线粒体功能障碍、氧化应激和自噬在阿尔茨海默病进展中的作用。

Role of mitochondrial dysfunction, oxidative stress and autophagy in progression of Alzheimer's disease.

机构信息

School of Pharmaceutical and Healthcare, CT University, Ludhiana, Punjab, India.

School of Pharmaceutical Sciences, CT University, Ludhiana, Punjab, India.

出版信息

J Neurol Sci. 2021 Feb 15;421:117253. doi: 10.1016/j.jns.2020.117253. Epub 2020 Dec 5.

Abstract

Alzheimer's disease (AD) is the most common form of dementia. The pathological hallmarks of AD are amyloid plaques [aggregates of amyloid beta (A)] and neurofibrillary tangles (aggregates of tau protein). Growing evidence suggests that tau accumulation is pathologically more relevant to the development of neurodegeneration and cognitive decline in AD patients than A plaques. Mitochondrial damage plays an important role in AD. Mitochondrial damage has been related to amyloid-beta or tau pathology or to the presence of specific presenilin-1 mutations. Elevate reactive oxygen species/reactive nitrogen species production and defective mitochondrial dynamic balance has been suggested to be the reason as well as the consequence of AD related pathology. Oxidative stress is a prominent early event in the pathogenesis of AD and is therefore believed to contribute to tau hyperphosphorylation. Several studies have shown that the autophagy pathway in neurons is important under physiological and pathological conditions. Therefore, this pathway plays a crucial role for the degradation of endogenous soluble tau. However, the relationship between mitochondrial dysfunctioning, oxidative stress, autophagy dysregulation, and neuronal cell death in AD remains unclear. Here, we review the latest progress in AD, with a special emphasis on mitochondrial dysfunctioning, oxidative stress, and autophagy. We also discuss the interlink mechanism of these three factors in AD.

摘要

阿尔茨海默病(AD)是最常见的痴呆症形式。AD 的病理学特征是淀粉样斑块[β淀粉样蛋白(A)的聚集物]和神经原纤维缠结(tau 蛋白的聚集物)。越来越多的证据表明,与 A 斑块相比,tau 积累与 AD 患者神经退行性变和认知能力下降的发展在病理学上更为相关。线粒体损伤在 AD 中起着重要作用。线粒体损伤与淀粉样蛋白-β或 tau 病理学有关,或与特定早老素-1 突变的存在有关。有人认为,活性氧/活性氮物种的产生增加和线粒体动态平衡的缺陷既是 AD 相关病理学的原因,也是其结果。氧化应激是 AD 发病机制中的一个突出早期事件,因此被认为有助于 tau 的过度磷酸化。几项研究表明,神经元中的自噬途径在生理和病理条件下都很重要。因此,该途径对于降解内源性可溶性 tau 起着至关重要的作用。然而,AD 中线粒体功能障碍、氧化应激、自噬失调和神经元细胞死亡之间的关系尚不清楚。在这里,我们综述了 AD 的最新进展,特别强调了线粒体功能障碍、氧化应激和自噬。我们还讨论了这三个因素在 AD 中的相互联系机制。

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