Inspiration
Dementia is an acquired loss of cognition in multiple cognitive domains that is severe enough to interfere with social
or occupational function. It is a widespread public health issue. Around 47 million people worldwide suffer from dementia,
which is expected to rise to 131 million by 2050 [1].
and the most common type of dementia is Alzheimer’s disease (AD).
Among the most notoriously known neurodegenerative diseases which cause dementia is Alzheimer’s Disease which accounts
for 60-70% of known cases [2].
There are several emerging treatments for Alzheimer’s disease, but they all hinder the growth of the disease and do not
cure or eliminate the disease. So, in our project, we set our minds to try and solve such a global and local problem,
using our SynBio tools and knowledge, and make a difference, even a slight change, in people’s life. Just imagine those
who suffer from losing their memories due to such a disease; helping them even by one bit means the whole world.
What is Alzheimer’s disease?
Alzheimer’s disease is thought to be caused by the buildup of Amyloid-beta (Aβ) plaques and neurofibrillary tangles
(NFTs) in the entorhinal cortex and hippocampus, which causes neuronal injury and, eventually, neuronal death [2]
Amyloid protein
Is a transmembrane protein type-1, a protein with an extracellular
amino-terminal.
In a healthy individual with normal physiological function, Amyloid precursor protein (APP)
undergoes non-amyloidogenic processing by α- and γ-secretases to produce soluble APPα (sAPPα),
which Regulates CDK5 Expression and Activity in Neurons [3].
But in Alzheimer's cases, extracellular Aβ plaques have a high
molecular weight. This is a life-threatening problem because they tend to make
the cerebrospinal fluid (CSF) more viscous. Sometimes unusually-high levels of the protein Aβ-42
are one of the hallmarks of AD in addition to intracellular neurofibrillary tangles. APP's abnormal
cleavage marks the beginning of AD pathogenesis [2, 4].
Amyloid-beta (Aβ) plaques
Unlike the normal amyloid processing (non-amyloidogenic processing),
abnormal amyloidogenic
processing causes APP to be cleaved by β-secretase into sAPPβ and Carboxyl terminal fragment of Aβ (CTF-99).
CTF-99 is further acted upon by γ-secretase to produce AIC,D and Aβ which is released outside of the cell and
creates extracellular plaques and intracellular plaques responsible for the death of neurons and the deterioration
of brain tissue (Fig.1). The detrimental characteristics of AD are reflected by the excessively high of Aβ-42 in Aβ [2].
Fig. 1: Graphical illustration showing amyloidogenic and non-amyloidogenic processing.
Emerging evidence suggests that Alzheimer's-related barin damages are caused by a complex interaction between abnormal tau and Aβ proteins, as well as a number of other factors. Both Aβ and tau clump into Aβ plaques and NFTs respectively eventually leading to accumulations in memory-related brain regions.
Pathological progression of tau
Under normal circumstances, tau controls microtubule stabilization [6].
Tau hyperphosphorylation causes a reduction of affinity of tubulin proteins to microtubules in tauopathies. Eventually,
pathogenic insoluble neurofibrillary tangles are created when soluble tau aggregates into pathological soluble tau oligomers [7].
Neurofibrillary Tangles (NFTs)
NFTs are aberrant tau protein filaments that have been hyperphosphorylated, even in some
, can twist around one another to form paired helical filament (PHF) and accumulate in neural perikaryal cytoplasm, axons, and dendrites,
leading to a loss of cytoskeletal
microtubules and tubulin-associated proteins. The main component of NFTs in the brains of AD patients is hyperphosphorylated tau protein
[8].
At early stages, a person with Alzheimer's may be able to function on their own. At this point, common challenges include; recognizing names when meeting new people, having trouble accomplishing duties in social or professional contexts, and forgetting what you've just read. In the late stages of AD, mental function continues to deteriorate, and the disease has a growing impact on movement and physical capabilities. They are also losing their ability to communicate coherently [1].
Treatment
The current medications only offer symptomatic relief
for a short period of time, The Patients can be given acetylcholinesterase inhibitors and N-methyl-D-aspartate
receptor antagonists to treat the symptoms of Alzheimer’s, such as cognitive and functional deterioration, for a
short period of time, and that not all individuals benefit from treatment, but the disease could be prevented by
statins and omega-3 fatty acids [9,10]. Importantly, none of the currently available medications modify the course
of the disease or treat the underlying pathology [4,10].
Also as we mentioned that AD mainly caused due to aggregations
of Aβ and tau proteins.
So, our aim is to degrade these aggregates and prevent its accumulation intra- and extracellularly in both stages early
and late.