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探索 cGAS-STING 通路在神经退行性疾病领域的联系:治疗的探索之旅。

Exploring the nexus of cGAS STING pathway in neurodegenerative terrain: A therapeutic odyssey.

机构信息

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

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

出版信息

Int Immunopharmacol. 2024 Dec 5;142(Pt B):113205. doi: 10.1016/j.intimp.2024.113205. Epub 2024 Sep 27.

DOI:10.1016/j.intimp.2024.113205
PMID:39332091
Abstract

By detecting and responding to cytosolic DNA, the cGAS STING pathway regulates the innate immune responses bymediatinginflammatory reactions and antiviral defense. Thederegulation and modification of this system have been linked to variousneurodegenerative diseases like AD, PD and ALS. Accumulation of tau protein and Aβ aggregates to activate the pathway and releases neuroinflammatory cytokines which accelerates neuronal dysfunction and cognitive impairment as the symptom of AD. Similarly, in PD Alpha-synuclein aggregates activate the cGAS STING pathway and regulate the neuroinflammation and oxidative stress. In ALS, mutation of the genes causes the activation of the pathway which leads to motor neuron degeneration. Alteration of the cGAS STING pathway also leads to mitochondrial dysfunction and impaired autophagy. Preclinical investigations of AD, PD, and ALS animal models showed that STING pathway inhibitors reduced inflammation and improved neurological outcomes and modulators of the cGAS STING pathway may treat these neurodegenerative disorders. In this review we focus on the fact thatneuroinflammation, neuronal dysfunction, and various disease progressions can be treated byaltering the cGAS STING pathway. Understanding the processes and creating specific interventions for this route may offer new treatments for these terrible illnesses.

摘要

cGAS-STING 通路通过检测和响应细胞溶质 DNA,调节先天免疫反应,介导炎症反应和抗病毒防御。该系统的失调和修饰与 AD、PD 和 ALS 等各种神经退行性疾病有关。tau 蛋白和 Aβ 聚集物的积累会激活该通路,并释放神经炎症细胞因子,加速神经元功能障碍和认知障碍,这是 AD 的症状。同样,在 PD 中,α-突触核蛋白聚集物会激活 cGAS-STING 通路,并调节神经炎症和氧化应激。在 ALS 中,基因突变会导致通路的激活,从而导致运动神经元变性。cGAS-STING 通路的改变也会导致线粒体功能障碍和自噬受损。AD、PD 和 ALS 动物模型的临床前研究表明,STING 通路抑制剂可减少炎症并改善神经学结果,cGAS-STING 通路的调节剂可能治疗这些神经退行性疾病。在这篇综述中,我们重点讨论了通过改变 cGAS-STING 通路可以治疗神经炎症、神经元功能障碍和各种疾病进展的事实。了解这一途径的过程并为其创建特定的干预措施可能为这些可怕的疾病提供新的治疗方法。

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