Bar-Am Orit, Amit Tamar, Youdim Moussa B, Weinreb Orly
Eve Topf Centers of Excellence for Neurodegenerative Diseases Research, Faculty of Medicine, Technion-Israel Institute of Technology, P.O.B. 9697, 31096, Haifa, Israel.
J Neural Transm (Vienna). 2016 Feb;123(2):125-35. doi: 10.1007/s00702-015-1395-3. Epub 2015 Apr 10.
The mitochondrial theory of ageing proposes that accumulation of damage to mitochondrial function and DNA mutation lead to ageing of humans and animals. It has been suggested that mitochondria play dynamic roles in regulating synaptogenesis and morphological/functional responses of synaptic activity, and thus, deteriorating of mitochondrial function (e.g., deficits of the mitochondrial respiratory enzymes, reduced calcium influx, increased accumulation of mitochondrial DNA defects/apoptotic proteins and impairment of mitochondrial membrane potential) can lead to severe neuronal energy deficit, and in the long run, to modifications in neuronal synapses and neurodegeneration in the ageing brain. Hence, considering the mechanisms by which mitochondrial impairment can lead to neuronal death, the development of neuroprotective molecules that target various mitochondrial pathogenic processes can be effective in the treatment of ageing and age-related neurodegenerative diseases. This review addresses several aspects of the neuroprotective effects of propargylamine derivatives (e.g., the monoamine oxidase-B inhibitors, selegiline and rasagiline and the multifunctional drugs, ladostigil, M30 and VAR10303) in ageing with a special focus on mitochondrial molecular protective mechanisms.
衰老的线粒体理论认为,线粒体功能损伤的累积和DNA突变会导致人类和动物衰老。有人提出,线粒体在调节突触形成以及突触活动的形态/功能反应中发挥动态作用,因此,线粒体功能的恶化(例如,线粒体呼吸酶缺乏、钙内流减少、线粒体DNA缺陷/凋亡蛋白积累增加以及线粒体膜电位受损)会导致严重的神经元能量缺乏,从长远来看,会导致衰老大脑中神经元突触的改变和神经退行性变。因此,考虑到线粒体损伤导致神经元死亡的机制,开发针对各种线粒体致病过程的神经保护分子可能对治疗衰老及与年龄相关的神经退行性疾病有效。本综述探讨了炔丙胺衍生物(如单胺氧化酶-B抑制剂司来吉兰和雷沙吉兰以及多功能药物拉多替吉、M30和VAR10303)在衰老过程中的神经保护作用的几个方面,特别关注线粒体分子保护机制。