PMID- 27400746 OWN - NLM STAT- MEDLINE DCOM- 20171109 LR - 20240325 IS - 1750-1326 (Electronic) IS - 1750-1326 (Linking) VI - 11 IP - 1 DP - 2016 Jul 11 TI - Neurotrophic factor small-molecule mimetics mediated neuroregeneration and synaptic repair: emerging therapeutic modality for Alzheimer's disease. PG - 50 LID - 10.1186/s13024-016-0119-y [doi] LID - 50 AB - Alzheimer's disease (AD) is an incurable and debilitating chronic progressive neurodegenerative disorder which is the leading cause of dementia worldwide. AD is a heterogeneous and multifactorial disorder, histopathologically characterized by the presence of amyloid beta (Abeta) plaques and neurofibrillary tangles composed of Abeta peptides and abnormally hyperphosphorylated tau protein, respectively. Independent of the various etiopathogenic mechanisms, neurodegeneration is a final common outcome of AD neuropathology. Synaptic loss is a better correlate of cognitive impairment in AD than Abeta or tau pathologies. Thus a highly promising therapeutic strategy for AD is to shift the balance from neurodegeneration to neuroregeneration and synaptic repair. Neurotrophic factors, by virtue of their neurogenic and neurotrophic activities, have potential for the treatment of AD. However, the clinical therapeutic usage of recombinant neurotrophic factors is limited because of the insurmountable hurdles of unfavorable pharmacokinetic properties, poor blood-brain barrier (BBB) permeability, and severe adverse effects. Neurotrophic factor small-molecule mimetics, in this context, represent a potential strategy to overcome these short comings, and have shown promise in preclinical studies. Neurotrophic factor small-molecule mimetics have been the focus of intense research in recent years for AD drug development. Here, we review the relevant literature regarding the therapeutic beneficial effect of neurotrophic factors in AD, and then discuss the recent status of research regarding the neurotrophic factor small-molecule mimetics as therapeutic candidates for AD. Lastly, we summarize the preclinical studies with a ciliary neurotrophic factor (CNTF) small-molecule peptide mimetic, Peptide 021 (P021). P021 is a neurogenic and neurotrophic compound which enhances dentate gyrus neurogenesis and memory processes via inhibiting leukemia inhibitory factor (LIF) signaling pathway and increasing brain-derived neurotrophic factor (BDNF) expression. It robustly inhibits tau abnormal hyperphosphorylation via increased BDNF mediated decrease in glycogen synthase kinase-3beta (GSK-3beta, major tau kinase) activity. P021 is a small molecular weight, BBB permeable compound with suitable pharmacokinetics for oral administration, and without adverse effects associated with native CNTF or BDNF molecule. P021 has shown beneficial therapeutic effect in several preclinical studies and has emerged as a highly promising compound for AD drug development. FAU - Kazim, Syed Faraz AU - Kazim SF AD - Department of Neurochemistry, and SUNY Downstate/NYSIBR Program in Developmental Neuroscience, New York State Institute for Basic Research (NYSIBR), 1050 Forest Hill Road, Staten Island, NY, 10314, USA. AD - Graduate Program in Neural and Behavioral Science, and Department of Physiology and Pharmacology, State University of New York (SUNY) Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY, 11203, USA. FAU - Iqbal, Khalid AU - Iqbal K AD - Department of Neurochemistry, and SUNY Downstate/NYSIBR Program in Developmental Neuroscience, New York State Institute for Basic Research (NYSIBR), 1050 Forest Hill Road, Staten Island, NY, 10314, USA. khalid.iqbal.ibr@gmail.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20160711 PL - England TA - Mol Neurodegener JT - Molecular neurodegeneration JID - 101266600 RN - 0 (Amyloid beta-Peptides) SB - IM MH - Alzheimer Disease/*metabolism MH - Amyloid beta-Peptides/*metabolism MH - Animals MH - Brain/*metabolism MH - Humans MH - Neurofibrillary Tangles/*metabolism MH - Neurogenesis/*physiology MH - Neurons/*metabolism PMC - PMC4940708 OTO - NOTNLM OT - Alzheimer's disease OT - Amyloid beta OT - Brain-derived neurotrophic factor (BDNF) OT - Ciliary neurotrophic factor (CNTF) OT - Cognition OT - Neurodegeneration OT - Neurogenesis OT - Neurotrophic factor small-molecule mimetics OT - Synaptic loss OT - Tau EDAT- 2016/07/13 06:00 MHDA- 2017/11/10 06:00 PMCR- 2016/07/11 CRDT- 2016/07/13 06:00 PHST- 2016/04/24 00:00 [received] PHST- 2016/07/02 00:00 [accepted] PHST- 2016/07/13 06:00 [entrez] PHST- 2016/07/13 06:00 [pubmed] PHST- 2017/11/10 06:00 [medline] PHST- 2016/07/11 00:00 [pmc-release] AID - 10.1186/s13024-016-0119-y [pii] AID - 119 [pii] AID - 10.1186/s13024-016-0119-y [doi] PST - epublish SO - Mol Neurodegener. 2016 Jul 11;11(1):50. doi: 10.1186/s13024-016-0119-y.