免疫激活后α-突触核蛋白的上调:帕金森病的可能触发因素。

Upregulation of α-synuclein following immune activation: Possible trigger of Parkinson's disease.

机构信息

Parkinson's Disease Center, Department of Neurodegenerative Science, Van Andel Institute, Grand Rapids, MI, USA.

Parkinson's Disease Center, Department of Neurodegenerative Science, Van Andel Institute, Grand Rapids, MI, USA.

出版信息

Neurobiol Dis. 2022 May;166:105654. doi: 10.1016/j.nbd.2022.105654. Epub 2022 Feb 7.

Abstract

Alpha-synuclein (α-syn) has been suggested to have many functions including, vesicle transport in neurons, transcriptional regulator, modulator of immune cell maturation and response, and a role as an antimicrobial peptide. This protein forms insoluble aggregates, called Lewy bodies, in several neurodegenerative diseases, termed synucleinopathies, including Parkinson's disease (PD), Multiple System Atrophy, and Lewy Body Dementia, and aggregates are also commonly found in Alzheimer's disease. Moreover, multiplications and point mutations in the gene cause rare autosomal dominant forms of parkinsonism, which resemble sporadic PD. It has been suggested that the accumulation of α-syn in the monomeric state followed by aggregation of the protein and seeding of further pathogenic α-syn aggregates are key steps in the pathogenesis of synucleinopathies. The triggers of α-syn aggregation in neurodegeneration are unknown, but inflammation caused by bacterial and viral pathogens or exposure to environmental toxins have been implicated. The purpose of this review is to present emerging evidence that α-syn may play a role in the immune response to pathogens. We present recent findings suggesting that upregulation of α-syn levels is a normal response to infections. We propose that under certain conditions (e.g., dysregulated inflammatory responses due to genetic predisposition and aging), monomeric α-syn will form oligomers that are taken up by nerve endings and undergo axonal transport to the central nervous system, where they can aggregate into pathogenic fibrils. Under unfavorable conditions, we suggest that this process can trigger neurodegenerative disease. Therefore, a deeper understanding of the roles of α-syn in the immune system could provide crucial insights into the origins of synucleinopathies.

摘要

α-突触核蛋白(α-syn)被认为具有许多功能,包括神经元囊泡运输、转录调节因子、免疫细胞成熟和反应的调节剂,以及作为抗菌肽的作用。这种蛋白质在几种神经退行性疾病中形成不溶性聚集体,称为路易体,称为突触核蛋白病,包括帕金森病(PD)、多系统萎缩和路易体痴呆,并且在阿尔茨海默病中也常见聚集体。此外,该基因的倍增和点突变导致罕见的常染色体显性形式的帕金森病,其类似于散发性 PD。有人认为,α-syn 在单体状态下的积累,随后是蛋白质的聚集和进一步致病性α-syn 聚集体的播种,是突触核蛋白病发病机制的关键步骤。神经退行性变中α-syn 聚集的触发因素尚不清楚,但细菌和病毒病原体引起的炎症或暴露于环境毒素已被牵连。本综述的目的是提出新的证据,表明α-syn 可能在病原体的免疫反应中发挥作用。我们提出了最近的发现,表明α-syn 水平的上调是对感染的正常反应。我们提出,在某些条件下(例如,由于遗传易感性和衰老导致的失调炎症反应),单体α-syn 将形成寡聚体,被神经末梢摄取,并进行轴突运输到中枢神经系统,在那里它们可以聚集成致病性原纤维。在不利条件下,我们建议该过程可以引发神经退行性疾病。因此,对α-syn 在免疫系统中的作用的更深入了解可以为突触核蛋白病的起源提供重要的见解。

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