Protein Kinases as Therapeutic Targets in Neurodegenerative Diseases

Authors

DOI:

https://doi.org/10.22100/ijhs.v12i3.1428

Keywords:

Alzheimer’s disease, Kinase inhibitors, Neurodegenerative diseases, Neuroprotection, Parkinson’s disease, Protein kinases, Therapeutic targets

Abstract

Background: Age-related neurodegenerative disorders, including Alzheimer’s disease (AD), Parkinson’s disease (PD), Huntington’s disease (HD), and amyotrophic lateral sclerosis (ALS), are characterized by progressive neuronal degeneration, synaptic dysfunction, and accumulation of misfolded protein aggregates. These disorders pose serious health risks by causing progressive cognitive impairment, motor dysfunction, disability, and increased mortality among affected individuals. Increasing evidence implicates dysregulated protein kinase signaling in the pathogenesis of these disorders through mechanisms involving aberrant phosphorylation, mitochondrial dysfunction, neuroinflammation, impaired proteostasis, and neuronal death. Consequently, protein kinases have emerged as promising therapeutic targets for disease modification.

Methods: This narrative review critically synthesizes current evidence from preclinical and clinical studies investigating protein kinases implicated in major neurodegenerative disorders. Relevant literature focusing on kinase-mediated pathogenic pathways, selective kinase modulation, translational progress, and therapeutic relevance was evaluated and integrated. Key kinases examined include Casein Kinase 1 delta (CSNK1D), Colony Stimulating Factor 1 Receptor (CSF1R), Dual Leucine Zipper Kinase (DLK), Glycogen Synthase Kinase 3β (GSK3B), Leucine Rich Repeat Kinase 2 (LRRK2), Mitogen-Activated Protein Kinase 14 (MAPK14), Receptor-Interacting Serine/Threonine-Protein Kinase 1 (RIPK1), and Rho-Associated Protein Kinase (ROCK).

Results: Evidence from experimental and early clinical investigations demonstrates that selective modulation of dysregulated kinase pathways may attenuate neuroinflammation, reduce pathogenic protein aggregation, preserve neuronal integrity, and improve cellular homeostasis. Several kinase-targeted approaches have shown mechanistic and therapeutic promise across AD, PD, HD, and ALS models. However, despite encouraging translational progress, significant limitations persist, including inadequate blood–brain barrier penetration, off-target toxicity, limited long-term safety data, and insufficient clinical efficacy in advanced-stage trials.

Conclusions: Protein kinase signaling represents a mechanistically significant and therapeutically promising target in neurodegenerative disease research. Although kinase-targeted interventions demonstrate substantial potential for disease modification, major challenges related to central nervous system delivery, selectivity, safety, and clinical translation remain unresolved. Further mechanistic investigations and the rational development of highly selective kinase inhibitors are essential to advance effective therapeutic strategies for neurodegenerative disorders.

References

Wu X, Yang Z, Zou J, Gao H, Shao Z, Li C, Lei P. Protein kinases in neurodegenerative diseases: current understandings and implications for drug discovery. Signal Transduction and Targeted Therapy. 2025;10(1):146. doi: 10.1038/s41392-025-02179-x

Hassan M, Yasir M, Shahzadi S, Chun W, Kloczkowski A. Molecular Role of Protein Phosphatases in Alzheimer’s and Other Neurodegenerative Diseases. Biomedicines. 2024;12(5):1097. doi: 10.3390/biomedicines12051097

Merino-Serrais P, Soria JM, Arrabal CA, Ortigado-López A, Esparza MÁ, Muñoz A, Hernández F, Ávila J, DeFelipe J, León-Espinosa G. Protein tau phosphorylation in the proline-rich region and its implication in the progression of Alzheimer's disease. Experimental Neurology. 2025; 383:115049. doi: 10.1016/j.neurobiolaging.2024.12.001

Neumann M, Kwong LK, Lee EB, Kremmer E, Flatley A, Xu Y, Forman MS, Troost D, Kretzschmar HA, Trojanowski JQ, Lee VM. Phosphorylation of S409/410 of TDP-43 is a consistent feature in all sporadic and familial forms of TDP-43 proteinopathies. Acta Neuropathologica. 2009;117(2):137-49. doi: 10.1007/s00401-008-0476-3

Weston LJ, Stackhouse TL, Spinelli KJ, Boutros SW, Rose EP, Osterberg VR, Luk KC, Raber J, Weissman TA, Unni VK. Genetic deletion of Polo-like kinase 2 reduces alpha-synuclein serine-129 phosphorylation in presynaptic terminals but not Lewy bodies. Journal of Biological Chemistry. 2021;296. doi: 10.1016/j.jbc.2020.12.003

Dittmer PJ, Dell’Acqua ML. L-type Ca2+ channel activation of STIM1–Orai1 signaling remodels the dendritic spine ER to maintain long-term structural plasticity. Proceedings of the National Academy of Sciences. 2024;121(35): e2407324121. doi: 10.1073/pnas.2407324121

Vincent PF, Young ED, Edge AS, Glowatzki E. Auditory hair cells and spiral ganglion neurons regenerate synapses with refined release properties in vitro. Proceedings of the National Academy of Sciences. 2024;121(31): e2315599121. doi: 10.1073/pnas.2315599121

Vagnoni A, Bullock SL. A cAMP/PKA/Kinesin-1 axis promotes the axonal transport of mitochondria in aging Drosophila neurons. Current biology. 2018;28(8):1265-72. doi: 10.1016/j.cub.2018.02.048

Donders Z, Skorupska IJ, Willems E, Mussen F, Van Broeckhoven J, Carlier A, Schepers M, Vanmierlo T. Beyond PDE4 inhibition: A comprehensive review on downstream cAMP signaling in the central nervous system. Biomedicine & Pharmacotherapy. 2024; 177:117009. doi: 10.1016/j.biopha.2024.117009

Vitolo OV, Sant'Angelo A, Costanzo V, Battaglia F, Arancio O, Shelanski M. Amyloid β-peptide inhibition of the PKA/CREB pathway and long-term potentiation: reversibility by drugs that enhance cAMP signaling. Proceedings of the National Academy of Sciences. 2002;99(20):13217-21. doi: 10.1074/JBC.M010450200

Pan J, Yao Q, Wang Y, Chang S, Li C, Wu Y, Shen J, Yang R. The role of PI3K signaling pathway in Alzheimer’s disease. Frontiers in Aging Neuroscience. 2024; 16:1459025. doi: 10.3389/fnagi.2024.1459025

Amidfar M., Deshmukh R., Malik P., Longo G., Venneri A., Rizvi S. A. A., “The role of CREB and BDNF in neurobiology and treatment of Alzheimer’s disease”. Life Sciences. 2020; 257:118020 doi: 10.1016/j.lfs.2020.118020

Legutko D, Bijoch L, Olszak G, Kuźniewska B, Kalita K, Yasuda R, Kaczmarek L, Michaluk P. BDNF-driven synaptic plasticity requires autocrine matrix metalloproteinase–9 activities. Science Advances. 2025;11(39): eadx2369. doi: 10.1126/sciadv.adx2369

Jekabsone A, Jankeviciute S, Pampuscenko K, Borutaite V, Morkuniene R. The role of intracellular Ca2+ and mitochondrial ROS in small Aβ1-42 oligomer-induced microglial death. International Journal of Molecular Sciences. 2023;24(15):12315. doi: 10.3390/ijms241512315

Wang V, Tseng KY, Kuo TT, Huang EY, Lan KL, Chen ZR, Ma KH, Greig NH, Jung J, Choi HI, Olson L. Attenuating mitochondrial dysfunction and morphological disruption with PT320 delays dopamine degeneration in MitoPark mice. Journal of Biomedical Science. 2024;31(1):38. doi: 10.1186/s12929-024-01025-6

Wang S, Long H, Hou L, Feng B, Ma Z, Wu Y, Zeng Y, Cai J, Zhang DW, Zhao G. The mitophagy pathway and its implications in human diseases. Signal Transduction and Targeted Therapy. 2023;8(1):304. doi: 10.1038/s41392-023-01503-7

Giralt A, Saavedra A, Carretón O, Xifró X, Alberch J, Pérez-Navarro E. Increased PKA signaling disrupts recognition memory and spatial memory: role in Huntington’s disease. Human Molecular Genetics. 2011;20(21):4232–4247. doi: doi:10.1093/hmg/ddr351

Guillot J, El Haj M, Verny C, Allain P. Memory Function and Huntington's Disease: A Systematic Review. Neuropsychol Rev (2025). doi: 10.1007/s11065-025-09679-1

López-Pingarrón L, Almeida H, Soria-Aznar M, Reyes-Gonzales MC, Terrón MP, García JJ. Role of oxidative stress on the etiology and pathophysiology of amyotrophic lateral sclerosis (ALS) and its relation with the enteric nervous system. Current Issues in Molecular Biology. 2023;45(4):3315-32. doi: 10.3390/cimb45040217

Balendra R, Sreedharan J, Hallegger M, Luisier R, Lashuel HA, Gregory JM, Patani R. Amyotrophic lateral sclerosis caused by TARDBP mutations: from genetics to TDP-43 proteinopathy. The Lancet Neurology. 2025;24(5):456-70. doi: 10.1016/S1474-4422(25)00109-7

Lagier-Tourenne C, Polymenidou M, Hutt KR, Vu AQ, Baughn M, Huelga SC, Clutario KM, Ling S-C, Liang TY, Mazur C, Wancewicz E, Kim A, Watt A, Freier S, Hicks GG, Donohue JP, Shiue L, Bennett CF, Ravits J, Cleveland DW, Yeo GW. Divergent roles of ALS-linked proteins FUS/TLS and TDP-43 intersect in processing long pre-mRNAs. Nat Neurosci. 2012;15(11):1488–1497. doi: doi:10.1038/nn.3230

Wang T, Liu H, Itoh K, Oh S, Zhao L, Murata D, Sesaki H, Hartung T, Na CH, Wang J. C9orf72 regulates energy homeostasis by stabilizing mitochondrial complex I assembly. Cell Metabolism. 2021;33(3):531-46. doi: 10.1016/j.cmet.2021.01.005

Zhao K, Lim YJ, Liu Z, Long H, Sun Y, Hu JJ, Zhao C, Tao Y, Zhang X, Li D, Li YM. Parkinson’s disease-related phosphorylation at Tyr39 rearranges α-synuclein amyloid fibril structure revealed by cryo-EM. Proceedings of the National Academy of Sciences. 2020;117(33):20305-15. doi: 10.1073/pnas.1922741117

Karuppagounder SS, Wang H, Kelly T, Rush R, Nguyen R, Bisen S, Yamashita Y, Sloan N, Dang B, Sigmon A, Lee HW. The c-Abl inhibitor IkT-148009 suppresses neurodegeneration in mouse models of heritable and sporadic Parkinson’s disease. Science Translational Medicine. 2023;15(679): eabp9352. doi: 10.1126/scitranslmed.abp9352

Rossari F, Minutolo F, Orciuolo E. Past, present, and future of Bcr-Abl inhibitors: from chemical development to clinical efficacy. Journal of Hematology & Oncology. 2018;11(1):84. doi: 10.1186/s13045-018-0624-2

Gouda NA, Elkamhawy A, Cho J. Emerging therapeutic strategies for Parkinson’s disease and future prospects: A 2021 update. Biomedicines. 2022;10(2):371. doi: 10.3390/biomedicines10020371

Salado IG, Redondo M, Bello ML, Perez C, Liachko NF, Kraemer BC, Miguel L, Lecourtois M, Gil C, Martinez A, Perez DI. Protein kinase CK-1 inhibitors as new potential drugs for amyotrophic lateral sclerosis. Journal of Medicinal Chemistry. 2014;57(6):2755-72. doi: 10.1021/jm500065f

Wager TT, Chandrasekaran RY, Bradley J, Rubitski D, Berke H, Mente S, Butler T, Doran A, Chang C, Fisher K, Knafels J. Casein kinase 1δ/ε inhibitor PF-5006739 attenuates opioid drug-seeking behavior. ACS Chemical Neuroscience. 2014;5(12):1253-65. doi: 10.1021/cn500201x

Elmore MR, Najafi AR, Koike MA, Dagher NN, Spangenberg EE, Rice RA, Kitazawa M, Matusow B, Nguyen H, West BL, Green KN. Colony-stimulating factor 1 receptor signaling is necessary for microglia viability, unmasking a microglia progenitor cell in the adult brain. Neuron. 2014;82(2):380-97. doi: 10.1016/j.neuron.2014.02.040

Easley-Neal C, Foreman O, Sharma N, Zarrin AA, Weimer RM. CSF1R ligands IL-34 and CSF1 are differentially required for microglia development and maintenance in white and gray matter brain regions. Frontiers in Immunology. 2019; 10:2199. doi: 10.3389/fimmu.2019.02199

Rademakers R, Baker M, Nicholson AM, Rutherford NJ, Finch N, Soto-Ortolaza A, Lash J, Wider C, Wojtas A, DeJesus-Hernandez M, Adamson J. Mutations in the colony stimulating factor 1 receptor (CSF1R) gene cause hereditary diffuse leukoencephalopathy with spheroids. Nature Genetics. 2012;44(2):200-5. doi: 10.1038/ng.1027

Mora JS, Bradley WG, Chaverri D, Hernández-Barral M, Mascias J, Gamez J, Gargiulo-Monachelli GM, Moussy A, Mansfield CD, Hermine O, Ludolph AC. Long-term survival analysis of masitinib in amyotrophic lateral sclerosis. Therapeutic Advances in Neurological Disorders. 2021; 14:17562864211030365. doi: 10.1177/17562864211030365

Jin Y, Zheng B. Multitasking: dual leucine zipper–bearing kinases in neuronal development and stress management. Annual Review of Cell and Developmental Biology. 2019;35(1):501-21. doi: 10.1146/annurev-cellbio-100617-062644

Katz JS, Rothstein JD, Cudkowicz ME, Genge A, Oskarsson B, Hains AB, Chen C, Galanter J, Burgess BL, Cho W, Kerchner GA. A Phase 1 study of GDC‐0134, a dual leucine zipper kinase inhibitor, in ALS. Annals of Clinical and Translational Neurology. 2022;9(1):50-66. doi: 10.1002/acn3.51491

Beurel E, Grieco SF, Jope RS. Glycogen synthase kinase-3 (GSK3): regulation, actions, and diseases. Pharmacology & Therapeutics. 2015; 148:114-31. doi: 10.1016/j.pharmthera.2014.11.016

Ly PT, Wu Y, Zou H, Wang R, Zhou W, Kinoshita A, Zhang M, Yang Y, Cai F, Woodgett J, Song W. Inhibition of GSK3β-mediated BACE1 expression reduces Alzheimer-associated phenotypes. The Journal of Clinical Investigation. 2012;123(1). doi: 10.1172/JCI64516

Fan X, Zhao Z, Wang D, Xiao J. Glycogen synthase kinase-3 as a key regulator of cognitive function. Acta Biochimica et Biophysica Sinica. 2020;52(3):219-30. doi: 10.1093/abbs/gmz156

Kluss JH, Mamais A, Cookson MR. LRRK2 links genetic and sporadic Parkinson's disease. Biochemical Society Transactions. 2019;47(2):651-61. doi: 10.1042/BST20180462

Tong Y, Yamaguchi H, Giaime E, et al. Loss of leucine-rich repeat kinase 2 causes impairment of protein degradation pathways, accumulation of α-synuclein, and apoptotic cell death in aged mice. Proceedings of the National Academy of Sciences USA. 2010; 107:9879–9884. doi: doi:10.1073/pnas.1004676107

Kramer T, Lo Monte F, Göring S, Okala Amombo GM, Schmidt B. Small molecule kinase inhibitors for LRRK2 and their application to Parkinson's disease models. ACS Chemical Neuroscience. 2012;3(3):151-60. doi: 10.1021/cn200117j

Raffaele I, Silvestro S, Mazzon E. MicroRNAs and MAPKs: evidence of these molecular interactions in Alzheimer’s disease. International Journal of Molecular Sciences. 2023;24(5):4736. doi: 10.3390/ijms24054736

Schnöder L, Hao W, Qin Y, Liu S, Tomic I, Liu X, Fassbender K, Liu Y. Deficiency of neuronal p38α MAPK attenuates amyloid pathology in Alzheimer disease mouse and cell models through facilitating lysosomal degradation of BACE1. Journal of Biological Chemistry. 2016;291(5):2067-79. doi: 10.1074/jbc.M115.695916

Yuan J, Amin P, Ofengeim D. Necroptosis and RIPK1-mediated neuroinflammation in CNS diseases. Nature Reviews Neuroscience. 2019;20(1):19-33. doi: 10.1038/s41583-018-0103-6

Zhu S, Zhang Y, Bai G, Li H. Necrostatin-1 ameliorates symptoms in R6/2 transgenic mouse model of Huntington's disease. Cell Death & Disease. 2011;2(1): e115. doi: 10.1038/cddis.2010.94

Harris PA, Berger SB, Jeong JU, Nagilla R, Bandyopadhyay D, Campobasso N, Capriotti CA, Cox JA, Dare L, Dong X, Eidam PM. Discovery of a first-in-class receptor interacting protein 1 (RIP1) kinase specific clinical candidate (GSK2982772) for the treatment of inflammatory diseases. doi: 10.1021/acs.jmedchem.6b01751

Cai R, Wang Y, Huang Z, Zou Q, Pu Y, Yu C, Cai Z. Role of RhoA/ROCK signaling in Alzheimer’s disease. Behavioural Brain Research. 2021; 414:113481. doi: 10.1016/j.bbr.2021.113481

Moskal N, Riccio V, Bashkurov M, Taddese R, Datti A, Lewis PN, Angus McQuibban G. ROCK inhibitors upregulate the neuroprotective Parkin-mediated mitophagy pathway. Nature Communications. 2020;11(1):88. doi: 10.1038/s41467-019-13781-3

Koch JC, Leha A, Bidner H, Cordts I, Dorst J, Günther R, Zeller D, Braun N, Metelmann M, Corcia P, De La Cruz E. Safety, tolerability, and efficacy of fasudil in amyotrophic lateral sclerosis (ROCK-ALS): a phase 2, randomised, double-blind, placebo-controlled trial. The Lancet Neurology. 2024;23(11):1133-46. doi: 10.1016/S1474-4422(24)00373-9

Yoon JH, Nguyen TT, Duong VA, Chun KH, Maeng HJ. Determination of KD025 (SLx-2119), a selective ROCK2 inhibitor, in rat plasma by high-performance liquid chromatography-tandem mass spectrometry and its pharmacokinetic application. Molecules. 2020;25(6):1369. doi: 10.3390/molecules25061369

Downloads

Published

2026-06-03

Issue

Section

Articles

How to Cite

Protein Kinases as Therapeutic Targets in Neurodegenerative Diseases. (2026). Shahroud Journal of Medical Sciences, 12(3), 50-60. https://doi.org/10.22100/ijhs.v12i3.1428