The kynurenine pathway and neurodegenerative disease
Open accessAbstract
Neuroactive metabolites of the kynurenine pathway (KP) of tryptophan degradation have been closely linked to the pathogenesis of several neurodegenerative diseases. Tryptophan is an essential amino acid required for protein synthesis, and in higher eukaryotes is also converted into the key neurotransmitters serotonin and tryptamine. However, in mammals >95% of tryptophan is metabolized through the KP, ultimately leading to the production of nicotinamide adenosine dinucleotide (NAD(+)). A number of the pathway metabolites are neuroactive; e.g. can modulate activity of several glutamate receptors and generate/scavenge free radicals. Imbalances in absolute and relative levels of KP metabolites have been strongly associated with neurodegenerative disorders including Huntington's, Alzheimer's, and Parkinson's diseases. The KP has also been implicated in the pathogenesis of other brain disorders (e.g. schizophrenia, bipolar disorder), as well as several cancers and autoimmune disorders such as HIV. Pharmacological and genetic manipulation of the KP has been shown to ameliorate neurodegenerative phenotypes in a number of model organisms, suggesting that it could prove to be a viable target for the treatment of such diseases. Here, we provide an overview of the KP, its role in neurodegeneration and the current strategies for therapeutic targeting of the pathway.
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Because TLR3 is abundantly expressed in the brain, abnormal activation of NMDA receptor signalling by quinolinic acid might be at least partially responsible for numerous neurological diseases.
“As TLR3 is abundantly expressed in the brain187, abnormal activation of NMDA receptor signalling by quinolinic acid might be at least partially responsible for numerous neurological diseases186,188.”
From The gut microbiota and the brain–gut–kidney axis in hypertension and chronic kidney disease (2018) · cites this paper as [188]
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Tryptophan metabolism as a common therapeutic target in cancer, neurodegeneration and beyond
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The Continuum of Aging and Age-Related Diseases: Common Mechanisms but Different Rates
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NAD+ in Brain Aging and Neurodegenerative Disorders
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The kynurenine pathway: a finger in every pie
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The gut microbiota and the brain–gut–kidney axis in hypertension and chronic kidney disease
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Inflammation, vitamin B6 and related pathways
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Tryptophan in health and disease
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Gut microbiota changes in the extreme decades of human life: a focus on centenarians
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Indoleamine 2,3‐dioxygenase 1 (IDO1): an up‐to‐date overview of an eclectic immunoregulatory enzyme
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Restoring hippocampal glucose metabolism rescues cognition across Alzheimer’s disease pathologies
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Neuroactive compounds in foods: Occurrence, mechanism and potential health effects
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The Influence of Nicotinamide on Health and Disease in the Central Nervous System
Fricker, R. A., Green, E. L., Jenkins, S. I., & Griffin, S. M. (2018) · International Journal of Tryptophan Research · doi:10.1177/1178646918776658 · Cited by 200 · see citing works
Molecular mechanisms and therapeutic significance of Tryptophan Metabolism and signaling in cancer
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The anti-inflammatory mechanism of antidepressants – SSRIs, SNRIs
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Kynurenine Pathway Metabolites in Alzheimer’s Disease
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Sepsis-Associated Encephalopathy: from Pathophysiology to Progress in Experimental Studies
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Microglial activation in the pathogenesis of Huntington's disease
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Age‐ and disease‐specific changes of the kynurenine pathway in Parkinson’s and Alzheimer’s disease
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Microglial dysfunction connects depression and Alzheimer’s disease
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Self-citationAlternations of Metabolic Profile and Kynurenine Metabolism in the Plasma of Parkinson’s Disease
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The Tryptophan and Kynurenine Pathway Involved in the Development of Immune-Related Diseases
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Associations between Melatonin, Neuroinflammation, and Brain Alterations in Depression
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“In addition, QUINA can combine with iron to transfer electrons to oxygen to form ROS, which leads to lipid peroxidation [29].”
BackgroundInfluentialPreclinical and clinical evidence of NAD+ precursors in health, disease, and ageing
Reiten, O. K., Wilvang, M. A., Mitchell, S. J., Hu, Z., & Fang, E. F. (2021) · Mechanisms of Ageing and Development · doi:10.1016/j.mad.2021.111567 · Cited by 133 · see citing works
Tryptophan metabolism: Mechanism-oriented therapy for neurological and psychiatric disorders
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Kynurenine emerges from the shadows – Current knowledge on its fate and function
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Increased immunosuppression impairs tissue homeostasis with aging and age-related diseases
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Altered tryptophan metabolism is associated with pediatric multiple sclerosis risk and course
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Fueling neurodegeneration: metabolic insights into microglia functions
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Kynurenic Acid Levels are Increased in the CSF of Alzheimer’s Disease Patients
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Indoleamine and tryptophan 2,3-dioxygenases as important future therapeutic targets
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The Detrimental Effects of Kynurenine, a Tryptophan Metabolite, on Human Bone Metabolism
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Kynurenine Pathway in Chronic Kidney Disease: What’s Old, What’s New, and What’s Next?
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The Function of the Kynurenine Pathway in the Placenta: A Novel Pharmacotherapeutic Target?
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An emerging role for microglia in stress‐effects on memory
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The Role of Inflammation in the Pathophysiology of Depression and Suicidal Behavior
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Loss of Kynurenine 3-Mono-oxygenase Causes Proteinuria
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Dynamic changes in kynurenine pathway metabolites in multiple sclerosis: A systematic review
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- Authors
- Maddison, D. C., & Giorgini, F.
- Affiliations
- University of Leicester (GB)
- Corresponding author
- Giorgini, Flaviano
- Venue
- Seminars in Cell & Developmental Biology
- Publisher
- Elsevier BV
- Published
- 2015-04
- Volume
- 40
- Pages
- 134-141
- ISSN
- 1084-9521 (ISSN-L)
- OpenAlex
- W1990201789
- Cited by
- 309
- References
- 94
- Citations by year
- 2026: 17 · 2025: 31 · 2024: 29 · 2023: 30 · 2022: 32 · 2021: 47 · 2020: 33 · 2019: 27 · 2018: 19 · 2017: 21 · 2016: 17 · 2015: 6
- FWCI
- 1.20
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- Locations
- Seminars in Cell and Developmental Biology (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
- Leicester Research Archive (University of Leicester) (submittedVersion, other-oa)
- Funders
- the Midlands Integrative Biosciences Training Partnership (MIBTP)
- the Biotechnology and Biological Sciences Research Council (BBSRC)
- the Medical Research Council (MRC)
- the CHDI Foundation
- Topics
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Amino Acid Enzymes and Metabolism
- Keywords
- kynurenine pathway, tryptophan metabolism, neurodegenerative diseases, NAD biosynthesis, kynurenine metabolites, glutamate receptors, free radicals, Huntington's disease, Alzheimer's disease, Parkinson's disease, schizophrenia, bipolar disorder, HIV, therapeutic targeting, neuroactive metabolites
- MeSH terms
- Animals, Humans, Kynurenine, Tryptophan, Neurodegenerative Diseases, Metabolic Networks and Pathways
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