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神经退行性疾病中的线粒体功能障碍与生物发生:发病机制与治疗

Mitochondrial Dysfunction and Biogenesis in Neurodegenerative diseases: Pathogenesis and Treatment.

作者信息

Golpich Mojtaba, Amini Elham, Mohamed Zahurin, Azman Ali Raymond, Mohamed Ibrahim Norlinah, Ahmadiani Abolhassan

机构信息

Department of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Cheras, Kuala Lumpur, Malaysia.

Department of Pharmacology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

出版信息

CNS Neurosci Ther. 2017 Jan;23(1):5-22. doi: 10.1111/cns.12655. Epub 2016 Nov 22.

Abstract

Neurodegenerative diseases are a heterogeneous group of disorders that are incurable and characterized by the progressive degeneration of the function and structure of the central nervous system (CNS) for reasons that are not yet understood. Neurodegeneration is the umbrella term for the progressive death of nerve cells and loss of brain tissue. Because of their high energy requirements, neurons are especially vulnerable to injury and death from dysfunctional mitochondria. Widespread damage to mitochondria causes cells to die because they can no longer produce enough energy. Several lines of pathological and physiological evidence reveal that impaired mitochondrial function and dynamics play crucial roles in aging and pathogenesis of neurodegenerative diseases. As mitochondria are the major intracellular organelles that regulate both cell survival and death, they are highly considered as a potential target for pharmacological-based therapies. The purpose of this review was to present the current status of our knowledge and understanding of the involvement of mitochondrial dysfunction in pathogenesis of neurodegenerative diseases including Alzheimer's disease (AD), Parkinson's disease (PD), Huntington's disease (HD), and amyotrophic lateral sclerosis (ALS) and the importance of mitochondrial biogenesis as a potential novel therapeutic target for their treatment. Likewise, we highlight a concise overview of the key roles of mitochondrial electron transport chain (ETC.) complexes as well as mitochondrial biogenesis regulators regarding those diseases.

摘要

神经退行性疾病是一组异质性疾病,无法治愈,其特征是中枢神经系统(CNS)的功能和结构因尚未明确的原因而进行性退化。神经变性是神经细胞渐进性死亡和脑组织丧失的统称。由于神经元对能量的需求很高,它们特别容易受到功能失调的线粒体的损伤和死亡影响。线粒体的广泛损伤会导致细胞死亡,因为它们无法再产生足够的能量。多条病理和生理证据表明,线粒体功能和动力学受损在神经退行性疾病的衰老和发病机制中起关键作用。由于线粒体是调节细胞存活和死亡的主要细胞内细胞器,它们被高度视为基于药理学治疗的潜在靶点。本综述的目的是介绍我们目前对线粒体功能障碍在包括阿尔茨海默病(AD)、帕金森病(PD)、亨廷顿病(HD)和肌萎缩侧索硬化症(ALS)在内的神经退行性疾病发病机制中的参与情况的认识,以及线粒体生物发生作为其治疗潜在新靶点的重要性。同样,我们简要概述了线粒体电子传递链(ETC)复合物以及线粒体生物发生调节因子在这些疾病中的关键作用。

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