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Review
. 2021 Jun:169:382-396.
doi: 10.1016/j.freeradbiomed.2021.04.025. Epub 2021 Apr 30.

mTOR in Alzheimer disease and its earlier stages: Links to oxidative damage in the progression of this dementing disorder

Affiliations
Review

mTOR in Alzheimer disease and its earlier stages: Links to oxidative damage in the progression of this dementing disorder

M Perluigi et al. Free Radic Biol Med. 2021 Jun.

Abstract

Alzheimer's disease (AD) is the most prevalent form of dementia in the elderly population and has worldwide impact. The etiology of the disease is complex and results from the confluence of multiple mechanisms ultimately leading to neuronal loss and cognitive decline. Among risk factors, aging is the most relevant and accounts for several pathogenic events that contribute to disease-specific toxic mechanisms. Accumulating evidence linked the alterations of the mammalian target of rapamycin (mTOR), a serine/threonine protein kinase playing a key role in the regulation of protein synthesis and degradation, to age-dependent cognitive decline and pathogenesis of AD. To date, growing studies demonstrated that aberrant mTOR signaling in the brain affects several pathways involved in energy metabolism, cell growth, mitochondrial function and proteostasis. Recent advances associated alterations of the mTOR pathway with the increased oxidative stress. Disruption of all these events strongly contribute to age-related cognitive decline including AD. The current review discusses the main regulatory roles of mTOR signaling network in the brain, focusing on its role in autophagy, oxidative stress and energy metabolism. Collectively, experimental data suggest that targeting mTOR in the CNS can be a valuable strategy to prevent/slow the progression of AD.

Keywords: Alzheimer's disease; Oxidative stress; Protein aggregation; Proteostasis; mTOR.

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Figures

Figure 1.
Figure 1.
In physiological conditions (depicted in the upper part of the figure), several oxidant stimuli, such as low levels of free radicals (ROS) and low amount of amyloid beta peptide (Aß), lead to coordinated stress responses (UPR, UPS and autophagy) for the removal of damaged molecules/organelles. In pathological conditions (depicted in the lower part of the figure), the overproduction of oxidants overwhelms the protein quality control, in part due to the oxidation/inactivation of some of its members, resulting in the accumulation of oxidized/dysfunctional proteins that are harmful for neuronal survival. In this scenario, mTOR hyperactivation, as it occurs in AD brain, not only contributes to impair autophagy machinery, but also dysregulates insulin signaling (by feedback mechanisms).

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