Article ; Online: Should evidence of an autolysosomal de-acidification defect in Alzheimer and Parkinson diseases call for caution in prescribing chronic PPI and DMARD?
2023 Volume 19, Issue 10, Page(s) 2800–2806
Abstract: Nearly fifty million older people suffer from neurodegenerative diseases, including Alzheimer (AD) and Parkinson (PD) disease, a global burden expected to triple by 2050. Such an imminent "neurological pandemic" urges the identification of environmental ... ...
Abstract | Nearly fifty million older people suffer from neurodegenerative diseases, including Alzheimer (AD) and Parkinson (PD) disease, a global burden expected to triple by 2050. Such an imminent "neurological pandemic" urges the identification of environmental risk factors that are hopefully avoided to fight the disease. In 2022, strong evidence in mouse models incriminated defective lysosomal acidification and impairment of the autophagy pathway as modifiable risk factors for dementia. To date, the most prescribed lysosomotropic drugs are proton pump inhibitors (PPIs), chloroquine (CQ), and the related hydroxychloroquine (HCQ), which belong to the group of disease-modifying antirheumatic drugs (DMARDs). This commentary aims to open the discussion on the possible mechanisms connecting the long-term prescribing of these drugs to the elderly and the incidence of neurodegenerative diseases. |
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MeSH term(s) | Mice ; Animals ; Autophagy/physiology ; Alzheimer Disease/drug therapy ; Alzheimer Disease/metabolism ; Parkinson Disease/drug therapy ; Parkinson Disease/metabolism ; Amyloid Precursor Protein Secretases/metabolism ; Antirheumatic Agents/pharmacology ; Amyloid beta-Peptides/metabolism ; Hydroxychloroquine/adverse effects ; Aspartic Acid Endopeptidases/metabolism ; Aspartic Acid Endopeptidases/pharmacology ; Neurodegenerative Diseases/metabolism ; Lysosomes/metabolism ; Class III Phosphatidylinositol 3-Kinases/metabolism ; Chloroquine/pharmacology ; Hydrogen-Ion Concentration |
Chemical Substances | Amyloid Precursor Protein Secretases (EC 3.4.-) ; Antirheumatic Agents ; Amyloid beta-Peptides ; Hydroxychloroquine (4QWG6N8QKH) ; Aspartic Acid Endopeptidases (EC 3.4.23.-) ; Class III Phosphatidylinositol 3-Kinases (EC 2.7.1.137) ; Chloroquine (886U3H6UFF) |
Language | English |
Publishing date | 2023-07-23 |
Publishing country | United States |
Document type | Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't |
ZDB-ID | 2454135-7 |
ISSN | 1554-8635 ; 1554-8627 |
ISSN (online) | 1554-8635 |
ISSN | 1554-8627 |
DOI | 10.1080/15548627.2023.2214960 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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