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Neurotrophic factor signaling pathways are essential regulatory networks that govern the growth, survival, and functional maintenance of neurons in the central and peripheral nervous systems [11, 12]. These pathways are activated by a family of secreted proteins known as neurotrophic factors (NTFs), including neurotrophins (NGF, BDNF, NT-3, NT-4), the GDNF family, and neuropoietic cytokines [1, 11]. Signaling is primarily mediated through high-affinity receptor tyrosine kinases (TrkA, TrkB, TrkC) and the p75 neurotrophin receptor (p75NTR), which trigger downstream cascades such as the PI3K/Akt, MAPK/ERK, and PLCγ pathways [4, 5, 13]. Dysregulation of these signals is implicated in the pathogenesis of neurodegenerative diseases like Alzheimer's and Parkinson's, as well as psychiatric disorders such as depression [3, 8, 10]. Pharmacological interventions target these pathways through various mechanisms: Trk receptor agonists (e.g., 7,8-DHF) aim to provide neuroprotection, while anti-NGF antibodies (e.g., tanezumab) are used for chronic pain management [1, 6]. Additionally, Trk inhibitors (e.g., larotrectinib) are approved for treating cancers harboring TRK gene fusions [13]. Therapeutic challenges include achieving effective blood-brain barrier penetration and managing pleiotropic side effects resulting from the broad biological roles of these factors [1, 4].
Modulation of neurotrophic factor levels or receptor activity, including Trk receptor agonism for neuroprotection, Trk inhibition for oncology, and NGF sequestration for analgesia.
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