Manton Kenneth G, Volovik Serge, Kulminski Alexander
Center for Demographic Studies Duke University 2117 Campus Drive Durham, NC 27708, USA.
Curr Alzheimer Res. 2004 Nov;1(4):277-93. doi: 10.2174/1567205043332036.
Neurodegenerative processes associated with Alzheimer's disease are complex and involve many CNS tissue types, structures and biochemical processes. Factors believed involved in these processes are generation of Reactive Oxygen Species (ROS), associated inflammatory responses, and the bio-molecular and genetic damage they produce. Since oxidative processes are essential to energy production, and to other biological functions, such as cell signaling, the process is not one of risk exposure, as for cigarettes and cancer, but one where normal physiological processes operate out of normal ranges and without adequate control. Thus, it is necessary to study the ambiphilicity that allows the same molecule (e.g., beta amyloid) to behave in contradictory ways depending upon the physiological microenvironment. To determine ways to study this in human populations we review evidence on the effects of an exogenous generator of ROS, ionizing radiation, in major population events with radionuclides (e.g., Hiroshima and Nagasaki; Chernobyl Reactor accident; environmental contamination in Chelyabinsk (South Urals) where plutonium was produced, and in the nuclear weapons test area in Semipalatinsk, Kazakhstan). The age evolution, and traits, of neurodegenerative processes in human populations in these areas, may help us understand how IR affects the CNS. After reviewing human population evidence, we propose a model of neurodegeneration based upon the complexity of CNS functions.
与阿尔茨海默病相关的神经退行性过程十分复杂,涉及许多中枢神经系统组织类型、结构及生化过程。据信参与这些过程的因素包括活性氧(ROS)的产生、相关的炎症反应以及它们所造成的生物分子和基因损伤。由于氧化过程对于能量产生以及其他生物学功能(如细胞信号传导)至关重要,因此这一过程并非像吸烟与癌症那样属于风险暴露过程,而是正常生理过程超出正常范围且缺乏适当调控的情况。因此,有必要研究这种两亲性,即同一分子(如β淀粉样蛋白)如何根据生理微环境以相互矛盾的方式表现。为了确定在人群中研究这一现象的方法,我们回顾了关于活性氧的外源性产生源——电离辐射——在涉及放射性核素的重大人群事件(如广岛和长崎;切尔诺贝利核反应堆事故;钚生产地车里雅宾斯克(南乌拉尔)的环境污染以及哈萨克斯坦塞米巴拉金斯克核武器试验场)中的影响的证据。这些地区人群中神经退行性过程的年龄演变及特征,可能有助于我们理解电离辐射如何影响中枢神经系统。在回顾了人群证据之后,我们基于中枢神经系统功能的复杂性提出了一种神经退行性变模型。