探讨自噬与阿尔茨海默病的双向关系。
Exploring the bi-directional relationship between autophagy and Alzheimer's disease.
机构信息
Department of Physiology, College of Medicine, Nanchang University, Nanchang, China.
Department of Nurse, Nanchang University Hospital, Nanchang, China.
出版信息
CNS Neurosci Ther. 2020 Feb;26(2):155-166. doi: 10.1111/cns.13216. Epub 2019 Sep 10.
Alzheimer's disease (AD) is characterized by β-amyloid (Aβ) deposition and Tau phosphorylation, in which its pathogenesis has not been cleared so far. The metabolism of Aβ and Tau is critically affected by the autophagy. Abnormal autophagy is thought to be involved in the pathogenesis of AD, regulating autophagy may become a new strategy for AD treatment. In the early stage of AD, the presence of Aβ and Tau can induce autophagy to promote their clearance by means of mTOR-dependent and independent manners. As AD progress, the autophagy goes aberrant. As a result, Aβ and Tau generate continually, which aggravates both autophagy dysfunction and AD. Besides, several related genes and proteins of AD can also adapt autophagy to make an effect on the AD development. There seems to be a bi-directional relationship between AD pathology and autophagy. At present, this article reviews this relationship from these aspects: (a) the signaling pathways of regulating autophagy; (b) the relationships between the autophagy and the processing of Aβ; (c) Aβ and Tau cause autophagy dysfunction; (d) normal autophagy promotes the clearance of Aβ and Tau; (e) the relationships between the autophagy and both genes and proteins related to AD: TFEB, miRNAs, Beclin-1, Presenilin, and Nrf2; and (f) the small molecules regulating autophagy on AD therapy. All of the above may help to further elucidate the pathogenesis of AD and provide a theoretical basis for clinical treatment of AD.
阿尔茨海默病(AD)的特征是β-淀粉样蛋白(Aβ)沉积和 Tau 磷酸化,其发病机制至今尚未阐明。Aβ和 Tau 的代谢受到自噬的严重影响。异常的自噬被认为与 AD 的发病机制有关,调节自噬可能成为 AD 治疗的新策略。在 AD 的早期,Aβ和 Tau 的存在可以通过 mTOR 依赖和非依赖的方式诱导自噬来促进其清除。随着 AD 的进展,自噬发生异常。结果,Aβ和 Tau 不断产生,这加剧了自噬功能障碍和 AD。此外,AD 的几个相关基因和蛋白也可以通过适应自噬来影响 AD 的发展。AD 病理学和自噬之间似乎存在双向关系。目前,本文从以下几个方面综述了这种关系:(a)调节自噬的信号通路;(b)自噬与 Aβ加工的关系;(c)Aβ和 Tau 导致自噬功能障碍;(d)正常自噬促进 Aβ和 Tau 的清除;(e)自噬与与 AD 相关的基因和蛋白:TFEB、miRNAs、Beclin-1、Presenilin 和 Nrf2 的关系;(f)调节自噬对 AD 治疗的小分子。所有这些都可能有助于进一步阐明 AD 的发病机制,并为 AD 的临床治疗提供理论基础。