PMID- 37810956 OWN - NLM STAT- MEDLINE DCOM- 20231101 LR - 20231101 IS - 1178-1998 (Electronic) IS - 1176-9092 (Print) IS - 1176-9092 (Linking) VI - 18 DP - 2023 TI - Rapamycin Responds to Alzheimer's Disease: A Potential Translational Therapy. PG - 1629-1639 LID - 10.2147/CIA.S429440 [doi] AB - Alzheimer's disease (AD) is a sporadic or familial neurodegenerative disease of insidious onset with progressive cognitive decline. Although numerous studies have been conducted or are underway on AD, there are still no effective drugs to reverse the pathological features and clinical manifestations of AD. Rapamycin is a macrolide antibiotic produced by Streptomyces hygroscopicus. As a classical mechanistic target of rapamycin (mTOR) inhibitor, rapamycin has been shown to be beneficial in a variety of AD mouse and cells models, both before the onset of disease symptoms and the early stage of disease. Although many basic studies have demonstrated the therapeutic effects of rapamycin in AD, many questions and controversies remain. This may be due to the variability of experimental models, different modes of administration, dose, timing, frequency, and the availability of drug-targeting vehicles. Rapamycin may delay the development of AD by reducing beta-amyloid (Abeta) deposition, inhibiting tau protein hyperphosphorylation, maintaining brain function in APOE epsilon4 gene carriers, clearing chronic inflammation, and improving cognitive dysfunction. It is thus expected to be one of the candidates for the treatment of Alzheimer's disease. CI - (c) 2023 Hou et al. FAU - Hou, Si-Jia AU - Hou SJ AD - Department of Neurology, Headache Center, The First Hospital of Shanxi Medical University, Taiyuan, Shanxi Province, 030001, People's Republic of China. FAU - Zhang, Sheng-Xiao AU - Zhang SX AD - Department of Rheumatology, The Second Hospital of Shanxi Medical University, Taiyuan, Shanxi Province, 030009, People's Republic of China. FAU - Li, Yang AU - Li Y AUID- ORCID: 0000-0002-1336-9566 AD - Department of Neurology, Headache Center, The First Hospital of Shanxi Medical University, Taiyuan, Shanxi Province, 030001, People's Republic of China. FAU - Xu, Sui-Yi AU - Xu SY AUID- ORCID: 0000-0002-8908-011X AD - Department of Neurology, Headache Center, The First Hospital of Shanxi Medical University, Taiyuan, Shanxi Province, 030001, People's Republic of China. LA - eng PT - Journal Article PT - Review DEP - 20231002 PL - New Zealand TA - Clin Interv Aging JT - Clinical interventions in aging JID - 101273480 RN - W36ZG6FT64 (Sirolimus) RN - 0 (Amyloid beta-Peptides) RN - 0 (tau Proteins) SB - IM MH - Mice MH - Animals MH - *Alzheimer Disease/genetics MH - Sirolimus/pharmacology/therapeutic use MH - *Neurodegenerative Diseases MH - Amyloid beta-Peptides/metabolism MH - tau Proteins/metabolism MH - *Cognitive Dysfunction PMC - PMC10557994 OTO - NOTNLM OT - chronic inflammation OT - macrolide antibiotic OT - therapeutic effect OT - beta-amyloid COIS- The authors report no conflicts of interest in this work. EDAT- 2023/10/09 12:42 MHDA- 2023/11/01 12:42 PMCR- 2023/10/02 CRDT- 2023/10/09 06:11 PHST- 2023/07/07 00:00 [received] PHST- 2023/09/25 00:00 [accepted] PHST- 2023/11/01 12:42 [medline] PHST- 2023/10/09 12:42 [pubmed] PHST- 2023/10/09 06:11 [entrez] PHST- 2023/10/02 00:00 [pmc-release] AID - 429440 [pii] AID - 10.2147/CIA.S429440 [doi] PST - epublish SO - Clin Interv Aging. 2023 Oct 2;18:1629-1639. doi: 10.2147/CIA.S429440. eCollection 2023.