Title:Mitochondrial Calcium Signaling as a Therapeutic Target for Alzheimer’s Disease
Volume: 17
Issue: 4
Author(s): Aston J. Wu, Benjamin C.-K. Tong, Alexis S. Huang, Min Li and King-Ho Cheung*
Affiliation:
- School of Chinese Medicine, Hong Kong Baptist University, 7 Baptist University Road, Kowloon Tong, Kowloon, Hong Kong,China
Keywords:
Calcium, Alzheimer's disease, mitochondria, hyperphosphorylation, neurodegenerative disorder, intracellular
neurofibrillary tangles.
Abstract: Mitochondria absorb calcium (Ca2+) at the expense of the electrochemical gradient generated
during respiration. The influx of Ca2+ into the mitochondrial matrix helps maintain metabolic function
and results in increased cytosolic Ca2+ during intracellular Ca2+ signaling. Mitochondrial Ca2+ homeostasis
is tightly regulated by proteins located in the inner and outer mitochondrial membranes and by the
cross-talk with endoplasmic reticulum Ca2+ signals. Increasing evidence indicates that mitochondrial
Ca2+ overload is a pathological phenotype associated with Alzheimer’s Disease (AD). As intracellular
Ca2+ dysregulation can be observed before the appearance of typical pathological hallmarks of AD, it is
believed that mitochondrial Ca2+ overload may also play an important role in AD etiology. The high mitochondrial
Ca2+ uptake can easily compromise neuronal functions and exacerbate AD progression by
impairing mitochondrial respiration, increasing reactive oxygen species formation and inducing apoptosis.
Additionally, mitochondrial Ca2+ overload can damage mitochondrial recycling via mitophagy. This
review will discuss the molecular players involved in mitochondrial Ca2+ dysregulation and the pharmacotherapies
that target this dysregulation. As most of the current AD therapeutics are based on amyloidopathy,
tauopathy, and the cholinergic hypothesis, they achieve only symptomatic relief. Thus, determining
how to reestablish mitochondrial Ca2+ homeostasis may aid in the development of novel AD
therapeutic interventions.