Department of Biochemistry and Molecular Biology, School of Basic Medical Science, Southwest Medical University, Luzhou, China.
Department of Dermatology, The Affiliated Hospital of Southwest Medical University, Luzhou, China.
CNS Neurosci Ther. 2024 Feb;30(2):e14411. doi: 10.1111/cns.14411. Epub 2023 Aug 14.
Parkinson's disease (PD) is a common neurodegenerative disease, which can cause progressive deterioration of motor function causing muscle stiffness, tremor, and bradykinesia. In this review, we hope to describe approaches that can improve the life of PD patients through modifications of energy metabolism.
The main pathological features of PD are the progressive loss of nigrostriatal dopaminergic neurons and the production of Lewy bodies. Abnormal aggregation of α-synuclein (α-Syn) leading to the formation of Lewy bodies is closely associated with neuronal dysfunction and degeneration. The main causes of PD are said to be mitochondrial damage, oxidative stress, inflammation, and abnormal protein aggregation. Presence of abnormal energy metabolism is another cause of PD. Many studies have found significant differences between neurodegenerative diseases and metabolic decompensation, which has become a biological hallmark of neurodegenerative diseases.
In this review, we highlight the relationship between abnormal energy metabolism (Glucose metabolism, lipid metabolism, and amino acid metabolism) and PD. Improvement of key molecules in glucose metabolism, fat metabolism, and amino acid metabolism (e.g., glucose-6-phosphate dehydrogenase, triglycerides, and levodopa) might be potentially beneficial in PD. Some of these metabolic indicators may serve well during the diagnosis of PD. In addition, modulation of these metabolic pathways may be a potential target for the treatment and prevention of PD.
帕金森病(PD)是一种常见的神经退行性疾病,可导致运动功能进行性恶化,引起肌肉僵硬、震颤和运动迟缓。在这篇综述中,我们希望描述通过能量代谢的改变来改善 PD 患者生活的方法。
PD 的主要病理特征是黑质纹状体多巴胺能神经元的进行性丧失和路易体的产生。α-突触核蛋白(α-Syn)的异常聚集导致路易体的形成,与神经元功能障碍和退化密切相关。PD 的主要原因被认为是线粒体损伤、氧化应激、炎症和异常蛋白聚集。异常能量代谢的存在是 PD 的另一个原因。许多研究发现,神经退行性疾病与代谢失代偿之间存在显著差异,这已成为神经退行性疾病的生物学标志。
在这篇综述中,我们强调了异常能量代谢(葡萄糖代谢、脂质代谢和氨基酸代谢)与 PD 之间的关系。改善葡萄糖代谢、脂肪代谢和氨基酸代谢中的关键分子(如葡萄糖-6-磷酸脱氢酶、甘油三酯和左旋多巴)可能对 PD 有益。这些代谢指标中的一些可能在 PD 的诊断中发挥良好作用。此外,调节这些代谢途径可能是治疗和预防 PD 的潜在目标。