Department of Biomedical Sciences, University of Sassari, 07100 Sassari, Italy.
Istituto di Scienza delle Produzioni Alimentari, CNR, 07040 Sassari, Italy.
Int J Mol Sci. 2021 Jul 16;22(14):7630. doi: 10.3390/ijms22147630.
Parkinson's disease (PD) is a complex and progressive neurodegenerative disorder with a prevalence of approximately 0.5-1% among those aged 65-70 years. Although most of its clinical manifestations are due to a loss of dopaminergic neurons, the PD etiology is largely unknown. PD is caused by a combination of genetic and environmental factors, and the exact interplay between genes and the environment is still debated. Several biological processes have been implicated in PD, including mitochondrial or lysosomal dysfunctions, alteration in protein clearance, and neuroinflammation, but a common molecular mechanism connecting the different cellular alterations remains incompletely understood. Accumulating evidence underlines a significant role of lipids in the pathological pathways leading to PD. Beside the well-described lipid alteration in idiopathic PD, this review summarizes the several lipid alterations observed in experimental models expressing PD-related genes and suggests a possible scenario in relationship to the molecular mechanisms of neuronal toxicity. PD could be considered a lipid-induced proteinopathy, where alteration in lipid composition or metabolism could induce protein alteration-for instance, alpha-synuclein accumulation-and finally neuronal death.
帕金森病(PD)是一种复杂的进行性神经退行性疾病,在 65-70 岁人群中的患病率约为 0.5-1%。尽管其大多数临床表现归因于多巴胺能神经元的丧失,但 PD 的病因在很大程度上尚不清楚。PD 是由遗传和环境因素共同引起的,基因和环境之间的确切相互作用仍存在争议。已有几种生物学过程与 PD 相关,包括线粒体或溶酶体功能障碍、蛋白质清除改变和神经炎症,但连接不同细胞改变的共同分子机制仍不完全清楚。越来越多的证据强调了脂质在导致 PD 的病理途径中的重要作用。除了特发性 PD 中描述明确的脂质改变外,本综述还总结了在表达 PD 相关基因的实验模型中观察到的几种脂质改变,并提出了与神经元毒性的分子机制相关的可能情况。PD 可被视为一种脂质诱导的蛋白病,其中脂质组成或代谢的改变可能会导致蛋白改变,例如α-突触核蛋白的积累,并最终导致神经元死亡。