Reversing Synapse Loss in Alzheimer's Disease: Rho-Guanosine Triphosphatases and Insights from Other Brain Disorders
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Alzheimer's disease (AD) is a monumental public health crisis with no effective cure or treatment. To date, therapeutic strategies have focused almost exclusively on upstream signaling events in the disease, namely on β-amyloid and amyloid precursor protein processing, and have, unfortunately, yielded few, if any, promising results. An alternative approach may be to target signaling events downstream of β-amyloid and even tau. However, with so many pathways already linked to the disease, understanding which ones are "drivers" versus "passengers" in the pathogenesis of the disease remains a tremendous challenge. Given the critical roles of Rho-guanosine triphosphatases (GTPases) in regulating the actin cytoskeleton and spine dynamics, and the strong association between spine abnormalities and cognition, it is not surprising that mutations in a number of genes involved in Rho-GTPase signaling have been implicated in several brain disorders, including schizophrenia and autism. And now, there is mounting literature implicating Rho-GTPase signaling in AD pathogenesis as well. Here, I review this evidence, with a particular emphasis on the regulators of Rho-GTPase signaling, namely guanine nucleotide exchange factors and GTPase-activating proteins. Several of these have been linked to various aspects of AD, and each offers a novel potential therapeutic target for AD.
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RHOA, RAC1, and CDC42 are connected to Alzheimer's disease phenotypes such as synaptic dysfunction, dendritic spine loss, cytoskeletal abnormalities, and cell cycle re-entry.
“Mounting evidence also connects RHOA, RAC1, and CDC42 to AD phenotypes such as synaptic dysfunction, dendritic spine loss, cytoskeletal abnormalities, and cell cycle re-entry (16).”
From RHO to the DOCK for GDP disembarking: Structural insights into the DOCK GTPase nucleotide exchange factors (2021) · cites this paper as [16]
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Sorted by citations
Thompson, A. P., Bitsina, C., Gray, J. L., von Delft, F., & Brennan, P. E. (2021) · Journal of Biological Chemistry · doi:10.1016/j.jbc.2021.100521 · Cited by 21 · see citing works
- Authors
- Lefort, R.
- Affiliations
- Columbia University Irving Medical Center (US)
- Corresponding author
- Lefort, Roger
- ORCID
- Lefort, Roger
- Venue
- Neurotherapeutics
- Publisher
- Elsevier BV
- Published
- 2015-01
- Volume
- 12
- Issue
- 1
- Pages
- 19-28
- ISSN
- 1878-7479 (ISSN-L)
- PMC
- PMC4322073
- OpenAlex
- W2134565622
- Cited by
- 17
- References
- 8
- Citations by year
- 2026: 3 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 1 · 2019: 2 · 2017: 3 · 2016: 1
- FWCI
- 0.16
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Neurotherapeutics (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Kinase Regulation and GTPase Signaling
- Keywords
- Alzheimer's disease, synaptic loss, Rho GTPases, actin cytoskeleton, dendritic spine dynamics, guanine nucleotide exchange factor, GTPase-activating protein, amyloid-beta, tau protein, schizophrenia, autism spectrum disorder, therapeutic target
- MeSH terms
- Alzheimer Disease, Animals, Brain Diseases, Humans, Synapses, Signal Transduction, Guanine Nucleotide Exchange Factors, GTPase-Activating Proteins, rho GTP-Binding Proteins
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