Song Mingxue, Bai Yao, Song Fuyong
Department of Toxicology, School of Public Health, Cheeloo College of Medicine, Shandong University, 44 Wenhuaxi Road, Jinan, Shandong 250012, China.
NHC Key Laboratory of Food Safety Risk Assessment, China National Center for Food Safety Risk Assessment, Beijing 100021, China.
Pharmacol Res. 2025 Feb;212:107615. doi: 10.1016/j.phrs.2025.107615. Epub 2025 Jan 20.
In recent years, increasing evidence has supported that high-fat diet (HFD) can induce the chronic, low-grade neuroinflammation in the brain, which is closely associated with the impairment of cognitive function. As the key organelles responsible for energy metabolism in the cell, mitochondria are believed to involved in the pathogenesis of a variety of neurological disorders. This review summarizes the current progress in the field of the relationship between HFD exposure and neurodegenerative diseases, and outline the major routines of HFD induced neuroinflammation and its pathological significance in the pathogenesis of neurodegenerative diseases. Furthermore, the article highlights the pivotal role of mitochondrial dysfunction in driving the neuroinflammation in the setting of HFD. Danger-associated molecular patterns (DAMPs) from damaged mitochondria can activate innate immune signaling pathways, while mitochondrial dysfunction itself can lead to metabolic remodeling of inflammatory cells, thus inducing neuroinflammation. More importantly, mitochondrial damage, neuroinflammation, and insulin resistance caused by HFD form a mutually reinforcing vicious cycle, ultimately leading to the death of neurons and promoting the progression of neurodegenerative diseases. Thus, in-depth elucidation of the role and underlying mechanisms of mitochondrial dysfunction in HFD-induced metabolic disorders may not only expand our understanding of the mechanistic linkages between HFD and etiology of neurodegenerative diseases, but also help develop the specific strategies for the prevention and treatment of neurodegenerative diseases.
近年来,越来越多的证据支持高脂饮食(HFD)可诱导大脑发生慢性、低度神经炎症,这与认知功能损害密切相关。作为细胞内负责能量代谢的关键细胞器,线粒体被认为参与多种神经疾病的发病机制。本综述总结了高脂饮食暴露与神经退行性疾病关系领域的当前进展,并概述了高脂饮食诱导神经炎症的主要途径及其在神经退行性疾病发病机制中的病理意义。此外,本文强调了线粒体功能障碍在高脂饮食引发神经炎症过程中的关键作用。受损线粒体释放的危险相关分子模式(DAMPs)可激活固有免疫信号通路,而线粒体功能障碍本身可导致炎症细胞的代谢重塑,从而诱导神经炎症。更重要的是,高脂饮食引起的线粒体损伤、神经炎症和胰岛素抵抗形成了一个相互促进的恶性循环,最终导致神经元死亡并促进神经退行性疾病的进展。因此,深入阐明线粒体功能障碍在高脂饮食诱导的代谢紊乱中的作用及潜在机制,不仅可能拓展我们对高脂饮食与神经退行性疾病病因之间机制联系的理解,还有助于制定预防和治疗神经退行性疾病的具体策略。