Alzheimer's disease (AD), the most common cause of dementia, is an irreversible and progressive neurodegenerative disorder. It affects predominantly brain areas that are critical for memory and learning and is characterized by two main pathological hallmarks: extracellular amyloid plaques and intracellular neurofibrillary tangles. Protein kinase C (PKC) has been classified as one of the cognitive kinases controlling memory and learning. By regulating several signalling pathways involved in amyloid and tau pathologies, it also plays an inhibitory role in AD pathophysiology. Among downstream targets of PKC are the embryonic lethal abnormal vision (ELAV)-like RNA-binding proteins that modulate the stability and the translation of specific target mRNAs involved in synaptic remodelling linked to cognitive processes. This MiniReview summarizes the current evidence on the role of PKC and ELAV-like proteins in learning and memory, highlighting how their derangement can contribute to AD pathophysiology. This last aspect emphasizes the potential of pharmacological activation of PKC as a promising therapeutic strategy for the treatment of AD.
Alzheimer's DiseaseAlzheimer's disease (AD) is a progressive neurodegenerative disorder, which leads to severe impairment of memory and cognitive functions, alterations in behaviour, incapacity for independent living and, finally, to death. It is the most common cause of dementia [1], which affects more than 35 million people worldwide [2]. The prevalence of both AD and dementia escalates along with increasing age. As the life span in developing countries rises, the number of people with dementia is expected to almost double every 20 years and reach 115 million in 2050 [2]. In the World Alzheimer Report 2013, it was estimated that in 2013, the global costs of dementia exceed US$600 billion, which is approximately 1% of global gross domestic product [3].The current pharmacological therapy for AD includes cholinesterase inhibitors (donepezil, rivastigmine and galantamine) as well as memantine, which is a low-affinity voltage-dependent uncompetitive antagonist of glutamatergic N-methyl-Daspartate (NMDA) receptors. Additionally, the neuropsychiatric symptoms are commonly treated with antidepressants and/or risperidone or other atypical antipsychotics. All of the available treatments are symptomatic and cannot cure or significantly inhibit the progression of the disease. Therefore, new disease-modifying treatments are urgently needed.The main neuropathological change characteristic to AD is the loss of cholinergic neurons in the nucleus basalis magnocellularis and their synapses, particularly in cerebral cortex, hippocampus and other subcortical structures that contribute to memory formation [4,5]. The underlying neuropathogenesis is not known, but the loss of neurons results from the accumulation of two distinctive pathological features: predominantly extracellular b amyloid (Ab) deposits (plaques) and intracellular neurofibrillary tangles consisting of hyperphosphorylated tau p...