RECENT ADVANCES OF CHOLINESTERASE INHIBITORS PLAYING A CRITICAL ROLE IN THE TREATMENT OF ALZHEIMER’S DISEASE (2020-2022)

Alzheimer’s disease (AD) is a common neurodegenerative disorder which has a catastrophic effect on the brain. It significantly affects people’s daily life, especially the population over the age of 65, with problems such as neuron death, memory loss, cognitive disorders, and cholinergic dysfunction....

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Main Authors: Elmas Rumeysa Yıldırım, Nuray Ulusoy Güzeldemirci
Format: Article
Language:English
Published: Istanbul University Press 2023-06-01
Series:Sabiad
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Online Access:https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/1B853B8CEB1E4A709101150DF508BF13
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author Elmas Rumeysa Yıldırım
Nuray Ulusoy Güzeldemirci
author_facet Elmas Rumeysa Yıldırım
Nuray Ulusoy Güzeldemirci
author_sort Elmas Rumeysa Yıldırım
collection DOAJ
description Alzheimer’s disease (AD) is a common neurodegenerative disorder which has a catastrophic effect on the brain. It significantly affects people’s daily life, especially the population over the age of 65, with problems such as neuron death, memory loss, cognitive disorders, and cholinergic dysfunction. However, despite the drug development studies which have been conducted recently quite intensively, an effective drug molecule that can completely cure people or stop the stage of the disease has not been found yet, unfortunately. One of the reasons for this is the complexity of understanding of how the pathology of the disease arises. The most accepted theory for AD is the cholinergic hypothesis. Acetylcholine (ACh), an important neurotransmitter, is metabolized by two cholinesterase (ChE) enzymes named acetylcholinesterase (AChE) and butyrylcholinesterase (BuChE). With AD, ChE activity increases and thus the degradation of acetylcholine is triggered. In addition, it is understood that the peripheral anionic region (PAS) of the AChE also caused the formation of Aβ-peptide fibrils. Therefore, based on this hypothesis, the most effective approach in treatment is the use of cholinesterase inhibitors (ChEI), which try to restore ACh levels by increasing them at cholinergic synapses. Furthermore, it focused on the design of multifunctional molecules. In conclusion, considering the complex nature of the disease and its effects, it is clear that more studies are needed in this area. In this study, important and remarkable studies in recent years have been included and it aimed to contribute to future drug research andv development studies.
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spelling doaj-art-e72cd02951974baaac284fbdb0a1733a2025-08-20T02:56:13ZengIstanbul University PressSabiad2651-40602023-06-016219720910.26650/JARHS2023-1197992123456RECENT ADVANCES OF CHOLINESTERASE INHIBITORS PLAYING A CRITICAL ROLE IN THE TREATMENT OF ALZHEIMER’S DISEASE (2020-2022)Elmas Rumeysa Yıldırım0https://orcid.org/0000-0002-8261-9944Nuray Ulusoy Güzeldemirci1https://orcid.org/0000-0002-4495-4282İstanbul Üniversitesi, İstanbul, Türkiyeİstanbul Üniversitesi, İstanbul, TürkiyeAlzheimer’s disease (AD) is a common neurodegenerative disorder which has a catastrophic effect on the brain. It significantly affects people’s daily life, especially the population over the age of 65, with problems such as neuron death, memory loss, cognitive disorders, and cholinergic dysfunction. However, despite the drug development studies which have been conducted recently quite intensively, an effective drug molecule that can completely cure people or stop the stage of the disease has not been found yet, unfortunately. One of the reasons for this is the complexity of understanding of how the pathology of the disease arises. The most accepted theory for AD is the cholinergic hypothesis. Acetylcholine (ACh), an important neurotransmitter, is metabolized by two cholinesterase (ChE) enzymes named acetylcholinesterase (AChE) and butyrylcholinesterase (BuChE). With AD, ChE activity increases and thus the degradation of acetylcholine is triggered. In addition, it is understood that the peripheral anionic region (PAS) of the AChE also caused the formation of Aβ-peptide fibrils. Therefore, based on this hypothesis, the most effective approach in treatment is the use of cholinesterase inhibitors (ChEI), which try to restore ACh levels by increasing them at cholinergic synapses. Furthermore, it focused on the design of multifunctional molecules. In conclusion, considering the complex nature of the disease and its effects, it is clear that more studies are needed in this area. In this study, important and remarkable studies in recent years have been included and it aimed to contribute to future drug research andv development studies.https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/1B853B8CEB1E4A709101150DF508BF13alzheimer’s disease (ad)cholinesterase inhibitors (cheis)acetylcholinesterase inhibitors (acheis)butyrylcholinesterase inhibitors (bucheis)multifonctional drugsmulti-target directed ligands
spellingShingle Elmas Rumeysa Yıldırım
Nuray Ulusoy Güzeldemirci
RECENT ADVANCES OF CHOLINESTERASE INHIBITORS PLAYING A CRITICAL ROLE IN THE TREATMENT OF ALZHEIMER’S DISEASE (2020-2022)
Sabiad
alzheimer’s disease (ad)
cholinesterase inhibitors (cheis)
acetylcholinesterase inhibitors (acheis)
butyrylcholinesterase inhibitors (bucheis)
multifonctional drugs
multi-target directed ligands
title RECENT ADVANCES OF CHOLINESTERASE INHIBITORS PLAYING A CRITICAL ROLE IN THE TREATMENT OF ALZHEIMER’S DISEASE (2020-2022)
title_full RECENT ADVANCES OF CHOLINESTERASE INHIBITORS PLAYING A CRITICAL ROLE IN THE TREATMENT OF ALZHEIMER’S DISEASE (2020-2022)
title_fullStr RECENT ADVANCES OF CHOLINESTERASE INHIBITORS PLAYING A CRITICAL ROLE IN THE TREATMENT OF ALZHEIMER’S DISEASE (2020-2022)
title_full_unstemmed RECENT ADVANCES OF CHOLINESTERASE INHIBITORS PLAYING A CRITICAL ROLE IN THE TREATMENT OF ALZHEIMER’S DISEASE (2020-2022)
title_short RECENT ADVANCES OF CHOLINESTERASE INHIBITORS PLAYING A CRITICAL ROLE IN THE TREATMENT OF ALZHEIMER’S DISEASE (2020-2022)
title_sort recent advances of cholinesterase inhibitors playing a critical role in the treatment of alzheimer s disease 2020 2022
topic alzheimer’s disease (ad)
cholinesterase inhibitors (cheis)
acetylcholinesterase inhibitors (acheis)
butyrylcholinesterase inhibitors (bucheis)
multifonctional drugs
multi-target directed ligands
url https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/1B853B8CEB1E4A709101150DF508BF13
work_keys_str_mv AT elmasrumeysayıldırım recentadvancesofcholinesteraseinhibitorsplayingacriticalroleinthetreatmentofalzheimersdisease20202022
AT nurayulusoyguzeldemirci recentadvancesofcholinesteraseinhibitorsplayingacriticalroleinthetreatmentofalzheimersdisease20202022