The Institute of Medicine, Qiqihar Medical University, 333 BuKui Street, JianHua District, Qiqihar, 161006, China.
Department of Hematology, the First Affiliated Hospital, Harbin Medical University, Harbin, 150001, China.
J Mol Med (Berl). 2021 Jul;99(7):917-931. doi: 10.1007/s00109-021-02071-5. Epub 2021 Apr 12.
Parkinson's disease (PD) is a complex neurodegenerative disorder featuring both motor and nonmotor symptoms associated with a progressive loss of dopaminergic neurons in the substantia nigra pars compacta. Conventionally, PD treatment options have focused on dopamine replacement and provide only symptomatic relief. However, disease-modifying therapies are still unavailable. Mechanistically, genetic and environmental factors can produce oxidative stress which has been implicated as a core contributor to the initiation and progression of PD through the degeneration of dopaminergic neurons. Importantly, nuclear factor erythroid 2-related factor 2 (Nrf2) is essential for maintaining redox homeostasis by binding to the antioxidant response element which exists in the promoter regions of most genes coding for antioxidant enzymes. Furthermore, protein kinase C, mitogen-activated protein kinases, and phosphotidylinositol 3-kinase have been implicated in the regulation of Nrf2 activity during PD. Here, we review the evidence supporting the regulation of Nrf2 through Keap1-dependent and Keap1-independent mechanisms. We also address that targeting Nrf2 may provide a therapeutic option to mitigate oxidative stress-associated PD. Finally, we discuss currently known classes of small molecule activators of Nrf2, including Nrf2-activating compounds in PD.
帕金森病(PD)是一种复杂的神经退行性疾病,其特征是运动和非运动症状与黑质致密部多巴胺能神经元的进行性丧失有关。传统上,PD 的治疗选择集中在多巴胺替代上,只能提供症状缓解。然而,目前仍缺乏疾病修饰疗法。从机制上讲,遗传和环境因素会产生氧化应激,这被认为是通过多巴胺能神经元的退化导致 PD 起始和进展的核心因素。重要的是,核因子红细胞 2 相关因子 2(Nrf2)通过结合存在于大多数编码抗氧化酶的基因启动子区域中的抗氧化反应元件,对于维持氧化还原稳态至关重要。此外,蛋白激酶 C、丝裂原活化蛋白激酶和磷酸肌醇 3-激酶已被牵连到 PD 中 Nrf2 活性的调节。在这里,我们回顾了支持通过 Keap1 依赖性和 Keap1 独立性机制调节 Nrf2 的证据。我们还讨论了靶向 Nrf2 可能为减轻与氧化应激相关的 PD 提供一种治疗选择。最后,我们讨论了目前已知的 Nrf2 小分子激活剂类,包括 PD 中的 Nrf2 激活化合物。
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