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Pathogenesis of sporadic Alzheimer's disease by deficiency of NMDA receptor subunit GluN3A.


ABSTRACT: The Ca2+ hypothesis for Alzheimer's disease (AD) conceives Ca2+ dyshomeostasis as a common mechanism of AD; the cause of Ca2+ dysregulation, however, is obscure. Meanwhile, hyperactivities of N-Methyl-D-aspartate receptors (NMDARs), the primary mediator of Ca2+ influx, are reported in AD. GluN3A (NR3A) is an NMDAR inhibitory subunit. We hypothesize that GluN3A is critical for sustained Ca2+ homeostasis and its deficiency is pathogenic for AD. Cellular, molecular, and functional changes were examined in adult/aging GluN3A knockout (KO) mice. The GluN3A KO mouse brain displayed age-dependent moderate but persistent neuronal hyperactivity, elevated intracellular Ca2+ , neuroinflammation, impaired synaptic integrity/plasticity, and neuronal loss. GluN3A KO mice developed olfactory dysfunction followed by psychological/cognitive deficits prior to amyloid-β/tau pathology. Memantine at preclinical stage prevented/attenuated AD syndromes. AD patients' brains show reduced GluN3A expression. We propose that chronic "degenerative excitotoxicity" leads to sporadic AD, while GluN3A represents a primary pathogenic factor, an early biomarker, and an amyloid-independent therapeutic target.

SUBMITTER: Zhong W 

PROVIDER: S-EPMC8685302 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature

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Pathogenesis of sporadic Alzheimer's disease by deficiency of NMDA receptor subunit GluN3A.

Zhong Weiwei W   Wu Anika A   Berglund Ken K   Gu Xiaohuan X   Jiang Michael Qize MQ   Talati Jay J   Zhao Jingjie J   Wei Ling L   Yu Shan Ping SP  

Alzheimer's & dementia : the journal of the Alzheimer's Association 20210620 2


The Ca<sup>2+</sup> hypothesis for Alzheimer's disease (AD) conceives Ca<sup>2+</sup> dyshomeostasis as a common mechanism of AD; the cause of Ca<sup>2+</sup> dysregulation, however, is obscure. Meanwhile, hyperactivities of N-Methyl-D-aspartate receptors (NMDARs), the primary mediator of Ca<sup>2+</sup> influx, are reported in AD. GluN3A (NR3A) is an NMDAR inhibitory subunit. We hypothesize that GluN3A is critical for sustained Ca<sup>2+</sup> homeostasis and its deficiency is pathogenic for AD  ...[more]

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