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氧化应激和衰老作为阿尔茨海默病和帕金森病的风险因素:抗氧化剂褪黑素的作用。

Oxidative Stress and Aging as Risk Factors for Alzheimer's Disease and Parkinson's Disease: The Role of the Antioxidant Melatonin.

机构信息

Institute of Neurobiology, Bulgarian Academy of Sciences, Acad. G. Bonchev Street, Block 23, 1113 Sofia, Bulgaria.

Institute of Biophysics and Biomedical Engineering, Bulgarian Academy of Sciences, Acad. G. Bonchev Street, Block 21, 1113 Sofia, Bulgaria.

出版信息

Int J Mol Sci. 2023 Feb 3;24(3):3022. doi: 10.3390/ijms24033022.

Abstract

Aging and neurodegenerative diseases share common hallmarks, including mitochondrial dysfunction and protein aggregation. Moreover, one of the major issues of the demographic crisis today is related to the progressive rise in costs for care and maintenance of the standard living condition of aged patients with neurodegenerative diseases. There is a divergence in the etiology of neurodegenerative diseases. Still, a disturbed endogenous pro-oxidants/antioxidants balance is considered the crucial detrimental factor that makes the brain vulnerable to aging and progressive neurodegeneration. The present review focuses on the complex relationships between oxidative stress, autophagy, and the two of the most frequent neurodegenerative diseases associated with aging, Alzheimer's disease (AD) and Parkinson's disease (PD). Most of the available data support the hypothesis that a disturbed antioxidant defense system is a prerequisite for developing pathogenesis and clinical symptoms of ADs and PD. Furthermore, the release of the endogenous hormone melatonin from the pineal gland progressively diminishes with aging, and people's susceptibility to these diseases increases with age. Elucidation of the underlying mechanisms involved in deleterious conditions predisposing to neurodegeneration in aging, including the diminished role of melatonin, is important for elaborating precise treatment strategies for the pathogenesis of AD and PD.

摘要

衰老和神经退行性疾病具有共同的特征,包括线粒体功能障碍和蛋白质聚集。此外,当今人口危机的主要问题之一与神经退行性疾病老年患者的护理和维持标准生活条件的成本不断上升有关。神经退行性疾病的病因存在差异,但内源性促氧化剂/抗氧化剂平衡的紊乱被认为是使大脑易受衰老和进行性神经退行性变影响的关键有害因素。本综述重点讨论了氧化应激、自噬以及与衰老相关的两种最常见的神经退行性疾病——阿尔茨海默病(AD)和帕金森病(PD)之间的复杂关系。大多数现有数据支持这样一种假设,即抗氧化防御系统的紊乱是 AD 和 PD 发病机制和临床症状发展的先决条件。此外,松果腺分泌的内源性激素褪黑素随年龄的增长而逐渐减少,人们对这些疾病的易感性也随着年龄的增长而增加。阐明导致衰老过程中神经退行性变的有害条件的潜在机制,包括褪黑素作用的减弱,对于制定 AD 和 PD 发病机制的精确治疗策略非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03f2/9917989/f51b323b6992/ijms-24-03022-g001.jpg

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