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Advanced Neurology                                                     HS-proteoglycans and brain function



            disrupt neuronal electrophysiological properties due to   pharmacology and molecular docking studies demonstrate
            impairment in the Ca binding properties of the  α-syn   that EA, UM5, and UM6 play roles in the activation of
                              2+
            N-terminal. Proper Ca  mobilization through depolarized   the PI3K-Akt cell signaling pathway and the inhibition
                              2+
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            neuronal membranes is fundamental to neuron activation   of mitogen-activated protein kinase.  Specific targeting of
            and neurotransduction, which regulates the transport of   Fyn kinase has been proposed as a therapeutic strategy
            synaptic  vesicles  containing neurotransmitters.  Phenolic   for  AD.  AZD0530 (Saracatinib),  a  dual  inhibitor  of the
            compounds have been shown to inhibit the aggregation   tyrosine kinases c-Src (proto-oncogene tyrosine-protein
            of  αsyn and reduce cellular and synaptic toxicities.    kinase) and Abl (Abelson murine leukemia viral oncogene
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            Flavonoids, known for their anti-inflammatory and   homolog 1), potently inhibits Fyn kinase (non-receptor
            antioxidant properties, are efficacious in the treatment of   cytoplasmic proto-oncogene tyrosine-protein kinase),
            neurodegenerative processes  and can penetrate the BBB.    preventing APOE-induced Fyn signaling and downstream
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            Analog flavonoid derivatives with improved efficacy target   phosphorylation of the AD risk gene products proline-rich
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            multiple neurodegenerative signaling pathways, including   tyrosine kinase 2 (PYK2) and tau.  PYK2 is a non-receptor
            those involving nitric oxide synthase, cyclooxygenase-2,   tyrosine kinase highly enriched in forebrain neurons and is
            monoamine  oxidase,  and peroxide-induced neuronal   closely related to focal adhesion kinase, playing important
            death.                                             roles in sensing cell-ECM contacts and in ECM signaling
                                                               that controls cellular adhesion and cell survival. Targeting
            8.4. Amyloid                                       Fyn kinase has been shown to reverse memory deficits
            The APP is a highly expressed neuronal single-pass   in AD mouse models and to rescue the reduced synaptic
            transmembrane proteoglycan that is processed by    density that occurs in AD. 86
            several proteases to release the Aβ peptide (consisting   Atomic force microscopy and fluorescent imaging
            of amino acids 36  – 43), which forms Aβ plaques.   show that 6Ophosphorylated HS/heparin oligosaccharides
            Hyperphosphorylated forms of microtubule-associated   inhibit  amyloid  fibril  formation  in vitro  and  hold
            tau protein are also prominent in these plaque formations.   promising  in vivo applications.  The pathogenesis of
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            Misfolded Aβ can act as a template, promoting the   AD in humans is associated with impaired clearance of
            misfolding  of  other  β  peptides,  thereby  seeding  the   extracellular amyloid deposits and the accumulation of
            production of Aβ protein aggregates and inducing similar   insoluble plaque formations. Removal of neuronal HS by
            changes in tau protein associated with aggregate Aβ1 – 40   conditional deletion of EXT1 in postnatal neurons leads
            and Aβ1 – 42 peptides. Soluble Aβ oligomers exhibit both   to a reduction in Aβ oligomerization and deposition
            extracellular and intracellular neurotoxic effects through   of amyloid plaques in APP/S1 mice. An elevation in the
            interactions with membrane receptors and the formation   HSPG content in AD brains highlights their roles in the
            of ion-permeable pores in membranes. The accumulation   pathogenesis of AD and identifies them as potential
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            of Aβ peptides results in synaptic dysfunction and   therapeutic targets.  While HSPGs are known to promote
            disturbances in intracellular Ca  homeostasis. Ca  is a key   plaque formation in AD, HS analogs have been shown to
                                                   2+
                                     2+
            messenger in neuron activation and electrophysiological   inhibit βsecretase, a transmembrane neuronal aspartic acid
                                             2+
            signaling. Disturbance of  astrocyte  Ca  signaling  by   protease involved in myelination.  The use of enoxaparin
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            Aβ can disrupt gliotransmitter release processes vital to   (Lovenox) and dalteparin (Fragmin) in a mouse AD model
            astrocyte-neuron communication and homeostasis. 83  reduced amyloid deposition by re-solubilizing plaques
                                                               and promoting fibril disassembly. Studies on modified
              Flavonoids significantly  improve cognitive functions
            and inhibit or delay Aβ aggregation and neurofibrillary   heparins have examined the effects of GAG size and
                                                               sulfation on interactions with tau, αsyn, and Aβ in terms
            tangle formation in AD. Diets rich in flavonoids are   of cellular uptake and protein aggregation. Tau aggregates
            associated with increased intellectual abilities and may   have specific requirements for GAG length and sulfation
            postpone or hinder the senescence cycle and related   positions, whereas  α-syn and Aβ aggregates have less
            neurodegenerative issues, including cognitive decline   stringent binding requirements. 20
            and psychological impairment in AD. The mode of action
            of flavonoids stems from their anti-inflammatory and   8.5. Application of HS glycomics in diseases of
            antioxidative neuroprotective properties. 26,84    cognitive decline
              Ellagic  acid  (EA),  a  dietary  flavonoid,  is  converted   HS-like pseudo-hexasaccharides have been prepared by
            in vivo to urolithin metabolites.  EA and its urolithin   linking HS disaccharides in a “head-to-tail” manner.
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            metabolites,  UM5  and  UM6,  exert  neuroprotective   This new class of compounds binds FGF-2 in a similar
            effects, improving Aβ 25–35 -induced cell damage. Network   manner to native HS oligosaccharides, and they may serve

            Volume 3 Issue 3 (2024)                         11                               doi: 10.36922/an.3812
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