Iłzecka J
Katedry i Kliniki Neurologii Akademii Medycznej w Lublinie Kierownik.
Neurol Neurochir Pol. 2001 Mar-Apr;35(3):461-9.
Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease involving motor neuron degeneration, occurring in sporadic and familial forms. Mutations in Cu/Zn superoxide dismutase gene (SOD-1) play a key role in the pathogenesis of the familial form in which it is present in about 20%. The mechanisms by which the mutated enzyme produces the disease are not sufficiently know. The following hypothesis are considered: oxidative damage, disorganization of neurofilaments, toxic action of intracellular aggregates, disturbed mechanisms of protein synthesis or degradation, and increased glutamic acid toxicity due to damage of EAAT 2 mRNA, transporter of this acid. It is supposed that motor neuron death is due to various mechanisms caused by SOD-1 enzyme mutations. Pathological changes suggest that biochemical processes leading to neurodegeneration in familial ALS form related or unrelated to SOD-1 mutation, and in sporadic form may be very similar.
肌萎缩侧索硬化症(ALS)是一种涉及运动神经元变性的神经退行性疾病,有散发性和家族性两种形式。铜/锌超氧化物歧化酶基因(SOD-1)突变在约20%的家族性形式的发病机制中起关键作用。突变酶引发疾病的机制尚不完全清楚。以下假说是被考虑的:氧化损伤、神经丝紊乱、细胞内聚集体的毒性作用、蛋白质合成或降解机制紊乱,以及由于EAAT 2 mRNA(这种氨基酸的转运体)受损导致谷氨酸毒性增加。据推测,运动神经元死亡是由SOD-1酶突变引起的各种机制导致的。病理变化表明,导致家族性ALS形式(与SOD-1突变相关或不相关)以及散发性形式神经退行性变的生化过程可能非常相似。