Modulating The Unfolded Protein Response as a Therapeutic Target in Alzheimer’s Disease
type: CreativeWork
description: Dementia can be defined as a disturbance in memory and thinking which interferes with daily life. It is the leading cause of death in the UK, and dementia was estimated to cost the health service in England £24.2 billion in 2015. As such it is one of the major clinical problems of our time. The most common form of dementia is Alzheimer’s disease. Understanding the pathological underpinnings of Alzheimer’s disease (AD) could help devise effective treatments for it. One of the mechanisms that are implicated in Alzheimer’s disease is the unfolded protein response (UPR). Previous basic science work has suggested that the UPR becomes and remains activated during disease which stops or diminishes protein synthesis. This, in turn, means that proteins essential for synaptic and neuronal health are not produced and, this contributes to disease progression. Intervening in this process, therefore, provides an opportunity for therapeutic intervention. In this thesis, I present the results of a project designed to see if the activation of the UPR seen in cellular and animal models of disease also occurs in vivo in people with Alzheimer’s disease. Using positron emission tomography scanning following injection of L-[1-11C]-leucine as a radiolabelled ligand, we found that protein synthesis appears to be reduced in key regions of the brain associated with Alzheimer’s disease. We also found that the movement of leucine between plasma and cellular components of the brain appears to be significantly impaired in patients with Alzheimer’s disease. We have used the data from this study to inform the design of the next steps of potential experimental medicine studies to explore the impact of drugs on cerebral protein synthesis in people with Alzheimer’s disease. One drug proposed to inhibit the unfolded protein response is the antidepressant trazodone. Trazodone is a drug already in clinical use in patients with Alzheimer’s disease. We completed a retrospective cohort study using a pseudo…
abstract: Dementia can be defined as a disturbance in memory and thinking which interferes with daily life. It is the leading cause of death in the UK, and dementia was estimated to cost the health service in England £24.2 billion in 2015. As such it is one of the major clinical problems of our time. The most common form of dementia is Alzheimer’s disease. Understanding the pathological underpinnings of Alzheimer’s disease (AD) could help devise effective treatments for it. One of the mechanisms that are implicated in Alzheimer’s disease is the unfolded protein response (UPR). Previous basic science work has suggested that the UPR becomes and remains activated during disease which stops or diminishes protein synthesis. This, in turn, means that proteins essential for synaptic and neuronal health are not produced and, this contributes to disease progression. Intervening in this process, therefore, provides an opportunity for therapeutic intervention. In this thesis, I present the results of a project designed to see if the activation of the UPR seen in cellular and animal models of disease also occurs in vivo in people with Alzheimer’s disease. Using positron emission tomography scanning following injection of L-[1-11C]-leucine as a radiolabelled ligand, we found that protein synthesis appears to be reduced in key regions of the brain associated with Alzheimer’s disease. We also found that the movement of leucine between plasma and cellular components of the brain appears to be significantly impaired in patients with Alzheimer’s disease. We have used the data from this study to inform the design of the next steps of potential experimental medicine studies to explore the impact of drugs on cerebral protein synthesis in people with Alzheimer’s disease. One drug proposed to inhibit the unfolded protein response is the antidepressant trazodone. Trazodone is a drug already in clinical use in patients with Alzheimer’s disease. We completed a retrospective cohort study using a pseudo…
author: Sidhom, Emad
language: eng
keywords: 11C-leucine, Alzheimer's Disease, cerebral protein synthesis, database driven research, Dementia, ER stress response, neurodegenerative disorders, PET/MR, protein aggregates, unfolded protein response
license: https://www.repository.cam.ac.uk/bitstreams/e9452ce5-7c00-4ff0-be4d-55ad823f1c04/download
license: https://creativecommons.org/licenses/by-sa/4.0/
date published: 2024-04-14
date modified: 2026-07-22T22:24:23Z
provider: Cambridge University
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: University of Cambridge

PropertyValue
property ID: DOI
value: 10.17863/CAM.115792