Apoptotic neurons and amyloid-beta clearance by phagocytosis in Alzheimer's disease: Pathological mechanisms and therapeutic outlooks

Eur J Pharmacol. 2021 Mar 15:895:173873. doi: 10.1016/j.ejphar.2021.173873. Epub 2021 Jan 16.

Abstract

Neuronal survival and axonal renewal following central nervous system damage and in neurodegenerative illnesses, such as Alzheimer's disease (AD), can be enhanced by fast clearance of neuronal apoptotic debris, as well as the removal of amyloid beta (Aβ) by phagocytic cells through the process of efferocytosis. This process quickly inhibits the release of proinflammatory and antigenic autoimmune constituents, enhancing the formation of a microenvironment vital for neuronal survival and axonal regeneration. Therefore, the detrimental features associated with microglial phagocytosis uncoupling, such as the accumulation of apoptotic cells, inflammation and phagoptosis, could exacerbate the pathology in brain disease. Some mechanisms of efferocytosis could be targeted by several promising agents, such as curcumin, URMC-099 and Y-P30, which have emerged as potential treatments for AD. This review aims to investigate and update the current research regarding the signaling molecules and pathways involved in efferocytosis and how these could be targeted as a potential therapy in AD.

Keywords: Alzheimer's disease; Amyloid beta; Apoptosis; Corpse clearance; Efferocytosis; Microglia; Phagocytic clearance; “Eat-me” signal.

Publication types

  • Review

MeSH terms

  • Alzheimer Disease / drug therapy
  • Alzheimer Disease / metabolism
  • Alzheimer Disease / pathology*
  • Alzheimer Disease / physiopathology
  • Amyloid beta-Peptides / metabolism*
  • Animals
  • Anti-Inflammatory Agents / pharmacology
  • Apoptosis* / drug effects
  • Brain / drug effects
  • Brain / metabolism
  • Brain / pathology*
  • Brain / physiopathology
  • Humans
  • Microglia / drug effects
  • Microglia / metabolism
  • Microglia / pathology*
  • Molecular Targeted Therapy
  • Neurons / drug effects
  • Neurons / metabolism
  • Neurons / pathology*
  • Neuroprotective Agents / therapeutic use
  • Phagocytosis* / drug effects

Substances

  • Amyloid beta-Peptides
  • Anti-Inflammatory Agents
  • Neuroprotective Agents