Human Anatomy, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Via Roma 55, 56126 Pisa, Italy.
I.R.C.C.S. Neuromed, Via Atinense 18, 86077 Isernia, Italy.
Int J Mol Sci. 2018 Jul 30;19(8):2226. doi: 10.3390/ijms19082226.
The mammalian target of rapamycin (mTOR) is an ubiquitously expressed serine-threonine kinase, which senses and integrates several intracellular and environmental cues to orchestrate major processes such as cell growth and metabolism. Altered mTOR signalling is associated with brain malformation and neurological disorders. Emerging evidence indicates that even subtle defects in the mTOR pathway may produce severe effects, which are evident as neurological and psychiatric disorders. On the other hand, administration of mTOR inhibitors may be beneficial for a variety of neuropsychiatric alterations encompassing neurodegeneration, brain tumors, brain ischemia, epilepsy, autism, mood disorders, drugs of abuse, and schizophrenia. mTOR has been widely implicated in synaptic plasticity and autophagy activation. This review addresses the role of mTOR-dependent autophagy dysfunction in a variety of neuropsychiatric disorders, to focus mainly on psychiatric syndromes including schizophrenia and drug addiction. For instance, amphetamines-induced addiction fairly overlaps with some neuropsychiatric disorders including neurodegeneration and schizophrenia. For this reason, in the present review, a special emphasis is placed on the role of mTOR on methamphetamine-induced brain alterations.
哺乳动物雷帕霉素靶蛋白(mTOR)是一种广泛表达的丝氨酸/苏氨酸激酶,它能感知和整合多种细胞内和环境信号,协调细胞生长和代谢等主要过程。mTOR 信号的改变与脑畸形和神经退行性疾病有关。新出现的证据表明,mTOR 通路的微小缺陷也可能产生严重的影响,这些影响表现为神经和精神疾病。另一方面,mTOR 抑制剂的给药可能对多种神经精神改变有益,包括神经退行性变、脑肿瘤、脑缺血、癫痫、自闭症、情绪障碍、药物滥用和精神分裂症。mTOR 广泛参与突触可塑性和自噬的激活。本综述探讨了 mTOR 依赖性自噬功能障碍在多种神经精神疾病中的作用,主要集中在包括精神分裂症和药物成瘾在内的精神疾病上。例如,安非他命引起的成瘾与包括神经退行性变和精神分裂症在内的一些神经精神疾病相当重叠。出于这个原因,在本综述中,特别强调了 mTOR 在甲基苯丙胺引起的大脑改变中的作用。