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葡萄糖6磷酸脱氢酶(G6PD)与神经退行性疾病:探寻诊断与治疗契机

Glucose 6 phosphatase dehydrogenase (G6PD) and neurodegenerative disorders: Mapping diagnostic and therapeutic opportunities.

作者信息

Tiwari Manju

机构信息

Department of Biochemistry and Genetics, Barkatullah University, Bhopal, Madhya Pradesh, India.

出版信息

Genes Dis. 2017 Sep 23;4(4):196-203. doi: 10.1016/j.gendis.2017.09.001. eCollection 2017 Dec.

Abstract

Glucose 6 phosphate dehydrogenase (G6PD) is a key and rate limiting enzyme in the pentose phosphate pathway (PPP). The physiological significance of enzyme is providing reduced energy to specific cells like erythrocyte by maintaining co-enzyme nicotinamide adenine dinucleotide phosphate (NADPH). There are preponderance research findings that demonstrate the enzyme (G6PD) role in the energy balance, and it is associated with blood-related diseases and disorders, primarily the anemia resulted from G6PD deficiency. The X-linked genetic deficiency of G6PD and associated non-immune hemolytic anemia have been studied widely across the globe. Recent advancement in biology, more precisely neuroscience has revealed that G6PD is centrally involved in many neurological and neurodegenerative disorders. The neuroprotective role of the enzyme (G6PD) has also been established, as well as the potential of G6PD in oxidative damage and the Reactive Oxygen Species (ROS) produced in cerebral ischemia. Though G6PD deficiency remains a global health issue, however, a paradigm shift in research focusing the potential of the enzyme in neurological and neurodegenerative disorders will surely open a new avenue in diagnostics and enzyme therapeutics. Here, in this study, more emphasis was made on exploring the role of G6PD in neurological and inflammatory disorders as well as non-immune hemolytic anemia, thus providing diagnostic and therapeutic opportunities.

摘要

葡萄糖6磷酸脱氢酶(G6PD)是磷酸戊糖途径(PPP)中的一种关键限速酶。该酶的生理意义在于通过维持辅酶烟酰胺腺嘌呤二核苷酸磷酸(NADPH)为红细胞等特定细胞提供还原能量。有大量研究结果表明该酶(G6PD)在能量平衡中发挥作用,并且与血液相关疾病和紊乱有关,主要是由G6PD缺乏导致的贫血。G6PD的X连锁基因缺陷及相关的非免疫性溶血性贫血在全球范围内都得到了广泛研究。生物学领域,更确切地说是神经科学领域的最新进展表明,G6PD在许多神经和神经退行性疾病中起着核心作用。该酶(G6PD)的神经保护作用也已得到证实,以及G6PD在脑缺血中产生的氧化损伤和活性氧(ROS)方面的作用。尽管G6PD缺乏仍然是一个全球健康问题,然而,研究重点转向该酶在神经和神经退行性疾病中的潜力的范式转变肯定会为诊断和酶疗法开辟一条新途径。在本研究中,更多地强调了探索G6PD在神经和炎症性疾病以及非免疫性溶血性贫血中的作用,从而提供诊断和治疗机会。

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