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Gene & Protein in Disease                                        Amino acid metabolism in neurodegeneration



            range of experimental MS models, indicating that this   were decreased in the hippocampus, cortex, and midbrain
            pathway is highly implicated in disease pathogenesis and   of the affected neurons.
            progression.  Furthermore, metabolomic studies involving   Taking into consideration that glutamate is the
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            large patient samples and control groups have revealed   primary excitatory neurotransmitter in the brain, these
            an association between circulating aromatic amino acids   changes likely have significant effects on normal brain
            and MS disease severity, with these amino acids present   energy metabolism. On the contrary, the levels of alanine,
            in MS peripheral blood and CSF-derived immune cells.    aspartate, and glycine were reported to be elevated.
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            These findings highlight distinct abnormalities in aromatic   Another report has demonstrated metabolic derangements
            amino acid metabolism, implying an altered balance   in branched-chain amino acids (BCAAs) – including
            of  immunomodulatory  metabolites,  though  the  exact   valine, leucine, and isoleucine – which may be key drivers
            mechanisms remain unresolved. In terms of metabolomic   in the pathogenesis of AD.  These findings align with a
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            studies, a recent study has shown that serum levels of   metabolic network analysis of blood samples from AD
            aspartic acid, arginine, and cysteine were significantly   patients, showing that reduced BCAA levels correlate with
            decreased in patients suffering from secondary progressive   heightened disease progression and severity.
            MS (SPMS) in comparison to control samples. In contrast,
            the levels of alanine and serine were reported to be higher   Pertaining to AD, there is ongoing debate about
            in SPMS patients. 58,59                            the  precise  regulatory  role  of  the  mTORC  signaling
                                                               cascade. Some studies suggest that the upregulation of
              Collectively, these data demonstrate that altered
            amino acid metabolism is a well-established feature of   mTORC is primarily responsible for cytotoxic effects,
                                                               possibly due to the inhibition of autophagy.  However,
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            MS, with variations observed even at different stages   other studies argue that mTOR activation is necessary
            of the disease, highlighting the multifactorial and   for maintaining long-term potentiation and memory
            complex pathophysiological mechanisms that orchestrate   formation and may offer a protective role in Aβ
            neurodegeneration. These insights into amino acid level   neurotoxicity. Intriguingly, Aβ plaques interact with the
            alterations could be exploited to identify new biomarkers   CNS microenvironment, triggering microglial activation
            and develop future diagnostic approaches. Nevertheless,   and metabolic reprogramming – a process dynamically
            further research is needed to gain a deeper understanding   and tightly regulated by the mTOR signaling cascade and
            of amino acid fluctuations and reduced catabolism, as well   occurring primarily in the acute phase of the disorder.  It
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            as to develop effective drugs targeting pathways such as   is speculated that microglial inflammation, mediated by
            mTOR signaling and its downstream effectors.
                                                               Aβ deposition and accumulation, depends on the mTOR
            4.2. Amino acid metabolism in AD                   signaling cascade, highlighting its immunomodulatory
                                                               role in neurodegenerative disorders.
            AD is a complex pathophysiological neurological disorder
            primarily attributed to perturbations of proper protein   Another example of the interaction between metabolic
            folding mechanisms, leading to the formation of protein   signaling pathways and AD pathology is the regulatory
            aggregates and subsequent neurotoxicity in the CNS. In   role of the GCN2-ISR pathway. Specifically, GCN2 plays a
            this context, amino acid metabolism plays a major role   fundamental role in alleviating disease-related, long-lasting
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            not only in the pathogenesis but also in the progression of   synaptic plasticity.  While the GCN2 cascade has been
            the disease. Interestingly, a metabolomics study utilizing   linked to neurodegenerative diseases, amino acid stress
            high-resolution mass spectrometry on patient samples   has not yet been reported as the primary cause of severe
            was performed to characterize and identify metabolic   neurological pathologies, in contrast to misfolded protein
            alterations in transgenic CRND8 mice, which harbor a   aggregation. Instead, it appears to modulate the disease
            mutated form of the human  APP gene.  This mutation   process, a topic currently under thorough investigation.
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            leads to enhanced Aβ production and plaque deposition   Intriguingly, GCN2 knockout fails to rescue memory
            compared to healthy controls. In this experimental mouse   deficits in AD mouse models.
            model, the animals develop Aβ plaques, which become
            evident and progress with age. The study revealed a   4.3. Amino acid metabolism in PD
            divergent  profile  of tryptophan metabolism,  reflected  in   PD is the second most common age-related
            alterations to the kynurenine pathway, which is the primary   neurodegenerative  disorder,  significantly  affecting
            route of tryptophan metabolism in the body – a finding   the elderly population worldwide. Recent research
            corroborated by another independent study.  Similarly,   suggests that peripheral changes, such as metabolomic
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            the study  demonstrated that in the CRND8 mouse    derangements, might precede and contribute to the
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            model, the amino acid levels of glutamate and glutamine   pathogenesis of PD. For instance, the previous studies have

            Volume 3 Issue 3 (2024)                         8                               doi: 10.36922/gpd.3294
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