通过化学伴侣恢复内质网功能:代谢疾病治疗的新方法。

Restoring endoplasmic reticulum function by chemical chaperones: an emerging therapeutic approach for metabolic diseases.

机构信息

Department of Genetics & Complex Diseases, Harvard School of Public Health, Boston, MA 02115, USA.

出版信息

Diabetes Obes Metab. 2010 Oct;12 Suppl 2:108-15. doi: 10.1111/j.1463-1326.2010.01282.x.

Abstract

The endoplasmic reticulum (ER) is a eukaryotic organelle that plays important roles in protein synthesis, folding and trafficking, calcium homoeostasis and lipid and steroid synthesis. It is the major protein synthesis compartment for secreted, plasma membrane and organelle proteins. Perturbations of ER homeostasis such as the accumulation of unfolded or misfolded proteins cause ER stress. To alleviate this stress, ER triggers an evolutionarily conserved signalling cascade called the unfolded protein response (UPR). As an initial response, the UPR aims at adapting and restoring ER function by translational attenuation, upregulation of ER chaperones and degradation of unfolded proteins. However, if the ER function is severely impaired because of excessive or prolonged exposure to stress, then the inflicted cells may undergo programmed cell death. During ER stress, unstable or partially folded mutant proteins are prevented from trafficking to their proper subcellular localizations and usually rapidly degraded. The small molecules named chemical chaperones help to stabilize these mutant proteins and facilitate their folding and proper trafficking from the ER to their final destinations. Because increasing number of studies suggest that ER stress is involved in a number of disease pathogenesis including neurodegenerative diseases, cancer, obesity, diabetes and atherosclerosis, promoting ER folding capacity through chemical chaperones emerges as a novel therapeutic approach. In this review, we provide insight into the many important functions of chemical chaperones during ER stress, their impact on the ER-stress-related pathologies and their potential as a new drug targets, especially in the context of metabolic disorders.

摘要

内质网(ER)是真核生物细胞器,在蛋白质合成、折叠和运输、钙稳态以及脂质和类固醇合成中发挥重要作用。它是分泌蛋白、质膜蛋白和细胞器蛋白的主要蛋白质合成部位。内质网稳态的破坏,如未折叠或错误折叠蛋白的积累,会导致内质网应激。为了减轻这种应激,内质网会触发一种被称为未折叠蛋白反应(UPR)的进化上保守的信号级联反应。作为初始反应,UPR 的目的是通过翻译衰减、内质网伴侣蛋白的上调和未折叠蛋白的降解来适应和恢复内质网的功能。然而,如果由于过度或长期暴露于应激而严重损害内质网的功能,那么受影响的细胞可能会经历程序性细胞死亡。在内质网应激期间,不稳定或部分折叠的突变蛋白被阻止运输到其适当的亚细胞定位,并且通常会迅速降解。被称为化学伴侣的小分子有助于稳定这些突变蛋白,并促进它们从内质网到最终目的地的正确折叠和运输。由于越来越多的研究表明内质网应激参与包括神经退行性疾病、癌症、肥胖症、糖尿病和动脉粥样硬化在内的许多疾病的发病机制,因此通过化学伴侣来提高内质网折叠能力成为一种新的治疗方法。在这篇综述中,我们深入探讨了化学伴侣在内质网应激期间的许多重要功能,它们对内质网应激相关病理的影响,以及它们作为新药靶点的潜力,特别是在代谢紊乱的背景下。

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