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Brain-derived neurotrophic factor-tropomyosin receptor kinase B receptor pathway (BDNF-TrkB pathway)

Target
BDNF-TrkB pathway
Molecular classification
Receptor (tyrosine kinase receptor: tropomyosin receptor kinase B, TrkB), Ligand (growth factor: Brain-derived neurotrophic factor, BDNF), Signal transduction pathway (composed of BDNF binding TrkB, activating various intracellular pathways), Protein family: Neurotrophin receptors (Trk family: TrkA, TrkB, TrkC)
01

Overview

The Brain-derived neurotrophic factor-tropomyosin receptor kinase B receptor pathway (BDNF-TrkB pathway) is a central neurotrophic signaling mechanism in the nervous system. BDNF is a secreted growth factor that binds the TrkB receptor, a member of the tyrosine kinase receptor family, to promote neuronal growth, survival, maintenance, and synaptic plasticity. Upon BDNF binding, TrkB dimerizes and undergoes autophosphorylation, activating major intracellular cascades—PLCγ, PI3K/Akt, and MAPK/ERK—that regulate gene expression, synaptic function, and neuroprotection. This pathway plays a critical role in cognitive processes, including learning and memory, and is implicated in the pathogenesis of neurodegenerative and psychiatric diseases. Several drugs and biologics target this pathway either by upregulating BDNF expression, directly activating TrkB, or modulating downstream signaling, making it a major focus of therapeutic development for CNS disorders.

Other names
BDNF-TrkB pathwayBDNF/TrkB signalingBrain-derived neurotrophic factor/trkB signalingNTRK2 signalingNeurotrophin pathway
02

Mechanism of action

Ligand (BDNF) binding to TrkB triggers receptor dimerization and autophosphorylation. Activation of intracellular signaling pathways: phospholipase-Cγ (PLCγ), phosphatidylinositol 3-kinase (PI3K)/Akt, and mitogen-activated protein kinase (MAPK)/ERK. Promotes neuronal survival through anti-apoptotic signaling. Enhances synaptic plasticity and neurotransmission. Inhibition (antagonists or dominant-negative isoforms like TrkB.T1) suppresses BDNF signaling and impacts survival/plasticity.

03

Biological functions

Neuronal growth, survival, and maintenanceSynaptic plasticity and long-term potentiation (LTP)Learning and memoryCell differentiation and maturationRegulation of neurotransmitter release and synaptic transmissionNeurovascular repair and angiogenesisModulation of gene expression and protein synthesis
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Disease associations

Neurodegenerative diseases (Alzheimer's, Parkinson's, ALS, Huntington's)Psychiatric disorders (depression, schizophrenia, anxiety)Learning and memory disordersMultiple sclerosis and autoimmune dysfunctionNeuropathic pain and spinal cord injuryOther neurological conditions with synaptic dysfunction
05

Safety considerations

Potential for oncogenic signaling if TrkB is aberrantly activated (as with other receptor tyrosine kinases)Modulation of BDNF-TrkB signaling may affect multiple brain regions and systems, risking unwanted changes in mood, cognition, or neuronal survivalDelivery challenges: BDNF is a large peptide with poor blood-brain barrier permeabilityLong-term effects of pathway activation/inhibition are not fully understood
06

Interacting drugs

Antidepressants (e.g., SSRIs increase BDNF levels)

5 more in the full profile.

07

Biomarkers

BDNF protein levels in CSF or plasma (proposed for neurodegenerative and psychiatric disease monitoring)TrkB receptor expression (in brain or tissue samples, experimental)Genetic variants of BDNF or TrkB (NTRK2 gene)Downstream signaling proteins (such as phosphorylated ERK, Akt, or PLCγ)Synaptic plasticity markers (LTP measurements in research)

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