Alzheimer's disease is accompanied by a number of pathological modifications, from those at the subcellular level to the impairment of cognitive cerebral functions. Abnormal accumulation of a specific protein, β-amyloid, in brain neurons plays a central role in the pathogenesis of this neurodegenerative disease. In this case, one significant pathogenetic factor is disruption of calcium homeostasis in cerebral cells. In this review, we describe changes in the intracellular calcium signalling related to Alzheimer disease, namely disorders of the functioning of main intracellular calcium stores (mitochondria and endoplasmic reticulum), as well as of those of calcium channels of the plasma membrane.

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A two-wave technique of calciometry with the use of a fluorescence dye, fura-2/AM, was applied for examination of the effect of a protein, β-amyloid (the main component of senile plaques in Alzheimer's disease), on calcium homeostasis in cultured neurons of the rat hippocampus; β-amyloid was added to the culture medium. In most neurons, the effect of β-amyloid appeared as a more than twofold increase in the basic calcium concentration, as compared with the control (153.4 ± 11.5 and 71.7 ± 5.4 nM, respectively; P < 0.05). The characteristics of calcium transients induced by application of hyperpotassium solution also changed; the amplitude of these transients decreased, and the duration of a part corresponding to calcium release from the cell (rundown of the transient) increased. The mean amplitude of calcium transients under control conditions was 447.5 ± 20.1 nM, while after incubation in the presence of β-amyloid this index dropped to 278.4 ± 22.6 nM. Under control conditions, the decline phase of calcium transients lasted, on average, 100 ± 6 sec, while after incubation of hippocampal cell cultures in the presence of β-amyloid this phase lasted 250 ± 10 sec. Therefore, an excess of β-amyloid influences significantly calcium homeostasis in the nerve cells by disturbing functions of the calcium-controlling systems, such as voltage-operated calcium channels of the plasma membrane and calcium stores of the mitochondria and endoplasmic reticulum.