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正常眼压性青光眼和阿尔茨海默病的新型共同风险因素——视神经萎缩蛋白假说。

Hypothesis of optineurin as a new common risk factor in normal-tension glaucoma and Alzheimer's disease.

机构信息

Department of Neurology, Xiang-Ya Hospital, Central-South University, Changsha, Hunan Province, People's Republic of China.

出版信息

Med Hypotheses. 2011 Oct;77(4):591-2. doi: 10.1016/j.mehy.2011.06.040. Epub 2011 Jul 18.

Abstract

Growing evidences suggest a link between normal tension glaucoma (NTG) and Alzheimer's disease (AD). Both of them are progressive neurodegenerative disorders. Recently researches provide a clue that optineurin may be a new common underlying risk factor involved in NTG and AD. OPTINEURIN (OPTN) gene coding for "optineurin" protein is identified as the causative gene in NTG. Interestingly, optineurin was also found in neurofibrillary tangles and dystrophic neurites in AD, as well as other neurodegenerative diseases. This suggested a new hypothesis for neurodegeneration in AD involving chronic optineurin neurotoxicity, mimicking NTG at the molecular level. A theoretical relationship between optineurin, NTG and AD seems to exist. Indicating that optineurin may play a role in both NTG and AD will shed new light on the link between these two diseases and lead to a better understanding of the common mechanisms underlying NTG and AD.

摘要

越来越多的证据表明正常眼压性青光眼(NTG)与阿尔茨海默病(AD)之间存在关联。两者都是进行性神经退行性疾病。最近的研究提供了一个线索,即视神经病变可能是一个新的共同潜在风险因素,涉及 NTG 和 AD。 OPTNEURIN(OPTN)基因编码“视神经病变”蛋白,被确定为 NTG 的致病基因。有趣的是,在 AD 中的神经原纤维缠结和变性神经突以及其他神经退行性疾病中也发现了视神经病变。这提出了一个新的假说,即 AD 中的神经退行性变涉及慢性视神经病变神经毒性,在分子水平上模拟 NTG。视神经病变、NTG 和 AD 之间似乎存在理论上的关系。表明视神经病变可能在 NTG 和 AD 中都发挥作用,这将为这两种疾病之间的联系提供新的线索,并有助于更好地理解 NTG 和 AD 的共同机制。

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