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铁死亡在帕金森病中的治疗启示。

Therapeutic Insights on Ferroptosis in Parkinson's disease.

机构信息

Chitkara College of Pharmacy, Chitkara University, Rajpura, 140401, Punjab, India; Chitkara School of Pharmacy, Chitkara University, Himachal Pradesh, India.

Chitkara College of Pharmacy, Chitkara University, Rajpura, 140401, Punjab, India.

出版信息

Eur J Pharmacol. 2022 Sep 5;930:175133. doi: 10.1016/j.ejphar.2022.175133. Epub 2022 Jul 2.

Abstract

Parkinson's disease (PD) is a neurodegenerative disorder that alters either motor or non-motor activities. Dopamine-based medications can help alleviate symptoms at an early stage, but the disease worsens due to fewer neuroprotective drugs. PD's pathogenic mechanism involves α-synuclein accumulations, lipid peroxidation damage, iron deposition, and enhanced oxidative stress. An iron-dependent method of programmed cell death known as ferroptosis, which results from the dangerous accumulation of lipid peroxides, is similar to PD. The interesting fact is that α-synuclein has been functionally connected to iron or lipid metabolism, suggesting that dysregulated α-syn may interact with other PD clinical traits associated with ferroptosis. Treatments aimed at restoring dopamine levels in the brain are already available; however, they only alleviate symptoms and do not stop the progression of neurodegeneration. Ferroptosis-related mechanisms that could be targeted for treatment will be discussed in this review. Researchers have found that anti-ferroptosis molecules such as iron chelators and anti-oxidants protect the brains of PD animal models and humans. The ferroptosis pathway in PD and the treatment prospects of addressing the molecular pathways engaged in ferroptosis are both examined in this review.

摘要

帕金森病(PD)是一种神经退行性疾病,会改变运动或非运动活动。基于多巴胺的药物可以在早期帮助缓解症状,但由于神经保护药物较少,疾病会恶化。PD 的发病机制涉及α-突触核蛋白积累、脂质过氧化损伤、铁沉积和氧化应激增强。铁依赖性程序性细胞死亡的一种方法称为铁死亡,它是由脂质过氧化物的危险积累引起的,类似于 PD。有趣的是,α-突触核蛋白已在功能上与铁或脂质代谢相关联,这表明失调的α-突触核蛋白可能与其他与铁死亡相关的 PD 临床特征相互作用。已经有针对恢复大脑中多巴胺水平的治疗方法;然而,它们只能缓解症状,不能阻止神经退行性变的进展。本文将讨论可能针对铁死亡相关机制进行治疗的方法。研究人员发现,铁螯合剂和抗氧化剂等抗铁死亡分子可以保护 PD 动物模型和人类的大脑。本文综述了 PD 中的铁死亡途径以及解决铁死亡相关分子途径的治疗前景。

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