Yu Haihan, Ren Kaidi, Jin Yage, Zhang Li, Liu Hui, Huang Zhen, Zhang Ziheng, Chen Xing, Yang Yang, Wei Ziqing
Department of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, PR China.
Department of Pharmacy, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, PR China.
Neuropharmacology. 2025 Feb 15;264:110217. doi: 10.1016/j.neuropharm.2024.110217. Epub 2024 Nov 16.
Neurodegenerative diseases such as Alzheimer's disease (AD), Parkinson's disease (PD), Huntington's disease (HD), and amyotrophic lateral sclerosis (ALS) are increasingly linked to mitochondrial dysfunction and neuroinflammation. Central to this link are mitochondrial damage-associated molecular patterns (mtDAMPs), including mitochondrial DNA, ATP, and reactive oxygen species, released during mitochondrial stress or damage. These mtDAMPs activate inflammatory pathways, such as the NLRP3 inflammasome and cGAS-STING, contributing to the progression of neurodegenerative diseases. This review delves into the mechanisms by which mtDAMPs drive neuroinflammation and discusses potential therapeutic strategies targeting these pathways to mitigate neurodegeneration. Additionally, it explores the cross-talk between mitochondria and the immune system, highlighting the complex interplay that exacerbates neuronal damage. Understanding the role of mtDAMPs could pave the way for novel treatments aimed at modulating neuroinflammation and slowing disease progression, ultimately improving patient outcome.
诸如阿尔茨海默病(AD)、帕金森病(PD)、亨廷顿病(HD)和肌萎缩侧索硬化症(ALS)等神经退行性疾病越来越多地与线粒体功能障碍和神经炎症相关联。这种关联的核心是线粒体损伤相关分子模式(mtDAMPs),包括在线粒体应激或损伤期间释放的线粒体DNA、ATP和活性氧物质。这些mtDAMPs激活炎症途径,如NLRP3炎性小体和cGAS-STING,促进神经退行性疾病的进展。本综述深入探讨了mtDAMPs驱动神经炎症的机制,并讨论了针对这些途径减轻神经退行性变的潜在治疗策略。此外,它还探讨了线粒体与免疫系统之间的相互作用,强调了加剧神经元损伤的复杂相互作用。了解mtDAMPs的作用可能为旨在调节神经炎症和减缓疾病进展的新治疗方法铺平道路,最终改善患者的预后。