Pharmaceutical approaches to slow the progression of Alzheimer's disease (AD) have focused primarily on reducing production or increasing clearance of amyloid b peptide (Ab Key words: Alzheimer; tau; cyclin-dependent kinase 5; CDK5; glycogen synthase kinase 3; GSK3; c-Jun N-terminal kinase; JNK; p38 kinase; Casein kinase 1; CK1; Rho kinase; Rock; p21-activating kinase; Pak
AMYLOID AND TAU BRAIN PATHOLOGIES HAVE DIRECTED KINASE TARGET EFFORTSAlzheimer's disease (AD) is characterized by the accumulation in hippocampal and cortical brain regions of two insoluble, proteinaceous aggregates. The amyloid plaque is composed primarily of extraneuronal deposits of amyloid b (Ab), which is cleaved from the amyloid precursor protein (APP) by two intracellular proteases, b-and g-secretase [Selkoe, 1991;Sisodia and St George-Hyslop, 2002;Vetrivel and Thinakaran, 2006] (Fig. 1). a-Secretase cuts approximately in the middle of Ab after lysine-16, precluding its formation. The neurofibrillary tangle (NFT) is composed primarily of intraneuronal deposits of hyperphosphorylated tau protein (ptau) (Fig. 2) Iqbal and Grundke-Iqbal, 2006;Hyman et al., 2005], thought to result from an imbalance of kinase and phosphatase activity. Together, amyloid deposits and neurofibrillary tangles define the AD brain, yet, are not unique to AD [Askanas and Engel, 2007;Hutton, 2001]. How these insoluble proteins contribute to the inflammation, neuronal and synaptic loss and behavioral decline that is also characteristic of AD is unknown. These pathologies have directed drug discovery efforts to slow the progression of AD, with the goal of reducing levels of Ab and ptau. Animal model systems have been developed incorporating increased expression of APP and tau, and with these systems, upstream targets such as secretases and kinases have been studied. This review will focus on a number of protein kinase targets implicated in AD pathology and the DDR Published online in Wiley InterScience (www.interscience.wiley. com).