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Calcium and Neuronal Injury in Alzheimer's Disease: Contributions of β‐Amyloid Precursor Protein Mismetabolism, Free Radicals, and Metabolic Compromisea
Abstract
Alzheimer's disease (AD) is defined by degeneration of specific populations of neurons and the presence of insoluble aggregates of cytoskeletal proteins and amyloid beta-peptide (A beta) within affected brain regions. Alzheimer's disease does not appear to result from a single alteration, but in some cases of inherited AD a specific genetic defect can precipitate the disease. In this article, metabolic compromise, altered metabolism of the beta-amyloid precursor protein (beta APP), and an excitotoxic form of neuronal injury are considered central to the pathogenesis AD. The hypothesis is forwarded that destabilization of neuronal Ca2+ homeostasis underlies neuronal degeneration and that multiple age-associated and/or genetic alterations contribute to the loss of Ca2+ homeostasis. Recent studies showed that the secreted forms of beta APP (APPss) stabilize intracellular free calcium levels ([Ca2+]i) and protect neurons against excitotoxic insults. In contrast, A beta which arises from alternative processing of beta APP forms free radical peptides and aggregates that destabilize [Ca2+]i and make neurons vulnerable to metabolic insults. Increased expression (eg, Down's syndrome) or altered processing (eg, beta APP mutations) of beta APP may increase the A beta/APPs ratio. The death of neurons in AD most likely has an excitotoxic component because: the vulnerable neurons possess high levels of glutamate receptors; experimentally induced excitotoxicity shows several features simila…
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Several degradation products of cellular activity, such as β-amyloid oligomers and amyloid depositions, have adverse effects on synaptic transmission and cytosolic Ca2+ concentrations and can trigger irreversible neuronal injury.
“Several degradation products of cellular activity, such as Aβ oligomers and amyloid depositions, have adverse effects on synaptic transmission (30) and cytosolic Ca2+ concentrations (31) and can trigger irreversible neuronal injury (32).”
From Sleep Drives Metabolite Clearance from the Adult Brain (2013) · cites this paper as [32]
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“It has been proposed that Ca 2ϩ plays an important role in A-mediated cell death (Mattson, 1994).”
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Self-citation
Metadata
- Authors
- MATTSON, M. P.
- Affiliations
- University of Kentucky (US)
- Corresponding author
- MATTSON, MARK P.
- ORCID
- MATTSON, MARK P.
- Venue
- Annals of the New York Academy of Sciences
- Publisher
- Wiley
- Published
- 1994-12
- Volume
- 747
- Issue
- 1
- Pages
- 50-76
- ISSN
- 0077-8923 (ISSN-L)
- 1749-6632
- OpenAlex
- W4323874225
- Cited by
- 166
- References
- 17
- Citations by year
- 2026: 2 · 2024: 2 · 2023: 2 · 2022: 4 · 2021: 3 · 2020: 6 · 2019: 5 · 2018: 1 · 2017: 4 · 2016: 2 · 2015: 1 · 2014: 3 · 2013: 9 · 2012: 7
- FWCI
- 3.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of the New York Academy of Sciences (publishedVersion)
- PubMed (publishedVersion)
- PubMed
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Health Sciences › Medicine › Complementary and alternative medicine › Medicinal Plants and Neuroprotection
- Keywords
- calcium, neuronal injury, Alzheimer's disease, calcium homeostasis, neurodegeneration
- MeSH terms
- Aging, Alzheimer Disease, Calcium, Free Radicals, Homeostasis, Humans, Nerve Degeneration, Neuronal Plasticity, Neurons, Protein Processing, Post-Translational, Amyloid beta-Protein Precursor, Neurotransmitter Agents, Excitatory Amino Acids
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