帕金森病中α-突触核蛋白的发病机制:从神经元-胶质细胞串扰角度。

Pathogenesis of α-Synuclein in Parkinson's Disease: From a Neuron-Glia Crosstalk Perspective.

机构信息

School of Life Science and Technology, ShanghaiTech University, Shanghai 201210, China.

出版信息

Int J Mol Sci. 2022 Nov 25;23(23):14753. doi: 10.3390/ijms232314753.

Abstract

Parkinson's disease (PD) is a progressive neurodegenerative disorder. The classical behavioral defects of PD patients involve motor symptoms such as bradykinesia, tremor, and rigidity, as well as non-motor symptoms such as anosmia, depression, and cognitive impairment. Pathologically, the progressive loss of dopaminergic (DA) neurons in the substantia nigra (SN) and the accumulation of α-synuclein (α-syn)-composed Lewy bodies (LBs) and Lewy neurites (LNs) are key hallmarks. Glia are more than mere bystanders that simply support neurons, they actively contribute to almost every aspect of neuronal development and function; glial dysregulation has been implicated in a series of neurodegenerative diseases including PD. Importantly, amounting evidence has added glial activation and neuroinflammation as new features of PD onset and progression. Thus, gaining a better understanding of glia, especially neuron-glia crosstalk, will not only provide insight into brain physiology events but also advance our knowledge of PD pathologies. This review addresses the current understanding of α-syn pathogenesis in PD, with a focus on neuron-glia crosstalk. Particularly, the transmission of α-syn between neurons and glia, α-syn-induced glial activation, and feedbacks of glial activation on DA neuron degeneration are thoroughly discussed. In addition, α-syn aggregation, iron deposition, and glial activation in regulating DA neuron ferroptosis in PD are covered. Lastly, we summarize the preclinical and clinical therapies, especially targeting glia, in PD treatments.

摘要

帕金森病(PD)是一种进行性神经退行性疾病。PD 患者的典型行为缺陷包括运动症状,如运动迟缓、震颤和僵硬,以及非运动症状,如嗅觉丧失、抑郁和认知障碍。从病理学角度来看,黑质(SN)中多巴胺能(DA)神经元的进行性丧失和由α-突触核蛋白(α-syn)组成的路易体(LB)和路易神经突(LN)的积累是关键标志。神经胶质细胞不仅仅是简单支持神经元的旁观者,它们还积极参与神经元发育和功能的几乎所有方面;神经胶质细胞的失调与一系列神经退行性疾病有关,包括 PD。重要的是,越来越多的证据表明,神经胶质细胞的激活和神经炎症是 PD 发病和进展的新特征。因此,更好地了解神经胶质细胞,特别是神经元-神经胶质细胞相互作用,不仅将深入了解大脑生理事件,还将加深我们对 PD 病理学的认识。本综述探讨了目前对 PD 中α-syn 发病机制的理解,重点关注神经元-神经胶质细胞相互作用。特别是,α-syn 在神经元和神经胶质细胞之间的传递、α-syn 诱导的神经胶质细胞激活以及神经胶质细胞激活对 DA 神经元变性的反馈进行了深入讨论。此外,还涵盖了α-syn 聚集、铁沉积以及神经胶质细胞激活在调控 PD 中 DA 神经元铁死亡中的作用。最后,我们总结了 PD 治疗中针对神经胶质细胞的临床前和临床治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73d5/9739123/344a41367c3f/ijms-23-14753-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索