. The importance of proteins in the early diagnosis and treatment of AD is emphasized in current research.
Alzheimer's disease (AD) is an insidious, multifactorial disease that involves the devastation of neurons leading to cognitive impairments. Alzheimer's have compounded pathologies of diverse nature, including proteins as one important factor along with mutated genes and enzymes. Although various review articles have proposed biomarkers, still, the statistical importance of proteins is missing. Proteins associated with AD include amyloid precursor protein, glial fibrillary acidic protein, calmodulin-like skin protein, hepatocyte growth factor, matrix Metalloproteinase-2. These proteins play a crucial role in the AD hypothesis which includes the tau hypothesis, amyloid-beta (A beta) hypothesis, cholinergic neuron damage, etc. The present review highlights the role of major proteins and their physiological functions in the early diagnosis of AD. Altered protein expression results in cognitive impairment, synaptic dysfunction, neuronal degradation, and memory loss. On the medicinal ground, efforts of making anti-amyloid, anti-tau, anti-inflammatory treatments are on the peak, having these proteins as putative targets. Few proteins, e.g., Amyloid precursor protein results in the formation of non-soluble sticky A beta(40) and A beta(42) monomers that, over time, aggregate into plaques in the cortical and limbic brain areas and neurogranin is believed to regulate calcium-mediated signaling pathways and thus modulating synaptic plasticity are few putative and potential forthcoming targets for developing effective anti-AD therapies. These proteins may help to diagnose the disease early, bode well for the successful discovery and development of therapeutic and preventative regimens for this devasting public health problem.

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