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Gene & Protein in Disease





                                        REVIEW ARTICLE
                                        The role of amino acid metabolism in

                                        neurodegenerative diseases



                                                      1
                                        Christina Bitsina , Paschalis Theotokis 1  , Evangelia Kesidou ,
                                                                                             1
                                        Iliana Michailidou , Ofira Einstein , Marina Boziki , Christos Bakirtzis *, and
                                                        1
                                                                                   1
                                                                                                    1
                                                                     2
                                                          1
                                        Nikolaos Grigoriadis *
                                        2   Department of Neurology,  AHEPA General Hospital,  Aristotle University of  Thessaloniki,
                                        1 nd
                                        Thessaloniki, Greece
                                        2 Department of Physical Therapy, Faculty of Health Sciences, Ariel University, West Bank, Israel
                                        Abstract
                                        The exact etiologies of most neurodegenerative disorders remain poorly
                                        understood, therefore hampering the identification of molecular targets with
                                        clinical therapeutic potential. Recent clinical and experimental evidence supports
                                        the notion that amino acid metabolism could be implicated in the pathophysiology
                                        and disease progression of neurodegenerative diseases. This review aims to present
                                        the most common neurological diseases that lead to axonal degeneration and to
                                        examine the potential role of amino acid metabolism, with a particular focus on
                                        multiple sclerosis, Alzheimer’s disease, Parkinson’s disease, Huntington’s disease,
                                        and amyotrophic lateral sclerosis. The primary objective of this study is to identify
                                        potential amino acid biomarkers through metabolomics research and to propose
                                        therapeutic approaches by modulating amino acid-sensing signaling pathways
            *Corresponding authors:
            Christos Bakirtzis          to effectively monitor disease progression in neurodegenerative disorders. In this
            (cbakirtzis@auth.gr)        context, two distinct cellular signaling pathways are examined: the mechanistic
            Nikolaos Grigoriadis        target of rapamycin signaling pathway and the general control non-derepressible
            (ngrigoriadis@auth.gr)
                                        protein-integrated stress response pathway. These signaling cascades are analyzed
            Citation: Bitsina C, Theotokis P,   in relation to each of the aforementioned neurological disorders to identify their
            Kesidou E, et al. The role of   potential regulatory roles in disease progression and pathophysiology. The review
            amino acid metabolism in
            neurodegenerative diseases. Gene   concludes by considering emerging amino acid biomarkers with potential clinical
            Protein Dis. 2024;3(3):3294.   and diagnostic value, exploring signaling cascades for therapeutic manipulation to
            doi: 10.36922/gpd.3294      improve clinical outcomes in neurodegeneration, and providing insights for future
            Received: March 27, 2024    research in the biomedical field.
            Accepted: June 19, 2024
            Published Online: September 13,
            2024                        Keywords: Neurodegenerative disorders; Amino acid metabolism; Mechanistic target
            Copyright: © 2024 Author(s).   of rapamycin signaling pathway; General control non-derepressible protein signaling
            This is an Open-Access article   pathway; Metabolomics studies; Amino acid biomarkers
            distributed under the terms of the
            Creative Commons Attribution
            License, permitting distribution,
            and reproduction in any medium,
            provided the original work is   1. Introduction
            properly cited.
            Publisher’s Note: AccScience   Neurodegenerative diseases represent a distinct category of disabling disorders that
            Publishing remains neutral with   affect both the central nervous system (CNS) and the peripheral nervous system. A key
            regard to jurisdictional claims in
            published maps and institutional   characteristic of these conditions is the progressive loss of neurons, which results in
            affiliations.               various neurological and motor dysfunctions, severely affecting the quality of life of


            Volume 3 Issue 3 (2024)                         1                               doi: 10.36922/gpd.3294
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