Department of Neurology, David Geffen School of Medicine, UCLA, 710 Westwood Plaza, Los Angeles, CA 90095-1769, USA.
Prog Neurobiol. 2013 Jul-Aug;106-107:17-32. doi: 10.1016/j.pneurobio.2013.04.004. Epub 2013 Apr 30.
Parkinson's disease (PD) is a movement disorder that is characterized by the progressive degeneration of dopaminergic neurons in substantia nigra pars compacta resulting in dopamine deficiency in the striatum. Although majority of the PD cases are sporadic several genetic mutations have also been linked to the disease thus providing new opportunities to study the pathology of the illness. Studies in humans and various animal models of PD reveal that mitochondrial dysfunction might be a defect that occurs early in PD pathogenesis and appears to be a widespread feature in both sporadic and monogenic forms of PD. The general mitochondrial abnormalities linked with the disease include mitochondrial electron transport chain impairment, alterations in mitochondrial morphology and dynamics, mitochondrial DNA mutations and anomaly in calcium homeostasis. Mitochondria are vital organelles with multiple functions and their dysfunction can lead to a decline in energy production, generation of reactive oxygen species and induction of stress-induced apoptosis. In this review, we give an outline of mitochondrial functions that are affected in the pathogenesis of sporadic and familial PD, and hence provide insights that might be valuable for focused future research to exploit possible mitochondrial targets for neuroprotective interventions in PD.
帕金森病(PD)是一种运动障碍,其特征是黑质致密部多巴胺能神经元进行性退化,导致纹状体多巴胺缺乏。尽管大多数 PD 病例为散发性,但也有几种基因突变与该疾病有关,从而为研究疾病的病理学提供了新的机会。在人类和各种 PD 动物模型中的研究表明,线粒体功能障碍可能是 PD 发病机制早期发生的缺陷,并且似乎是散发性和单基因形式 PD 的广泛特征。与该疾病相关的一般线粒体异常包括线粒体电子传递链损伤、线粒体形态和动力学改变、线粒体 DNA 突变和钙稳态异常。线粒体是具有多种功能的重要细胞器,其功能障碍可导致能量产生减少、活性氧生成增加和应激诱导的细胞凋亡诱导。在这篇综述中,我们概述了散发性和家族性 PD 发病机制中受影响的线粒体功能,并提供了可能有助于未来有针对性的研究的见解,以开发针对 PD 的神经保护干预的潜在线粒体靶点。