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帕金森病中的选择性多巴胺能易损性:对多巴胺转运体作用的新见解

Selective dopaminergic vulnerability in Parkinson's disease: new insights into the role of DAT.

作者信息

Harraz Maged M

机构信息

Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, United States.

Department of Pharmacology, University of Maryland School of Medicine, Baltimore, MD, United States.

出版信息

Front Neurosci. 2023 Aug 24;17:1219441. doi: 10.3389/fnins.2023.1219441. eCollection 2023.

Abstract

One of the hallmarks of Parkinson's disease (PD) is the progressive loss of dopaminergic neurons and associated dopamine depletion. Several mechanisms, previously considered in isolation, have been proposed to contribute to the pathophysiology of dopaminergic degeneration: dopamine oxidation-mediated neurotoxicity, high dopamine transporter (DAT) expression density per neuron, and autophagy-lysosome pathway (ALP) dysfunction. However, the interrelationships among these mechanisms remained unclear. Our recent research bridges this gap, recognizing autophagy as a novel dopamine homeostasis regulator, unifying these concepts. I propose that autophagy modulates dopamine reuptake by selectively degrading DAT. In PD, ALP dysfunction could increase DAT density per neuron, and enhance dopamine reuptake, oxidation, and neurotoxicity, potentially contributing to the progressive loss of dopaminergic neurons. This integrated understanding may provide a more comprehensive view of aspects of PD pathophysiology and opens new avenues for therapeutic interventions.

摘要

帕金森病(PD)的一个标志性特征是多巴胺能神经元的逐渐丧失以及相关的多巴胺耗竭。以前被孤立考虑的几种机制已被提出与多巴胺能变性的病理生理学有关:多巴胺氧化介导的神经毒性、每个神经元的高多巴胺转运体(DAT)表达密度以及自噬-溶酶体途径(ALP)功能障碍。然而,这些机制之间的相互关系仍不清楚。我们最近的研究弥补了这一差距,将自噬识别为一种新的多巴胺稳态调节剂,统一了这些概念。我认为自噬通过选择性降解DAT来调节多巴胺再摄取。在帕金森病中,ALP功能障碍可能会增加每个神经元的DAT密度,并增强多巴胺再摄取、氧化和神经毒性,这可能导致多巴胺能神经元的逐渐丧失。这种综合理解可能会为帕金森病病理生理学的各个方面提供更全面的观点,并为治疗干预开辟新途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff6/10483232/d2aa53ddcb4c/fnins-17-1219441-g001.jpg

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