Department of Neurology, Kitasato University School of Medicine, 1-15-1 Kitasato, Sagamihara, Kanagawa 228-8555, Japan.
Apoptosis. 2010 Nov;15(11):1312-21. doi: 10.1007/s10495-010-0486-8.
Parkinson's disease (PD) is the second most common progressive neurodegenerative disorder beyond Alzheimer's disease, affecting approximately 1% of people over the age of 65. The major pathological hallmarks of PD are significant loss of nigrostriatal dopaminergic (DA) neurons and the presence of intraneuronal protein inclusions termed Lewy bodies. Sporadic cases represent more than 90% of total patients with PD, while there exist several inherited forms caused by mutations in single genes. Identification and characterization of these causative genes and their products can help us understand the molecular mechanisms of DA neuronal cell death and design new approaches to treat both the inherited and sporadic forms of PD. Based on the finding that a point mutation in the gene encoding α-synuclein (αSyn) protein causes a rare familial form of PD, PARK1, it is now confirmed that αSyn is a major component of Lewy bodies in patients with sporadic PD. Abnormal accumulation of αSyn protein is considered a neurotoxic event in the development of PD. PARK4, another dominantly inherited form of familial PD, is caused by duplication or triplication of the αSyn gene locus. This genetic mutation results in the production of large amounts of wild-type αSyn protein, supporting the αSyn-induced neurodegeneration hypothesis. On the other hand, the recessively inherited early-onset Parkinsonism is caused in about half of the cases with loss-of-function mutations in PARK2, which encodes E3 ubiquitin ligase parkin in the ubiquitin-proteasome system. These findings have shed light on DA neurodegeneration caused by accumulation of toxic protein species that can be degraded and/or detoxicated through parkin activity. In this review, we will focus on the regulatory roles of αSyn and parkin proteins in DA neuronal cell apoptosis and provide evidence for the possible therapeutic action of parkin in sporadic patients with PD.
帕金森病(PD)是仅次于阿尔茨海默病的第二大常见进行性神经退行性疾病,影响超过 65 岁人群的 1%。PD 的主要病理特征是黑质纹状体多巴胺能(DA)神经元的显著丧失和称为路易体的神经元内蛋白包涵体的存在。散发性病例占 PD 总患者的 90%以上,而存在几种由单个基因突变引起的遗传性形式。这些致病基因及其产物的鉴定和特征可以帮助我们了解 DA 神经元细胞死亡的分子机制,并设计治疗遗传性和散发性 PD 的新方法。基于在编码α-突触核蛋白(αSyn)蛋白的基因中发现的点突变导致一种罕见的家族性 PD 形式,即 PARK1,现在已经证实αSyn 是散发性 PD 患者路易体的主要成分。αSyn 蛋白的异常积累被认为是 PD 发展中的一种神经毒性事件。另一种显性遗传家族性 PD 形式,PARK4,是由αSyn 基因座的重复或三倍引起的。这种遗传突变导致大量野生型αSyn 蛋白的产生,支持αSyn 诱导的神经退行性假说。另一方面,大约一半的早发性帕金森病是由 PARK2 中的功能丧失突变引起的,PARK2 编码泛素-蛋白酶体系统中的 E3 泛素连接酶 parkin。这些发现揭示了由于毒性蛋白的积累而导致的 DA 神经退行性变,这些蛋白可以通过 parkin 的活性被降解和/或解毒。在这篇综述中,我们将重点讨论 αSyn 和 parkin 蛋白在 DA 神经元细胞凋亡中的调节作用,并为 parkin 在散发性 PD 患者中的可能治疗作用提供证据。
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