神经炎症和氧化应激:帕金森病病理中的共犯。

Neuroinflammation and oxidative stress: co-conspirators in the pathology of Parkinson's disease.

机构信息

Neuropharmacology Laboratory, Department of Pharmacology, University of Melbourne, Victoria, Australia.

出版信息

Neurochem Int. 2013 Apr;62(5):803-19. doi: 10.1016/j.neuint.2012.12.016. Epub 2013 Jan 4.

Abstract

Parkinson's disease (PD) is a complex disease, with genetics and environment contributing to the disease onset. Recent studies of causative PD genes have confirmed the involvement of cellular mechanisms engaged in mitochondrial and UPS dysfunction, oxidative stress and apoptosis in the progressive degeneration of the dopaminergic neurons in PD. In addition, clinical, epidemiological and experimental evidence has implicated neuroinflammation in the disease progression. This review will discuss neuroinflammation in PD, with particular focus on the genetic and toxin-based models of the disease. These studies have confirmed elevated oxidative stress and the pro-inflammatory response occurs early in the disease and these processes contribute to and/or exacerbate the nigro-striatal degeneration. In addition, the experimental models discussed here have also provided strong evidence that these pathways are an important link between the familial and sporadic causes of PD. The potential application of anti-inflammatory interventions in limiting the dopaminergic neuronal cell death in these models is discussed with evidence suggesting that the further investigation of their use as part of multi-targeted clinical trials is warranted.

摘要

帕金森病(PD)是一种复杂的疾病,其发病与遗传和环境因素有关。最近对导致 PD 的基因的研究证实,与线粒体和 UPS 功能障碍、氧化应激和细胞凋亡有关的细胞机制参与了 PD 中多巴胺能神经元的进行性退化。此外,临床、流行病学和实验证据表明神经炎症与疾病进展有关。本文将讨论 PD 中的神经炎症,特别关注基于遗传和毒素的疾病模型。这些研究证实,氧化应激和促炎反应在疾病早期就会升高,这些过程会导致和/或加剧黑质纹状体变性。此外,这里讨论的实验模型还提供了有力的证据,表明这些途径是家族性和散发性 PD 之间的重要联系。本文还讨论了抗炎干预在限制这些模型中多巴胺能神经元细胞死亡方面的潜在应用,有证据表明,进一步研究将其作为多靶点临床试验的一部分是合理的。

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