Conspectus
Alzheimer’s
disease (AD) is the most common form of dementia
and is characterized by memory loss and cognitive decline. Approximately
50 million people worldwide are suffering from AD and related dementias.
Very recently, the first new drug targeting amyloid-β (Aβ)
aggregates has been approved by the United States Food and Drug Administration,
but its efficacy against AD is still debatable. Other available treatments
temporarily relieve the symptoms of AD. The difficulty in discovering
effective therapeutics for AD originates from its complicated nature,
which results from the interrelated pathogenic pathways led by multiple
factors. Therefore, to develop potent disease-modifying drugs, multiple
pathological features found in AD should be fully elucidated.
Our laboratory has been designing small molecules as chemical tools
to investigate the individual and interrelated pathologies triggered
by four pathogenic elements found in the AD-affected brain: metal-free
Aβ, metal-bound Aβ, reactive oxygen species (ROS), and
acetylcholinesterase (AChE). Aβ peptides are partially
folded and aggregate into oligomers, protofibrils, and fibrils. Aβ
aggregates are considered to be neurotoxic, causing membrane disruption,
aberrant cellular signaling, and organelle dysfunction. In addition,
highly concentrated metal ions accumulate in senile plaques mainly
composed of Aβ aggregates, which indicates that metal ions can
directly interact with Aβ. Metal binding to Aβ affects
the aggregation and conformation of the peptide. Moreover, the impaired
homeostasis of redox-active Fe(II/III) and Cu(I/II) induces the overproduction
of ROS through Fenton chemistry and Fenton-like reactions, respectively.
Dysregulated ROS prompt oxidative-stress-damaging biological components
such as lipids, proteins, and nucleic acids and, consequently, lead
to neuronal death. Finally, the loss of cholinergic transmission mediated
by the neurotransmitter acetylcholine (ACh) contributes to cognitive
deficits observed in AD.
In this Account, we illustrate the
design principles for small-molecule-based
chemical tools with reactivities against metal-free Aβ, metal-bound
Aβ, ROS, and AChE. More importantly, mechanistic details at
the molecular level are highlighted with some examples of chemical
tools that were developed by our group. The aggregation of metal-free
Aβ can be modulated by modifying amino acid residues responsible
for self-assembling Aβ or disassembling preformed fibrils.
To alter the aggregation and cytotoxicity profiles of metal-bound
Aβ, ternary complexation, metal chelation, and modifications
onto metal-binding residues can be effective tactics. The presence
and production of ROS are able to be controlled by small molecules
with antioxidant and metal-binding properties. Finally, inhibiting
substrate access or substrate binding at the active site of AChE can
diminish its activity, which restores the levels of ACh. Overall,
our rational approaches demonstrate the feasibility of developing
small molecules as chemical tools that can ta...