You Wenting, Berendschot Tos T J M, Benedikter Birke J, Webers Carroll A B, Reutelingsperger Chris P M, Gorgels Theo G M F
University Eye Clinic Maastricht UMC+, Maastricht University Medical Center+, Maastricht, The Netherlands.
Department of Biochemistry, CARIM School for Cardiovascular Disease, Maastricht University, Maastricht, The Netherlands.
Neural Regen Res. 2026 Mar 1;21(3):1013-1022. doi: 10.4103/NRR.NRR-D-24-01134. Epub 2025 Apr 29.
Unwarranted death of neurons is a major cause of neurodegenerative diseases. Since mature neurons are postmitotic and do not replicate, their death usually constitutes an irreversible step in pathology. A logical strategy to prevent neurodegeneration would then be to save all neurons that are still alive, i.e. protecting the ones that are still healthy as well as trying to rescue the ones that are damaged and in the process of dying. Regarding the latter, recent experiments have indicated that the possibility of reversing the cell death process and rescuing dying cells is more significant than previously anticipated. In many situations, the elimination of the cell death trigger alone enables dying cells to spontaneously repair their damage, recover, and survive. In this review, we explore the factors, which determine the fate of neurons engaged in the cell death process. A deeper insight into cell death mechanisms and the intrinsic capacity of cells to recover could pave the way for novel therapeutic approaches to neurodegenerative diseases.
神经元的无端死亡是神经退行性疾病的主要原因。由于成熟神经元处于有丝分裂后阶段且不会复制,它们的死亡通常是病理过程中不可逆转的一步。那么,预防神经退行性变的一个合理策略就是挽救所有仍存活的神经元,即保护那些仍然健康的神经元,并试图拯救那些受损且正在死亡过程中的神经元。关于后者,最近的实验表明,逆转细胞死亡过程和拯救濒死细胞的可能性比之前预期的要大得多。在许多情况下,仅消除细胞死亡触发因素就能使濒死细胞自发修复损伤、恢复并存活。在这篇综述中,我们探讨了决定参与细胞死亡过程的神经元命运的因素。对细胞死亡机制以及细胞内在恢复能力的更深入了解可能为神经退行性疾病的新治疗方法铺平道路。