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HS与Nrf2信号通路的交集:神经退行性疾病的治疗机遇

Intersection of HS and Nrf2 signaling: Therapeutic opportunities for neurodegenerative diseases.

作者信息

Soni Priyanka, Paswan Shravan, Paul Bindu D, Thomas Bobby

机构信息

Darby Children's Research Institute, Medical University of South Carolina, Charleston, SC, USA; Department of Pediatrics, Medical University of South Carolina, Charleston, SC, USA.

Department of Pharmacology and Molecular Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA; The Solomon H. Snyder Department of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Lieber Institute for Brain Development, Baltimore, MD, USA.

出版信息

Neurotherapeutics. 2025 Jun 21:e00627. doi: 10.1016/j.neurot.2025.e00627.

Abstract

Neurodegenerative diseases, including Alzheimer's disease (AD), Parkinson's disease (PD), and Huntington's disease (HD), represent a significant global health burden due to their progressive and debilitating nature. While the etiology of these disorders is multifaceted, oxidative stress, resulting from an imbalance between the generation of reactive oxygen species (ROS) and neuronal antioxidant stress responses, has emerged as a pivotal factor in their pathogenesis. Amongst the cellular defense mechanisms counteracting oxidative stress, signaling cascades regulated by the nuclear factor erythroid 2-related factor 2 (Nrf2)-Kelch-like ECH-associated protein 1 (Keap1) signaling axis, play a crucial role. Nrf2 signaling is modulated at multiple levels and regulates redox homeostasis and other cellular processes such as expression of neuroprotective genes, resolution of neuroinflammation, stimulating mitochondrial bioenergetics, facilitating cellular repair, and proteostasis. In recent years, the gaseous molecule or gasotransmitter, hydrogen sulfide (HS), was shown to modulate Nrf2-mediated signaling through processes that include disruption of Keap1-Nrf2 interaction, leading to enhanced Nrf2 activation. This review explores the intricate relationship between hydrogen sulfide and Nrf2-Keap1 signaling, highlighting their potential to counteract neurodegenerative processes. The interplay between HS and Nrf2 signaling underscores their potential as endogenous regulators of cellular resilience against neurodegeneration. Understanding how gasotransmitters fine-tune the Nrf2-Keap1 pathway opens up new avenues for therapeutic interventions in these neurodegenerative disorders. By elucidating how gasotransmitters influence Nrf2-mediated responses, we aim to underscore promising therapeutic strategies that target oxidative damage, modulate neuroinflammation, and enhance neuronal survival pathways in neurodegenerative diseases.

摘要

神经退行性疾病,包括阿尔茨海默病(AD)、帕金森病(PD)和亨廷顿舞蹈病(HD),因其渐进性和使人衰弱的特性而成为全球重大的健康负担。虽然这些疾病的病因是多方面的,但活性氧(ROS)生成与神经元抗氧化应激反应之间的失衡所导致的氧化应激,已成为其发病机制中的关键因素。在对抗氧化应激的细胞防御机制中,由核因子红细胞2相关因子2(Nrf2)- Kelch样ECH相关蛋白1(Keap1)信号轴调节的信号级联发挥着关键作用。Nrf2信号在多个水平受到调节,并调节氧化还原稳态和其他细胞过程,如神经保护基因的表达、神经炎症的消退、刺激线粒体生物能量学、促进细胞修复和蛋白质稳态。近年来,气态分子或气体递质硫化氢(HS)被证明可通过包括破坏Keap1 - Nrf2相互作用在内的过程来调节Nrf2介导的信号,从而导致Nrf2激活增强。本综述探讨了硫化氢与Nrf2 - Keap1信号之间的复杂关系,强调了它们对抗神经退行性过程的潜力。HS与Nrf2信号之间的相互作用突出了它们作为细胞抵抗神经退行性变的内源性调节因子的潜力。了解气体递质如何微调Nrf2 - Keap1途径为这些神经退行性疾病的治疗干预开辟了新途径。通过阐明气体递质如何影响Nrf2介导的反应,我们旨在强调有前景的治疗策略,这些策略针对氧化损伤、调节神经炎症并增强神经退行性疾病中的神经元存活途径。

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