PMID- 37508898 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230731 IS - 2306-5354 (Print) IS - 2306-5354 (Electronic) IS - 2306-5354 (Linking) VI - 10 IP - 7 DP - 2023 Jul 23 TI - Cognitive Impairment in Multiple Sclerosis. LID - 10.3390/bioengineering10070871 [doi] LID - 871 AB - Almost three million individuals suffer from multiple sclerosis (MS) throughout the world, a demyelinating disease in the nervous system with increased prevalence over the last five decades, and is now being recognized as one significant etiology of cognitive loss and dementia. Presently, disease modifying therapies can limit the rate of relapse and potentially reduce brain volume loss in patients with MS, but unfortunately cannot prevent disease progression or the onset of cognitive disability. Innovative strategies are therefore required to address areas of inflammation, immune cell activation, and cell survival that involve novel pathways of programmed cell death, mammalian forkhead transcription factors (FoxOs), the mechanistic target of rapamycin (mTOR), AMP activated protein kinase (AMPK), the silent mating type information regulation 2 homolog 1 (Saccharomyces cerevisiae) (SIRT1), and associated pathways with the apolipoprotein E (APOE-epsilon4) gene and severe acute respiratory syndrome coronavirus (SARS-CoV-2). These pathways are intertwined at multiple levels and can involve metabolic oversight with cellular metabolism dependent upon nicotinamide adenine dinucleotide (NAD+). Insight into the mechanisms of these pathways can provide new avenues of discovery for the therapeutic treatment of dementia and loss in cognition that occurs during MS. FAU - Maiese, Kenneth AU - Maiese K AUID- ORCID: 0000-0002-5049-9116 AD - Cellular and Molecular Signaling, New York, NY 10022, USA. LA - eng GR - NS053956/NH/NIH HHS/United States PT - Journal Article PT - Review DEP - 20230723 PL - Switzerland TA - Bioengineering (Basel) JT - Bioengineering (Basel, Switzerland) JID - 101676056 PMC - PMC10376413 OTO - NOTNLM OT - APOE-epsilon4 OT - COVID-19 OT - FoxO OT - SIRT1 OT - apoptosis OT - autophagy OT - dementia OT - mTOR OT - multiple sclerosis OT - nicotinamide COIS- The author declares no conflict of interest. EDAT- 2023/07/29 11:53 MHDA- 2023/07/29 11:54 PMCR- 2023/07/23 CRDT- 2023/07/29 01:09 PHST- 2023/06/20 00:00 [received] PHST- 2023/07/19 00:00 [revised] PHST- 2023/07/21 00:00 [accepted] PHST- 2023/07/29 11:54 [medline] PHST- 2023/07/29 11:53 [pubmed] PHST- 2023/07/29 01:09 [entrez] PHST- 2023/07/23 00:00 [pmc-release] AID - bioengineering10070871 [pii] AID - bioengineering-10-00871 [pii] AID - 10.3390/bioengineering10070871 [doi] PST - epublish SO - Bioengineering (Basel). 2023 Jul 23;10(7):871. doi: 10.3390/bioengineering10070871.