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Mitophagy in Alzheimer's disease: Molecular defects and therapeutic approaches

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MOLECULAR PSYCHIATRY
卷 28, 期 1, 页码 202-216

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DOI: 10.1038/s41380-022-01631-6

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This article provides an updated overview of the molecular dysfunctions in mitophagy in Alzheimer's disease. Relevant AD-related proteins have been shown to contribute to the failure of mitophagy. Therapeutic strategies aiming at stimulating mitophagy in AD have been summarized, along with the benefits of these potential therapeutic strategies in human clinical trials.
Mitochondrial dysfunctions are central players in Alzheimer's disease (AD). In addition, impairments in mitophagy, the process of selective mitochondrial degradation by autophagy leading to a gradual accumulation of defective mitochondria, have also been reported to occur in AD. We provide an updated overview of the recent discoveries and advancements on mitophagic molecular dysfunctions in AD-derived fluids and cells as well as in AD brains. We discuss studies using AD cellular and animal models that have unraveled the contribution of relevant AD-related proteins (Tau, A beta, APP-derived fragments and APOE) in mitophagy failure. In accordance with the important role of impaired mitophagy in AD, we report on various therapeutic strategies aiming at stimulating mitophagy in AD and we summarize the benefits of these potential therapeutic strategies in human clinical trials.

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