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[轴突运输在肌萎缩侧索硬化症中的作用]

[Role of axonal transport in ALS].

作者信息

Tanaka Fumiaki, Ikenaka Kensuke, Sobue Gen

机构信息

Department of Neurology, Nagoya University Graduate School of Medicine.

出版信息

Rinsho Shinkeigaku. 2011 Nov;51(11):1189-91. doi: 10.5692/clinicalneurol.51.1189.

Abstract

Proposed hypothesis for pathomechanisms of sporadic ALS include oxidative stress, glutamate toxicity, axonal transport defects, mitochondrial impairment and so on. Although these mechanisms may be interrelated mutually, the whole picture has not been clarified. As for axonal transport defect, it is also prominently involved in the pathogenesis of many major human neurodegenerative diseases including Alzheimer's disease and Parkinson's disease, suggesting a crucial role of axonal transport in maintaining the normal neuronal function. In mutant SOD1 transgenic mice, the most popular disease model of familial ALS, the mutant SOD1 selectively associates with and damages mitochondria, leading to defect of axonal transport because of diminished ATP fuel supply for the molecular motors such as kinesin family or dynein/dynactin complex. Furthermore, the finding that mutations in the dynactin subunit p150Glued cause familial ALS demonstrates a direct role of molecular motor dysfunction and axonal transport defects in ALS. On the other hand, the mechanism of axonal transport impairment in sporadic ALS has been elusive. We have previously demonstrated that gene expression of dynactin subunit p150Glued (dynactin-1) is down-regulated in motor neurons of sporadic ALS patient from the early stage of neurodegeneration. In this article we review the role of axonal transport in the pathogenesis of ALS.

摘要

散发性肌萎缩侧索硬化症(ALS)发病机制的提出假说包括氧化应激、谷氨酸毒性、轴突运输缺陷、线粒体损伤等。尽管这些机制可能相互关联,但整体情况尚未阐明。至于轴突运输缺陷,它也显著参与了包括阿尔茨海默病和帕金森病在内的许多主要人类神经退行性疾病的发病过程,这表明轴突运输在维持正常神经元功能中起着关键作用。在突变型超氧化物歧化酶1(SOD1)转基因小鼠中,这是家族性ALS最常用的疾病模型,突变型SOD1选择性地与线粒体结合并损伤线粒体,由于驱动蛋白家族或动力蛋白/动力蛋白激活蛋白复合物等分子马达的ATP燃料供应减少,导致轴突运输缺陷。此外,动力蛋白激活蛋白亚基p150Glued突变导致家族性ALS这一发现证明了分子马达功能障碍和轴突运输缺陷在ALS中的直接作用。另一方面,散发性ALS中轴突运输受损的机制一直难以捉摸。我们之前已经证明,在散发性ALS患者运动神经元中,从神经退行性变的早期阶段开始,动力蛋白激活蛋白亚基p150Glued(动力蛋白-1)的基因表达就下调。在本文中,我们综述了轴突运输在ALS发病机制中的作用。

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