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神经变性中氧化损伤的来源和触发因素。

Sources and triggers of oxidative damage in neurodegeneration.

机构信息

UCL Queen Square Institute of Neurology, UK.

出版信息

Free Radic Biol Med. 2021 Sep;173:52-63. doi: 10.1016/j.freeradbiomed.2021.07.003. Epub 2021 Jul 2.

Abstract

Neurodegeneration describes a group of more than 300 neurological diseases, characterised by neuronal loss and intra- or extracellular protein depositions, as key neuropathological features. Multiple factors play role in the pathogenesis of these group of disorders: mitochondrial dysfunction, membrane damage, calcium dyshomeostasis, metallostasis, defect clearance and renewal mechanisms, to name a few. All these factors, without exceptions, have in common the involvement of immensely increased generation of free radicals and occurrence of oxidative stress, and as a result - exhaustion of the scavenging potency of the cellular redox defence mechanisms. Besides genetic predisposition and environmental exposure to toxins, the main risk factor for developing neurodegeneration is age. And although the "Free radical theory of ageing" was declared dead, it is undisputable that accumulation of damage occurs with age, especially in systems that are regulated by free radical messengers and those that oppose oxidative stress, protein oxidation and the accuracy in protein synthesis and degradation machinery has difficulties to be maintained. This brief review provides a comprehensive summary on the main sources of free radical damage, occurring in the setting of neurodegeneration.

摘要

神经退行性变描述了一组超过 300 种神经疾病,其特征为神经元丧失和细胞内或细胞外蛋白质沉积,这是关键的神经病理学特征。多种因素在这些疾病的发病机制中起作用:线粒体功能障碍、膜损伤、钙动态平衡失调、金属稳态失调、缺陷清除和更新机制等。所有这些因素无一例外地都与自由基的大量产生和氧化应激的发生有关,其结果是细胞氧化还原防御机制的清除能力耗尽。除了遗传易感性和接触毒素的环境因素外,神经退行性变的主要危险因素是年龄。尽管“衰老自由基理论”已被宣布死亡,但不可否认的是,损伤的积累随着年龄的增长而发生,尤其是在受自由基信使调节的系统以及那些对抗氧化应激、蛋白质氧化和蛋白质合成及降解机制准确性的系统中。这篇简要综述提供了神经退行性变背景下自由基损伤的主要来源的综合总结。

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