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Overlapping the Tryptophan Catabolite (TRYCAT) and Melatoninergic Pathways in Alzheimer's Disease.

Current pharmaceutical design
January 1, 2016
Michael Maes et al. (2 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to explore how interactions between the TRYCAT and melatoninergic pathways contribute to Alzheimer's disease (AD) pathology and treatment implications.

Results Summary

The study found that decreased melatonin synthesis due to TRYCAT pathway activation impacts AD progression by altering immune activity and trophic support, linking these pathways to AD's etiology and treatment.

Population

Alzheimer's disease patients, with a focus on those with associated depression.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
oxidative and nitrosative stress and proinflammatory cytokine-driven indoleamine 2,3-dioxygenase (IDO) and tryptophan 2,3-dioxygenase (TDO)
increase
neuroregulatory TRYCATs, such as kynurenic acid and quinolinic acid
-
-
leads to the synthesis of
#1
neuroregulatory TRYCATs, such as kynurenic acid and quinolinic acid
neutral
neuronal functioning and survival
-
-
have significant impacts on
#2
neuroregulatory TRYCATs, such as kynurenic acid and quinolinic acid
neutral
Alzheimer's disease (AD)
-
-
contributing to the changes seen in
#3
IDO and TDO-driven TRYCATs
decrease
tryptophan for serotonin synthesis
-
-
decrease the availability of
#4
IDO and TDO-driven TRYCATs
decrease
serotonin for N-acetylserotonin (NAS) and melatonin synthesis
-
-
decrease the availability of
#5
loss of NAS and melatonin
neutral
the etiology, course and treatment of AD
-
-
has significant consequences for
#6
loss of NAS and melatonin
neutral
trophic support
-
-
changing the levels of
#7
loss of NAS and melatonin
neutral
immune activity
-
-
modulating the patterning of
#8
Abstract

Activation of the trptophan catabolite (TRYCAT) pathways by oxidative and nitrosative stress and proinflammatory cytokine-driven indoleamine 2,3-dioxygenase (IDO) and tryptophan 2,3-dioxygenase (TDO) leads to the synthesis of a number of neuroregulatory TRYCATs, such as kynurenic acid and quinolinic acid. Such TRYCATs have significant impacts on neuronal functioning and survival contributing to the changes seen in Alzheimer's disease (AD), including in its association with depression as well as alterations in the reactivity of immune and glia cells. By decreasing the availability of tryptophan for serotonin synthesis, such IDO and TDO-driven TRYCATs, also decrease the availability of serotonin for N-acetylserotonin (NAS) and melatonin synthesis. The loss of NAS and melatonin has significant consequences for the etiology, course and treatment of AD, including via interactions with altered TRYCATs, but also by changing the levels of trophic support and modulating the patterning of immune activity. In this review, we look at how such interactions of the TRYCAT and melatoninergic pathways link a plethora of previously diffuse data in AD as well as the treatment implications and future research directions that such data would suggest.

Medical Subject Headings (MeSH)
Alzheimer DiseaseAnimalsHumansMelatoninMetabolic Networks and PathwaysTryptophan
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations15
Citations/Year1.7
Relative Citation Ratio0.69
NIH Percentile37%
Research Impact Scores
APT Score0.25
Weight Score0.91
Normalized Score0.66
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Overlapping the Tryptophan Catabolite (TRYCAT) and Melatonin... | Panacea Index