PMID- 31456666 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200929 IS - 1662-5102 (Print) IS - 1662-5102 (Electronic) IS - 1662-5102 (Linking) VI - 13 DP - 2019 TI - The Role of Altered BDNF/TrkB Signaling in Amyotrophic Lateral Sclerosis. PG - 368 LID - 10.3389/fncel.2019.00368 [doi] LID - 368 AB - Brain derived neurotrophic factor (BDNF) is well recognized for its neuroprotective functions, via activation of its high affinity receptor, tropomysin related kinase B (TrkB). In addition, BDNF/TrkB neuroprotective functions can also be elicited indirectly via activation of adenosine 2A receptors (A(2) (a) Rs), which in turn transactivates TrkB. Evidence suggests that alterations in BDNF/TrkB, including TrkB transactivation by A(2) (a) Rs, can occur in several neurodegenerative diseases, including amyotrophic lateral sclerosis (ALS). Although enhancing BDNF has been a major goal for protection of dying motor neurons (MNs), this has not been successful. Indeed, there is emerging in vitro and in vivo evidence suggesting that an upregulation of BDNF/TrkB can cause detrimental effects on MNs, making them more vulnerable to pathophysiological insults. For example, in ALS, early synaptic hyper-excitability of MNs is thought to enhance BDNF-mediated signaling, thereby causing glutamate excitotoxicity, and ultimately MN death. Moreover, direct inhibition of TrkB and A(2) (a) Rs has been shown to protect MNs from these pathophysiological insults, suggesting that modulation of BDNF/TrkB and/or A(2) (a) Rs receptors may be important in early disease pathogenesis in ALS. This review highlights the relevance of pathophysiological actions of BDNF/TrkB under certain circumstances, so that manipulation of BDNF/TrkB and A(2) (a) Rs may give rise to alternate neuroprotective therapeutic strategies in the treatment of neural diseases such as ALS. FAU - Pradhan, Jonu AU - Pradhan J AD - Faculty of Medicine, School of Biomedical Sciences, The University of Queensland, Brisbane, QLD, Australia. FAU - Noakes, Peter G AU - Noakes PG AD - Faculty of Medicine, School of Biomedical Sciences, The University of Queensland, Brisbane, QLD, Australia. AD - Queensland Brain Institute, The University of Queensland, Brisbane, QLD, Australia. FAU - Bellingham, Mark C AU - Bellingham MC AD - Faculty of Medicine, School of Biomedical Sciences, The University of Queensland, Brisbane, QLD, Australia. LA - eng PT - Journal Article PT - Review DEP - 20190813 PL - Switzerland TA - Front Cell Neurosci JT - Frontiers in cellular neuroscience JID - 101477935 PMC - PMC6700252 OTO - NOTNLM OT - A2aR OT - ALS OT - BDNF OT - MND OT - TrkB receptors OT - motor neurons EDAT- 2019/08/29 06:00 MHDA- 2019/08/29 06:01 PMCR- 2019/01/01 CRDT- 2019/08/29 06:00 PHST- 2019/05/21 00:00 [received] PHST- 2019/07/29 00:00 [accepted] PHST- 2019/08/29 06:00 [entrez] PHST- 2019/08/29 06:00 [pubmed] PHST- 2019/08/29 06:01 [medline] PHST- 2019/01/01 00:00 [pmc-release] AID - 10.3389/fncel.2019.00368 [doi] PST - epublish SO - Front Cell Neurosci. 2019 Aug 13;13:368. doi: 10.3389/fncel.2019.00368. eCollection 2019.