Neuroregeneration and Stem Cell Programs, Institute for Cell Engineering, Department of Neurology, Department of Physiology, Solomon H. Snyder Department of Neuroscience, Department of Pharmacology and Molecular Sciences, Johns Hopkins University School of Medicine, 733 North Broadway, Suite 731, Baltimore, MD, 21205, USA.
Adrienne Helis Malvin Medical Research Foundation, New Orleans, LA, 70130, USA.
Mol Neurodegener. 2020 Mar 13;15(1):20. doi: 10.1186/s13024-020-00367-7.
That certain cell types in the central nervous system are more likely to undergo neurodegeneration in Parkinson's disease is a widely appreciated but poorly understood phenomenon. Many vulnerable subpopulations, including dopamine neurons in the substantia nigra pars compacta, have a shared phenotype of large, widely distributed axonal networks, dense synaptic connections, and high basal levels of neural activity. These features come at substantial bioenergetic cost, suggesting that these neurons experience a high degree of mitochondrial stress. In such a context, mechanisms of mitochondrial quality control play an especially important role in maintaining neuronal survival. In this review, we focus on understanding the unique challenges faced by the mitochondria in neurons vulnerable to neurodegeneration in Parkinson's and summarize evidence that mitochondrial dysfunction contributes to disease pathogenesis and to cell death in these subpopulations. We then review mechanisms of mitochondrial quality control mediated by activation of PINK1 and Parkin, two genes that carry mutations associated with autosomal recessive Parkinson's disease. We conclude by pinpointing critical gaps in our knowledge of PINK1 and Parkin function, and propose that understanding the connection between the mechanisms of sporadic Parkinson's and defects in mitochondrial quality control will lead us to greater insights into the question of selective vulnerability.
中枢神经系统中的某些细胞类型更有可能在帕金森病中发生神经退行性变,这是一个广为人知但知之甚少的现象。许多易受影响的亚群,包括黑质致密部中的多巴胺神经元,具有大而广泛分布的轴突网络、密集的突触连接和高基础神经活动的共同表型。这些特征需要大量的生物能量,表明这些神经元经历了高度的线粒体应激。在这种情况下,线粒体质量控制的机制在维持神经元存活方面起着特别重要的作用。在这篇综述中,我们专注于了解易发生帕金森病神经退行性变的神经元中线粒体面临的独特挑战,并总结了线粒体功能障碍导致这些亚群发病机制和细胞死亡的证据。然后,我们回顾了由 PINK1 和 Parkin 激活介导的线粒体质量控制机制,这两个基因携带有常染色体隐性遗传帕金森病相关的突变。最后,我们指出了我们对 PINK1 和 Parkin 功能的认识中的关键差距,并提出了理解散发性帕金森病的机制与线粒体质量控制缺陷之间的联系,将使我们更深入地了解选择性易损性问题。
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