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增强自噬作为神经退行性疾病的一种治疗方法。

Enhancing mitophagy as a therapeutic approach for neurodegenerative diseases.

机构信息

Department of Clinical Molecular Biology, University of Oslo and Akershus University Hospital, Lørenskog, Norway.

Oxford Parkinson's Disease Centre, Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, United Kingdom.

出版信息

Int Rev Neurobiol. 2020;155:169-202. doi: 10.1016/bs.irn.2020.02.008. Epub 2020 Aug 11.

Abstract

Neurodegenerative diseases are highly debilitating illnesses and a growing cause of morbidity and mortality worldwide. Mitochondrial dysfunction and impairment of mitochondrial-specific autophagy, namely mitophagy, have emerged as important components of the cellular processes underlying neurodegeneration. Defective mitophagy has been highlighted as the cause of the accumulation of damaged mitochondria, which consequently leads to cellular dysfunction and/or death in neurodegenerative diseases. Here, we highlight the recent advances in the molecular mechanisms of mitochondrial homeostasis and mitophagy in neurodegenerative diseases. In particular, we evaluate how mitophagy is altered in Alzheimer's, Parkinson's, and Huntington's diseases, as well as in amyotrophic lateral sclerosis, and the potential of restoring mitophagy as a therapeutic intervention. We also discuss the interlinked connections between mitophagy and innate immunity (e.g., the involvement of Parkin, interferons and TRIM21) as well as the opportunity these pathways provide to develop combinational therapeutic strategies targeting them and related molecular mechanisms in such neurodegenerative diseases.

摘要

神经退行性疾病是高度致残的疾病,也是全球发病率和死亡率不断上升的一个原因。线粒体功能障碍和线粒体特异性自噬(即自噬)的损害已成为神经退行性变细胞过程的重要组成部分。有缺陷的自噬已被强调为导致受损线粒体积累的原因,这反过来又导致神经退行性疾病中的细胞功能障碍和/或死亡。在这里,我们强调了神经退行性疾病中线粒体动态平衡和自噬的分子机制的最新进展。特别是,我们评估了自噬在阿尔茨海默病、帕金森病和亨廷顿病以及肌萎缩侧索硬化症中的变化,以及恢复自噬作为治疗干预的潜力。我们还讨论了自噬与先天免疫之间的相互联系(例如,Parkin、干扰素和 TRIM21 的参与),以及这些途径为开发针对这些神经退行性疾病的联合治疗策略以及相关分子机制提供的机会。

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