KEGG   DISEASE: アルツハイマー病
エントリ  
H00056                                                             
名称    
アルツハイマー病;
アルツハイマー型認知症
概要    
Alzheimer disease (AD) is a chronic disorder that slowly destroys neurons and causes serious cognitive disability. AD is associated with senile plaques and neurofibrillary tangles (NFTs). Amyloid-beta (Abeta), a major component of senile plaques, has various pathological effects on cell and organelle function. To date genetic studies have revealed four genes that may be linked to autosomal dominant or familial early onset AD (FAD). These four genes include: amyloid precursor protein (APP), presenilin 1 (PS1), presenilin 2 (PS2), and apolipoprotein E (ApoE). All mutations associated with APP and PS proteins can lead to an increase in the production of Abeta peptides, specifically the more amyloidogenic form, Abeta42. It was proposed that Abeta forms Ca2+ permeable pores and binds to and modulates multiple synaptic proteins, including NMDAR, mGluR5, and VGCC, leading to the overfilling of neurons with calcium ions. Consequently, cellular Ca2+ disruptions will lead to neuronal apoptosis, autophagy deficits, mitochondrial abnormality, defective neurotransmission, impaired synaptic plasticity, and neurodegeneration in AD. FAD-linked PS1 mutation downregulates the unfolded protein response and leads to vulnerability to ER stress.
カテゴリ  
神経変性疾患
階層分類  
ICD-11 による疾患分類 [BR:jp08403]
 08 神経系の疾患
  主な特徴として神経認知障害を伴う疾患
   8A20  アルツハイマー病
    H00056  アルツハイマー病
パスウェイに基づく疾患分類 [BR:jp08402]
 細胞プロセス
  nt06534  小胞体ストレス応答
   H00056  アルツハイマー病
  nt06535  エフェロサイトーシス
   H00056  アルツハイマー病
疾患パスウェイ
hsa05010  アルツハイマー病
ネットワーク
nt06460 Alzheimer disease
nt06466 Pathways of neurodegeneration
nt06534 Unfolded protein response
nt06535 Efferocytosis
病因遺伝子 
(AD1) APP [HSA:351] [KO:K04520]
(AD2) APOE [HSA:348] [KO:K04524]
(AD3) PSEN1 [HSA:5663] [KO:K04505]
(AD4) PSEN2 [HSA:5664] [KO:K04522]
(AD9) ABCA7 [HSA:10347] [KO:K05645]
(AD18) ADAM10 [HSA:102] [KO:K06704]
治療薬   
ドネペジル塩酸塩 [DR:D00670]
ドネペジル [DR:D07869]
リバスチグミン [DR:D03822]
ガランタミン臭化水素酸塩 [DR:D02173]
メマンチン塩酸塩 [DR:D04905]
レカネマブ [DR:D11678]
コメント  
Disease class: tauopathy
Affected region: hippocampus, cerebral cortex
Microscopic lesion: amyloid plaques, neurofibrillary tangles, Lewy bodies (seen in Lewy body variant)
リンク   
ICD-11: 8A20
ICD-10: G30
MeSH: D000544
OMIM: 104300 104310 607822 606889 608907 615590
文献    
PMID:19679070 (AD2)
  著者
Kim J, Basak JM, Holtzman DM
  タイトル
The role of apolipoprotein E in Alzheimer's disease.
  雑誌
Neuron 63:287-303 (2009)
DOI:10.1016/j.neuron.2009.06.026
文献    
  著者
Kim D, Tsai LH
  タイトル
Bridging physiology and pathology in AD.
  雑誌
Cell 137:997-1000 (2009)
DOI:10.1016/j.cell.2009.05.042
文献    
  著者
Bertram L, Tanzi RE
  タイトル
Thirty years of Alzheimer's disease genetics: the implications of systematic meta-analyses.
  雑誌
Nat Rev Neurosci 9:768-78 (2008)
DOI:10.1038/nrn2494
文献    
  著者
Bird TD
  タイトル
Genetic aspects of Alzheimer disease.
  雑誌
Genet Med 10:231-9 (2008)
DOI:10.1097/GIM.0b013e31816b64dc
文献    
  著者
Thomas P, Fenech M
  タイトル
A review of genome mutation and Alzheimer's disease.
  雑誌
Mutagenesis 22:15-33 (2007)
DOI:10.1093/mutage/gel055
文献    
  著者
Goedert M, Spillantini MG
  タイトル
A century of Alzheimer's disease.
  雑誌
Science 314:777-81 (2006)
DOI:10.1126/science.1132814
文献    
PMID:16631796 (AD2)
  著者
Fazekas F, Enzinger C, Ropele S, Schmidt H, Schmidt R, Strasser-Fuchs S
  タイトル
The impact of our genes: consequences of the apolipoprotein E polymorphism in Alzheimer disease and multiple sclerosis.
  雑誌
J Neurol Sci 245:35-9 (2006)
DOI:10.1016/j.jns.2005.08.018
文献    
  著者
Rocchi A, Pellegrini S, Siciliano G, Murri L.
  タイトル
Causative and susceptibility genes for Alzheimer's disease: a review.
  雑誌
Brain Res Bull 61:1-24 (2003)
DOI:10.1016/S0361-9230(03)00067-4
文献    
PMID:1303291 (AD3)
  著者
Mullan M, Houlden H, Windelspecht M, Fidani L, Lombardi C, Diaz P, Rossor M, Crook R, Hardy J, Duff K, et al.
  タイトル
A locus for familial early-onset Alzheimer's disease on the long arm of chromosome 14, proximal to the alpha 1-antichymotrypsin gene.
  雑誌
Nat Genet 2:340-2 (1992)
DOI:10.1038/ng1292-340
文献    
PMID:7651536 (AD4)
  著者
Rogaev EI, Sherrington R, Rogaeva EA, Levesque G, Ikeda M, Liang Y, Chi H, Lin C, Holman K, Tsuda T, et al.
  タイトル
Familial Alzheimer's disease in kindreds with missense mutations in a gene on chromosome 1 related to the Alzheimer's disease type 3 gene.
  雑誌
Nature 376:775-8 (1995)
DOI:10.1038/376775a0
文献    
PMID:26141617 (AD9)
  著者
Cuyvers E, De Roeck A, Van den Bossche T, Van Cauwenberghe C, Bettens K, Vermeulen S, Mattheijssens M, Peeters K, Engelborghs S, Vandenbulcke M, Vandenberghe R, De Deyn PP, Van Broeckhoven C, Sleegers K
  タイトル
Mutations in ABCA7 in a Belgian cohort of Alzheimer's disease patients: a targeted resequencing study.
  雑誌
Lancet Neurol 14:814-822 (2015)
DOI:10.1016/S1474-4422(15)00133-7
文献    
PMID:19608551 (AD18)
  著者
Kim M, Suh J, Romano D, Truong MH, Mullin K, Hooli B, Norton D, Tesco G, Elliott K, Wagner SL, Moir RD, Becker KD, Tanzi RE
  タイトル
Potential late-onset Alzheimer's disease-associated mutations in the ADAM10 gene attenuate {alpha}-secretase activity.
  雑誌
Hum Mol Genet 18:3987-96 (2009)
DOI:10.1093/hmg/ddp323
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