Chen Xi, An Hong, He Jiachen, Guo Jiaqi, Xu Shuaili, Wu Chuanjie, Wu Di, Ji Xunming
Department of Neurology and China-America Institute of Neuroscience, Xuanwu Hospital, Beijing Institute of Brain Disorders, Capital Medical University, Beijing, China.
Department of Neurology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
J Cereb Blood Flow Metab. 2025 May 15:271678X251341293. doi: 10.1177/0271678X251341293.
Neurological disorders, including brain cancer, neurodegenerative diseases and ischemic/reperfusion injury, pose a significant threat to global human health. Due to the high metabolic demands of nerve cells, mitochondrial dysfunction is a critical feature of these disorders. The mitochondrial unfolded protein response (UPR) is an evolutionarily conserved mitochondrial response, which is critical for maintaining mitochondrial and energetic homeostasis under stress. Previous studies have found that UPR participates in diverse physiological processes especially metabolism and immunity. Currently, increasing evidence suggest that targeted regulation of UPR can also effectively delay the progression of neurological diseases and improve patients' prognosis. This review provides a comprehensive overview of UPR in the context of neurological diseases, with a particular emphasis on its regulatory functions. Additionally, we summarize the mechanistic insights into UPR in neurological disorders as investigated in preclinical studies, as well as its potential as a therapeutic target in the clinical management of neurological tumors. By highlighting the importance of UPR in the complex processes underlying neurological disorders, this review aims to bridge current knowledge gaps and inspire novel therapeutic strategies for these conditions.
神经疾病,包括脑癌、神经退行性疾病和缺血/再灌注损伤,对全球人类健康构成重大威胁。由于神经细胞对代谢的高需求,线粒体功能障碍是这些疾病的一个关键特征。线粒体未折叠蛋白反应(UPR)是一种进化上保守的线粒体反应,对于在应激状态下维持线粒体和能量稳态至关重要。先前的研究发现,UPR参与多种生理过程,尤其是代谢和免疫。目前,越来越多的证据表明,对UPR的靶向调节也可以有效地延缓神经疾病的进展并改善患者的预后。本综述全面概述了神经疾病背景下的UPR,特别强调了其调节功能。此外,我们总结了临床前研究中对神经疾病中UPR的机制性见解,以及其作为神经肿瘤临床治疗靶点的潜力。通过强调UPR在神经疾病复杂过程中的重要性,本综述旨在弥合当前的知识差距,并激发针对这些疾病的新型治疗策略。