Chung Kyung Min, Hernández Nancy, Sproul Andrew A, Yu Wai Haung
Taub Institute and the Department of Pathology & Cell Biology, Columbia University, New York, NY, 10032, United States.
Taub Institute and the Department of Pathology & Cell Biology, Columbia University, New York, NY, 10032, United States.
Neurosci Lett. 2019 Apr 1;697:49-58. doi: 10.1016/j.neulet.2018.05.017. Epub 2018 May 18.
Age-related neurodegenerative diseases are of critical concern to the general population and research/medical community due to their health impact and socioeconomic consequences. A feature of most, if not all, neurodegenerative disorders is the presence of proteinopathies, in which misfolded or conformationally altered proteins drive disease progression and are often used as a primary neuropathological marker of disease. In particular, Alzheimer's disease (AD) is characterized by abnormal accumulation of protein aggregates, primarily extracellular plaques composed of the Aβ peptide and intracellular tangles comprised of the tau protein, both of which may indicate a primary defect in protein clearance. Protein degradation is a key cellular mechanism for protein homeostasis and is essential for cell survival but is disrupted in neurodegenerative diseases. Dysregulation in proteolytic pathways - mainly the autophagic-lysosomal system (A-LS) and the ubiquitin-proteasome system (UPS) - has been increasingly associated with proteinopathies in neurodegenerative diseases. Here we review the role of dysfunctional autophagy underlying AD-related proteinopathy and discuss how to model this aspect of disease, as well as summarize recent advances in translational strategies for targeted A-LS dysfunction in AD.
与年龄相关的神经退行性疾病因其对健康的影响和社会经济后果,受到普通大众以及研究/医学界的密切关注。大多数(即便不是全部)神经退行性疾病的一个特征是存在蛋白病,其中错误折叠或构象改变的蛋白质推动疾病进展,并且常被用作疾病的主要神经病理学标志物。特别是,阿尔茨海默病(AD)的特征是蛋白质聚集体异常积累,主要是由Aβ肽组成的细胞外斑块和由tau蛋白组成的细胞内缠结,这两者都可能表明蛋白质清除存在原发性缺陷。蛋白质降解是维持蛋白质稳态的关键细胞机制,对细胞存活至关重要,但在神经退行性疾病中会受到破坏。蛋白水解途径的失调——主要是自噬溶酶体系统(A-LS)和泛素蛋白酶体系统(UPS)——与神经退行性疾病中的蛋白病越来越相关。在此,我们综述了功能失调的自噬在AD相关蛋白病中的作用,讨论如何对疾病的这一方面进行建模,并总结针对AD中A-LS功能障碍的转化策略的最新进展。