Anupama Nair, Sindhu Ganapathy, Raghu Kozhiparambil Gopalan
Agroprocessing and Technology Division, CSIR -National Institute for Interdisciplinary Science and Technology (NIIST), Industrial estate P.O., Pappanamcode, Thiruvananthapuram, 695019, Kerala, India.
Fundam Clin Pharmacol. 2018 Aug;32(4):346-356. doi: 10.1111/fcp.12359. Epub 2018 May 3.
Metabolic syndromes (MS) are a cluster of disorders such as obesity, hypertension, dyslipidemia, and diabetes. Cardiometabolic syndrome (CMS), a branch of MS, is a group of diseases affecting cardiovascular, renal, metabolic, prothrombotic, and inflammatory abnormalities due to defects in energy metabolism. Since the emergence of molecular biology and the discovery of pathogenic mitochondrial DNA defect in the 1980s, research advances have revealed a number of common human diseases involving mitochondrial dysfunction. One of the major defects in CMS and its associated diseases is excess cellular oxidative stress and oxidative damage to mitochondrial components. In this study, we overview specific aspects of mitochondrial biology that have contributed and likely will continue enhance the progress of development of therapeutics for CMS. During the last decade, however, increasing evidence has emerged supporting the role of mitochondrial functional parameters in the genesis of various metabolism-related disorders. The biochemical pathways which modulate various mitochondrial functional indicators such as mitochondrial biogenesis, mitochondrial membrane potential, electron transport chain and ATP synthesis, intramitochondrial oxidative stress, and mitochondria-mediated cell death have been recognized in diagnosis and prognosis of various disorders associated with energy metabolism and heart function.
代谢综合征(MS)是一组疾病,如肥胖、高血压、血脂异常和糖尿病。心脏代谢综合征(CMS)是MS的一个分支,是一组由于能量代谢缺陷而影响心血管、肾脏、代谢、血栓形成和炎症异常的疾病。自20世纪80年代分子生物学出现以及致病性线粒体DNA缺陷被发现以来,研究进展揭示了许多涉及线粒体功能障碍的常见人类疾病。CMS及其相关疾病的主要缺陷之一是细胞氧化应激过度以及线粒体成分受到氧化损伤。在本研究中,我们概述了线粒体生物学的特定方面,这些方面已经为CMS治疗方法的发展做出了贡献,并且可能会继续促进其发展。然而,在过去十年中,越来越多的证据表明线粒体功能参数在各种与代谢相关的疾病发生中起作用。调节各种线粒体功能指标(如线粒体生物发生、线粒体膜电位、电子传递链和ATP合成、线粒体内氧化应激以及线粒体介导的细胞死亡)的生化途径已在与能量代谢和心脏功能相关的各种疾病的诊断和预后中得到认可。