Department of Molecular Medicine, Faculty of Advanced Medical Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Chemistry, Tabriz Branch, Islamic Azad University, Tabriz, Iran.
Ageing Res Rev. 2021 Jan;65:101211. doi: 10.1016/j.arr.2020.101211. Epub 2020 Nov 11.
Neurodegenerative diseases (NDs) cause progressive loss of neurons in nervous system. NDs are categorized as acute NDs such as stroke and head injury, besides chronic NDs including Alzheimer's, Parkinson's, Huntington's diseases, Friedreich's Ataxia, Multiple Sclerosis. The exact etiology of NDs is not understood but oxidative stress, inflammation and synaptic dysfunction are main hallmarks. Oxidative stress leads to free radical attack on neural cells which contributes to protein misfolding, glia cell activation, mitochondrial dysfunction, impairment of DNA repair system and subsequently cellular death. Neural stem cells (NSCs) support adult neurogenesis in nervous system during injuries which is limited to certain regions in brain. NSCs can differentiate into the neurons, astrocytes or oligodendrocytes. Impaired neurogenesis and inadequate induction of neurogenesis are the main obstacles in treatment of NDs. Protection of neural cells from oxidative damages and supporting neurogenesis are promising strategies to treat NDs. Nuclear factor-erythroid 2-related factor 2 (Nrf2) is a transcriptional master regulator that maintains the redox homeostasis in cells by provoking expression of antioxidant, anti-inflammatory and cytoprotective genes. Nrf2 can strongly influence the NSCs function and fate determination by reducing levels of reactive oxygen species in benefit of NSC survival and neurogenesis. In this review we will summarize the role of Nrf2 in NSC function, and exogenous and endogenous therapeutic strategies in treatment of NDs.
神经退行性疾病(NDs)导致神经系统中神经元的进行性丧失。NDs 分为急性 NDs,如中风和头部损伤,以及慢性 NDs,包括阿尔茨海默病、帕金森病、亨廷顿病、弗里德里希共济失调、多发性硬化症。NDs 的确切病因尚不清楚,但氧化应激、炎症和突触功能障碍是主要特征。氧化应激导致自由基攻击神经细胞,导致蛋白质错误折叠、胶质细胞激活、线粒体功能障碍、DNA 修复系统受损,随后细胞死亡。神经干细胞(NSCs)在神经系统损伤时支持成年神经发生,这种发生仅限于大脑的某些区域。NSCs 可以分化为神经元、星形胶质细胞或少突胶质细胞。神经发生受损和神经发生不足是 NDs 治疗的主要障碍。保护神经细胞免受氧化损伤和支持神经发生是治疗 NDs 的有前途的策略。核因子红细胞 2 相关因子 2(Nrf2)是一种转录主调控因子,通过诱导抗氧化、抗炎和细胞保护基因的表达来维持细胞内的氧化还原平衡。Nrf2 可以通过降低活性氧水平来强烈影响 NSCs 的功能和命运决定,从而有利于 NSCs 的存活和神经发生。在这篇综述中,我们将总结 Nrf2 在 NSCs 功能中的作用,以及外源性和内源性治疗策略在 NDs 治疗中的作用。
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