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阿尔茨海默病中的线粒体功能障碍

Mitochondrial dysfunction in Alzheimer's disease.

作者信息

D'Alessandro Maria Clara Bila, Kanaan Salim, Geller Mauro, Praticò Domenico, Daher João Paulo Lima

机构信息

Universidade Federal Fluminense, Faculty of Medicine, Desembargador Athayde Parreiras road 100, Niterói, Rio de Janeiro, Brazil.

Universidade Federal Fluminense, Faculty of Medicine, Department of Pathology, Marquês do Paraná road, 303, 2nd floor, Niterói, Rio de Janeiro, Brazil.

出版信息

Ageing Res Rev. 2025 May;107:102713. doi: 10.1016/j.arr.2025.102713. Epub 2025 Feb 28.

Abstract

Alzheimer's disease (AD) is a chronic neurodegenerative disease characterized by progressive cognitive decline and distinct neuropathological features. The absence of a definitive cure presents a significant challenge in neurology and neuroscience. Early clinical manifestations, such as memory retrieval deficits and apathy, underscore the need for a deeper understanding of the disease's underlying mechanisms. While amyloid-β plaques and tau neurofibrillary tangles have dominated research efforts, accumulating evidence highlights mitochondrial dysfunction as a central factor in AD pathogenesis. Mitochondria, essential cellular organelles responsible for energy production necessary for neuronal function become impaired in AD, triggering several cellular consequences. Factors such as oxidative stress, disturbances in energy metabolism, failures in the mitochondrial quality control system, and dysregulation of calcium release are associated with mitochondrial dysfunction. These abnormalities are closely linked to the neurodegenerative processes driving AD development and progression. This review explores the intricate relationship between mitochondrial dysfunction and AD pathogenesis, emphasizing its role in disease onset and progression, while also considering its potential as a biomarker and a therapeutic target.

摘要

阿尔茨海默病(AD)是一种慢性神经退行性疾病,其特征为进行性认知衰退和独特的神经病理学特征。由于缺乏确切的治愈方法,这给神经学和神经科学带来了重大挑战。早期临床表现,如记忆提取缺陷和冷漠,凸显了深入了解该疾病潜在机制的必要性。虽然淀粉样β蛋白斑块和tau神经原纤维缠结一直是研究的重点,但越来越多的证据表明线粒体功能障碍是AD发病机制的核心因素。线粒体是负责产生神经元功能所需能量的重要细胞器,在AD中会受损,引发多种细胞后果。氧化应激、能量代谢紊乱、线粒体质量控制系统故障以及钙释放失调等因素都与线粒体功能障碍有关。这些异常与推动AD发展和进展的神经退行性过程密切相关。本综述探讨了线粒体功能障碍与AD发病机制之间的复杂关系,强调其在疾病发生和进展中的作用,同时也考虑其作为生物标志物和治疗靶点的潜力。

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