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获得性Piezo2通道病是病理生理学的一个主要途径。

Acquired Piezo2 Channelopathy is One Principal Gateway to Pathophysiology.

作者信息

Sonkodi Balázs

机构信息

Department of Health Sciences and Sport Medicine, Hungarian University of Sports Science, 1123 Budapest, Hungary.

Department of Sports Medicine, Semmelweis University, 1122 Budapest, Hungary.

出版信息

Front Biosci (Landmark Ed). 2025 May 7;30(5):33389. doi: 10.31083/FBL33389.

Abstract

The Piezo2 transmembrane proteins were identified by Ardem Patapoutian and his team. They also found that Piezo2 is the principal mechanosensory ion channel responsible for proprioception. Even before the Nobel Prize was awarded to him, it was proposed that these Piezo2 channels could sustain acquired microdamage at the proprioceptive somatosensory terminals under allostatic stress. Moreover, the principality of Piezo2 is suggested to extend beyond its physiological function, highlighting its relevance in the context of microdamage as well. Hence, acquired Piezo2 channelopathy is proposed to constitute one principal gateway to pathophysiology underpinned by proton affinity, energy metabolism and a proprioceptive pathway switch. The differentiating incomparable hallmark of Piezo2 is theorized to be a low-frequency semiconductor Schottky barrier diode-like feature that provides proton handling for quantum tunnelling and ultrafast long-range signalling to the hippocampus. Accordingly, even the proposed acquired Piezo2 channelopathy is also enigmatic by causing the impairment of this Piezo2-initiated ultrafast proton-based long-range signalling and proper synchronization to the hippocampus. The revealing of this protonic word and the ultrafast long-range signalling within the nervous system and its microdamage brings an entirely new perspective in medicine with the interpretation of the quad-phasic non-contact injury model. This is why this Piezo2 microdamage has been coined as the primary damage or the root cause of ageing. Paired-associative electromagnetic stimulation appears to be a promising treatment method and heart rate variability detection could be used for diagnosing autonomic nervous system disbalance as one symptom of this proposed Piezo2 channelopathy.

摘要

Piezo2跨膜蛋白是由阿尔登·帕塔普蒂安及其团队发现的。他们还发现,Piezo2是负责本体感觉的主要机械感觉离子通道。甚至在他获得诺贝尔奖之前,就有人提出,这些Piezo2通道可能在应激状态下维持本体感觉躯体感觉终端的后天微损伤。此外,Piezo2的主要作用似乎超出了其生理功能,这也凸显了它在微损伤方面的相关性。因此,后天性Piezo2通道病被认为是由质子亲和力、能量代谢和本体感觉通路转换所支撑的病理生理学的一个主要途径。Piezo2独特的标志性特征被理论化为一种低频半导体肖特基势垒二极管样特征,它为量子隧穿提供质子处理,并向海马体进行超快远程信号传递。相应地,即使是所提出的后天性Piezo2通道病,也因导致这种由Piezo2启动的基于质子的超快远程信号传递受损以及与海马体的正确同步受损而令人费解。揭示这个质子相关内容以及神经系统内的超快远程信号传递及其微损伤,为四相非接触损伤模型的解释带来了医学上全新的视角。这就是为什么这种Piezo2微损伤被称为衰老的主要损伤或根本原因。配对联想电磁刺激似乎是一种有前景的治疗方法,心率变异性检测可用于诊断自主神经系统失衡,这是所提出的这种Piezo2通道病的一种症状。

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