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长期压力会通过增加同型半胱氨酸的释放,在老年人中诱发阿尔茨海默病。

Prolonged stress will induce Alzheimer's disease in elderly people by increased release of homocysteic acid.

作者信息

Hasegawa Tohru

机构信息

Saga Woman Junior College, Saga 840-8550, Japan.

出版信息

Med Hypotheses. 2007;69(5):1135-9. doi: 10.1016/j.mehy.2007.02.034. Epub 2007 May 11.

Abstract

Recently, many papers have reported the physiological functions of amyloid beta and amyloid precursor protein (APP). In particular, one of its functions is of importance for synaptic plasticity. Extracellular amyloid beta may suppress synaptic plasticity or inhibit long-term potentiation (LTP) from outside the cell. LTP is now considered the molecular basis of memory. Amyloid beta may induce the inhibition or loss of memory. We propose that suppression of LTP by amyloid beta induces a kind of physiological forgetfulness. On the other hand, homocysteic acid (HA) which is released from astrocytes under stress conditions accumulates the amyloid beta into neuronal cell, which consequently induces the inhibition of amyloid beta physiological function and induces strong LTP. We propose that HA induces strong unforgetful memory under stress condition such as PTSD and emotional depression. The situation is different in the elderly people. Prolonged stress in the elderly people may induce neurodegenerative diseases such as Alzheimer's disease. We observed that in the presence of excess methionine, HA induced alpha-synuclein protein in cultured cells, suggesting a hypermethylation model in vivo. Usually hypermethylation is observed in the ageing process. We have shown that HA promotes the accumulation of amyloid beta in cells, and that the production of alpha-synuclein, which induces the aggregation of amyloid beta, impairing the cell function. LTP is inhibited by deficient cellular function, which means that memories cannot be formed. In fact, there is confusion of memories in the early stages of Alzheimer's disease. Finally, the aggregated alpha-synuclein induces tau pathology, which induces cell death, leading to Alzheimer's pathology. In conclusion, we propose that HA induces Alzheimer's pathology in the elderly people because of prolonged stress.

摘要

最近,许多论文报道了β淀粉样蛋白和淀粉样前体蛋白(APP)的生理功能。特别是,其功能之一对突触可塑性很重要。细胞外β淀粉样蛋白可能从细胞外抑制突触可塑性或抑制长时程增强(LTP)。LTP现在被认为是记忆的分子基础。β淀粉样蛋白可能导致记忆抑制或丧失。我们提出,β淀粉样蛋白对LTP的抑制会引发一种生理性遗忘。另一方面,在应激条件下从星形胶质细胞释放的同型半胱氨酸(HA)会将β淀粉样蛋白积累到神经元细胞中,从而抑制β淀粉样蛋白的生理功能并诱导强烈的LTP。我们提出,HA在创伤后应激障碍(PTSD)和情绪抑郁等应激条件下会诱导强烈的难忘记忆。老年人的情况则不同。老年人长期应激可能诱发神经退行性疾病,如阿尔茨海默病。我们观察到,在存在过量甲硫氨酸的情况下,HA在培养细胞中诱导α-突触核蛋白,提示体内存在高甲基化模型。通常在衰老过程中会观察到高甲基化。我们已经表明,HA促进细胞中β淀粉样蛋白的积累,并且诱导β淀粉样蛋白聚集的α-突触核蛋白的产生会损害细胞功能。LTP会因细胞功能缺陷而受到抑制,这意味着无法形成记忆。事实上,在阿尔茨海默病的早期阶段存在记忆混乱。最后,聚集的α-突触核蛋白会诱发tau病理,进而导致细胞死亡,引发阿尔茨海默病病理。总之,我们提出,由于长期应激,HA会在老年人中诱发阿尔茨海默病病理。

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