Kynurenines in chronic neurodegenerative disorders: future therapeutic strategies

J Neural Transm (Vienna). 2009 Nov;116(11):1403-9. doi: 10.1007/s00702-009-0263-4. Epub 2009 Jul 18.

Abstract

Parkinson's, Alzheimer's and Huntington's diseases are chronic neurodegenerative disorders of a progressive nature which lead to a considerable deterioration of the quality of life. Their pathomechanisms display some common features, including an imbalance of the tryptophan metabolism. Alterations in the concentrations of neuroactive kynurenines can be accompanied by devastating excitotoxic injuries and metabolic disturbances. From therapeutic considerations, possibilities that come into account include increasing the neuroprotective effect of kynurenic acid, or decreasing the levels of neurotoxic 3-hydroxy-L-kynurenine and quinolinic acid. The experimental data indicate that neuroprotection can be achieved by both alternatives, suggesting opportunities for further drug development in this field.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Brain / drug effects*
  • Brain / metabolism*
  • Brain / physiopathology
  • Glutamic Acid / metabolism
  • Humans
  • Kynurenic Acid / agonists
  • Kynurenic Acid / metabolism*
  • Mitochondrial Diseases / etiology
  • Mitochondrial Diseases / metabolism
  • Mitochondrial Diseases / physiopathology
  • NAD / metabolism
  • Neurodegenerative Diseases / drug therapy*
  • Neurodegenerative Diseases / metabolism*
  • Neurodegenerative Diseases / physiopathology
  • Neuroprotective Agents / pharmacology*
  • Phosphatidylinositol 3-Kinases / metabolism
  • Phosphoinositide-3 Kinase Inhibitors
  • Quinolinic Acid / antagonists & inhibitors
  • Quinolinic Acid / metabolism
  • Tryptophan / metabolism

Substances

  • Neuroprotective Agents
  • Phosphoinositide-3 Kinase Inhibitors
  • NAD
  • Glutamic Acid
  • Tryptophan
  • Quinolinic Acid
  • Kynurenic Acid