导致帕金森病神经保护作用的Keap1/Nrf2/ARE通路激活背后的主要分子机制。

The principal molecular mechanisms behind the activation of Keap1/Nrf2/ARE pathway leading to neuroprotective action in Parkinson's disease.

作者信息

Chakkittukandiyil Amritha, Sajini Deepak Vasudevan, Karuppaiah Arjunan, Selvaraj Divakar

机构信息

Department of Pharmacology, JSS College of Pharmacy, JSS Academy of Higher Education & Research, Ooty, Nilgiris, Tamil Nadu, India.

Department of Pharmaceutics, PSG College of Pharmacy, Peelamedu, Coimbatore, Tamil Nadu, India.

出版信息

Neurochem Int. 2022 Jun;156:105325. doi: 10.1016/j.neuint.2022.105325. Epub 2022 Mar 9.

Abstract

Parkinson's disease (PD) is a progressive neurodegenerative disorder. PD is associated with the loss of dopaminergic neurons in the substantia nigra pars compacta region of the midbrain. Present therapies for PD provide only symptomatic relief by restoring the dopamine (DA) level. However, they are not disease modifying agents and so they do not delay the disease progression. Alpha-synuclein aggregation, oxidative stress, mitochondrial dysfunction and chronic inflammation are considered to be the major pathological mechanisms mediating neurodegeneration in PD. To resist oxidative stress, the human body has an antioxidant defence mechanism consisting of many antioxidants and cytoprotective genes. The expression of those genes are largely controlled by the Kelch-like ECH-associated protein 1/Nuclear factor - erythroid - 2 - related factor 2/Antioxidant response element (Keap1/Nrf2/ARE) signalling pathway. The transcription factor Nrf2 is activated in response to oxidative or electrophilic stress and protects the cells from oxidative stress and inflammation. Nrf2 has been widely considered as a therapeutic target for neurodegeneration and several drugs are now being tested in clinical trials. Regulation of the Keap1/Nrf2/ARE pathway by small molecules which can act as Nrf2 activators could be effective for treating oxidative stress and neuroinflammation in PD. In this review, we had discussed the principal molecular mechanisms behind the neuroprotective effects of Keap1/Nrf2/ARE pathway in PD. Additionally, we also discussed the small molecules and phytochemicals that could activate the Nrf2 mediated anti-oxidant pathway for neuroprotection in PD.

摘要

帕金森病(PD)是一种进行性神经退行性疾病。PD与中脑黑质致密部区域多巴胺能神经元的丧失有关。目前治疗PD的方法仅通过恢复多巴胺(DA)水平来提供症状缓解。然而,它们不是疾病修饰剂,因此不能延缓疾病进展。α-突触核蛋白聚集、氧化应激、线粒体功能障碍和慢性炎症被认为是介导PD神经退行性变的主要病理机制。为了抵抗氧化应激,人体具有由许多抗氧化剂和细胞保护基因组成的抗氧化防御机制。这些基因的表达在很大程度上受kelch样ECH相关蛋白1/核因子-红细胞-2-相关因子2/抗氧化反应元件(Keap1/Nrf2/ARE)信号通路控制。转录因子Nrf2在氧化或亲电应激反应中被激活,保护细胞免受氧化应激和炎症的影响。Nrf2已被广泛认为是神经退行性变的治疗靶点,目前有几种药物正在临床试验中进行测试。能够作为Nrf2激活剂的小分子对Keap1/Nrf2/ARE通路的调节可能对治疗PD中的氧化应激和神经炎症有效。在这篇综述中,我们讨论了Keap1/Nrf2/ARE通路在PD中神经保护作用背后的主要分子机制。此外,我们还讨论了可激活Nrf2介导的抗氧化通路以在PD中发挥神经保护作用的小分子和植物化学物质。

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