BDNF, brain-derived neurotrophic factor

BDNF, 脑源性神经营养因子
  • 文章类型: Journal Article
    活化的小胶质细胞分为促炎和抗炎功能状态。在抗炎状态下,活化的小胶质细胞有助于吞噬作用,神经修复和抗炎。Nrf2作为脑出血(ICH)后血肿清除的主要内源性调节因子备受关注。本研究旨在探讨Nrf2介导的小胶质细胞表型和吞噬作用在脑出血后血肿清除中的作用机制。体外实验,将BV-2细胞分为正常组和给药组(Nrf2-siRNA,Nrf2激动剂Monascin和血脂康)。体内实验,将小鼠分为5组:假手术,ICH+车辆,ICH+Nrf2-/-,ICH+Monascin和ICH+血脂康。在体外和体内,Monascin和血脂康给药后72小时,Nrf2、炎症相关因子Trem1、TNF-α和CD80的表达,通过Westernblot方法分析神经修复和吞噬相关因子如Trem2,CD206和BDNF。体外,BV-2细胞摄取荧光乳胶珠或红细胞,以研究小胶质细胞的吞噬能力。在体内,血红蛋白水平反映血肿体积。在这项研究中,Nrf2激动剂(Monascin和血脂康)在体内和体外均上调Trem2,CD206和BDNF的表达,而在体内和体外均降低Trem1,TNF-α和CD80的表达。同时,经过Monascin和血脂康治疗,小胶质细胞的吞噬能力在体外增加,体内神经功能缺损改善,血肿体积减少。这些结果在Nrf2-siRNA或Nrf2-/-小鼠中逆转。所有这些结果表明Nrf2增强血肿清除和神经修复,通过增强小胶质细胞吞噬作用和减轻神经炎症改善神经系统预后。
    Activated microglia are divided into pro-inflammatory and anti-inflammatory functional states. In anti-inflammatory state, activated microglia contribute to phagocytosis, neural repair and anti-inflammation. Nrf2 as a major endogenous regulator in hematoma clearance after intracerebral hemorrhage (ICH) has received much attention. This study aims to investigate the mechanism underlying Nrf2-mediated regulation of microglial phenotype and phagocytosis in hematoma clearance after ICH. In vitro experiments, BV-2 cells were assigned to normal group and administration group (Nrf2-siRNA, Nrf2 agonists Monascin and Xuezhikang). In vivo experiments, mice were divided into 5 groups: sham, ICH + vehicle, ICH + Nrf2-/-, ICH + Monascin and ICH + Xuezhikang. In vitro and in vivo, 72 h after administration of Monascin and Xuezhikang, the expression of Nrf2, inflammatory-associated factors such as Trem1, TNF-α and CD80, anti-inflammatory, neural repair and phagocytic associated factors such as Trem2, CD206 and BDNF were analyzed by the Western blot method. In vitro, fluorescent latex beads or erythrocytes were uptaken by BV-2 cells in order to study microglial phagocytic ability. In vivo, hemoglobin levels reflect the hematoma volume. In this study, Nrf2 agonists (Monascin and Xuezhikang) upregulated the expression of Trem2, CD206 and BDNF while decreased the expression of Trem1, TNF-α and CD80 both in vivo and in vitro. At the same time, after Monascin and Xuezhikang treatment, the phagocytic capacity of microglia increased in vitro, neurological deficits improved and hematoma volume lessened in vivo. These results were reversed in the Nrf2-siRNA or the Nrf2-/- mice. All these results indicated that Nrf2 enhanced hematoma clearance and neural repair, improved neurological outcomes through enhancing microglial phagocytosis and alleviating neuroinflammation.
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  • 文章类型: Journal Article
    脊髓损伤(SCI)导致毁灭性的物理后果,如严重的感觉运动功能障碍甚至终生残疾,破坏皮质脊髓系统.传统的观点认为,由于成人中枢神经系统(CNS)中神经元再生不良,SCI难以处理,需要重新审视,因为CNS具有相当大的可塑性。这是神经损伤恢复的基础。在SCI后的皮质脊髓运动回路中已证明了大量的自发性神经可塑性。这些可塑性变化中的一些似乎是有益的,而另一些则不利于SCI后的运动功能恢复。保留的皮质脊髓回路中有益的皮质脊髓可塑性可以通过多种当代神经调节方法进行治疗。尤其是基于电刺激的模式,以活动依赖的方式改善SCI后康复的功能结局。沉默的突触生成和解除沉默有助于深刻的神经可塑性,这与各种神经系统疾病有关。因此,它们可能参与SCI后的皮质脊髓运动回路神经可塑性。探索皮质脊髓运动电路中沉默突触介导的神经可塑性的潜在机制,该机制可能被神经调节所利用,将为优化SCI患者的治疗修复策略和康复干预提供新的方向。
    Spinal cord injury (SCI) leads to devastating physical consequences, such as severe sensorimotor dysfunction even lifetime disability, by damaging the corticospinal system. The conventional opinion that SCI is intractable due to the poor regeneration of neurons in the adult central nervous system (CNS) needs to be revisited as the CNS is capable of considerable plasticity, which underlie recovery from neural injury. Substantial spontaneous neuroplasticity has been demonstrated in the corticospinal motor circuitry following SCI. Some of these plastic changes appear to be beneficial while others are detrimental toward locomotor function recovery after SCI. The beneficial corticospinal plasticity in the spared corticospinal circuits can be harnessed therapeutically by multiple contemporary neuromodulatory approaches, especially the electrical stimulation-based modalities, in an activity-dependent manner to improve functional outcomes in post-SCI rehabilitation. Silent synapse generation and unsilencing contribute to profound neuroplasticity that is implicated in a variety of neurological disorders, thus they may be involved in the corticospinal motor circuit neuroplasticity following SCI. Exploring the underlying mechanisms of silent synapse-mediated neuroplasticity in the corticospinal motor circuitry that may be exploited by neuromodulation will inform a novel direction for optimizing therapeutic repair strategies and rehabilitative interventions in SCI patients.
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  • 文章类型: Journal Article
    通过结合生理和心理形式的压力源,各种啮齿动物模型为理解应激生理学提供了重要的见解。啮齿动物模型还提供了关于应激相关疾病如焦虑症的病理生理学机制基础的重要信息。抑郁症,认知障碍和创伤后应激障碍。此外,应激的啮齿动物模型在药物筛选和治疗应激引起的疾病的药物开发领域已成为有价值的工具。尽管啮齿动物模型不能准确再现应激反应的生化或生理参数,也不能完全模仿人类疾病的自然进展,然而,动物研究为许多重要的科学问题提供了答案。在这篇评论文章中,利用各种应力模型的重要研究在其设计和设备方面进行了描述,特别关注他们产生可靠的行为和生化读数的能力。该评论通过讨论文献中的示例来关注啮齿动物模型的实用性,这些示例为生理相关问题提供了重要的机械见解。该评论强调了啮齿动物压力模型作为推进科学研究和调查任务的重要工具的实用性。
    Through incorporating both physical and psychological forms of stressors, a variety of rodent models have provided important insights into the understanding of stress physiology. Rodent models also have provided significant information with regards to the mechanistic basis of the pathophysiology of stress-related disorders such as anxiety disorders, depressive illnesses, cognitive impairment and post-traumatic stress disorder. Additionally, rodent models of stress have served as valuable tools in the area of drug screening and drug development for treatment of stress-induced conditions. Although rodent models do not accurately reproduce the biochemical or physiological parameters of stress response and cannot fully mimic the natural progression of human disorders, yet, animal research has provided answers to many important scientific questions. In this review article, important studies utilizing a variety of stress models are described in terms of their design and apparatus, with specific focus on their capabilities to generate reliable behavioral and biochemical read-out. The review focusses on the utility of rodent models by discussing examples in the literature that offer important mechanistic insights into physiologically relevant questions. The review highlights the utility of rodent models of stress as important tools for advancing the mission of scientific research and inquiry.
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  • 文章类型: Journal Article
    Fabry病是由GLA基因突变引起的X连锁糖脂贮积障碍,导致溶酶体酶α半乳糖苷酶A(AGA)缺乏。因此,糖脂底物Gb3在关键组织和器官中积累,产生进行性衰弱疾病。在法布里病中,高达80%的患者经历了难以治疗的终身神经性疼痛,并极大地影响了他们的生活质量。AGA缺乏导致神经性疼痛的分子机制尚不清楚。部分原因是缺乏可用于在细胞水平上研究潜在病理的体外模型。使用CRISPR-Cas9基因编辑,我们从人类胚胎干细胞系产生了两个GLA基因突变的克隆.我们的克隆细胞系保持了正常的干细胞形态和多能性标记,并显示了法布里病的表型特征,包括缺乏AGA活性和Gb3的细胞内积累。证实了GLA基因外显子1中预测位置的突变。使用已建立的双重SMAD抑制/WNT激活技术,我们能够证明我们缺乏AGA的克隆,以及野生型对照,可以分化为表达疼痛受体的外周型感觉神经元。这种遗传和生理相关的人体模型系统为研究法布里病周围神经病变的细胞机制提供了一种新的有前途的工具,并可能有助于开发新的治疗策略,以帮助减轻这种疾病的负担。
    Fabry disease is an X-linked glycolipid storage disorder caused by mutations in the GLA gene which result in a deficiency in the lysosomal enzyme alpha galactosidase A (AGA). As a result, the glycolipid substrate Gb3 accumulates in critical tissues and organs producing a progressive debilitating disease. In Fabry disease up to 80% of patients experience life-long neuropathic pain that is difficult to treat and greatly affects their quality of life. The molecular mechanisms by which deficiency of AGA leads to neuropathic pain are not well understood, due in part to a lack of in vitro models that can be used to study the underlying pathology at the cellular level. Using CRISPR-Cas9 gene editing, we generated two clones with mutations in the GLA gene from a human embryonic stem cell line. Our clonal cell lines maintained normal stem cell morphology and markers for pluripotency, and showed the phenotypic characteristics of Fabry disease including absent AGA activity and intracellular accumulation of Gb3. Mutations in the predicted locations in exon 1 of the GLA gene were confirmed. Using established techniques for dual-SMAD inhibition/WNT activation, we were able to show that our AGA-deficient clones, as well as wild-type controls, could be differentiated to peripheral-type sensory neurons that express pain receptors. This genetically and physiologically relevant human model system offers a new and promising tool for investigating the cellular mechanisms of peripheral neuropathy in Fabry disease and may assist in the development of new therapeutic strategies to help lessen the burden of this disease.
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  • 文章类型: Journal Article
    本研究旨在探讨慢性L-乳酸暴露是否会影响小鼠的外周组织,并确定其潜在的发病机制。在这里,将雄性C57BL/6小鼠分为对照组和l-乳酸组。L-乳酸治疗8周后(1g/kg),肝脏的代谢变化,肾,肌肉,和血清样品通过基于1H核磁共振(1HNMR)的代谢组学进行测定。此外,通过血清生化和组织病理学检查评估器官功能。使用二氢乙啶染色测量活性氧(ROS)水平;使用蛋白质印迹或聚合酶链反应检测涉及乳酸代谢和ROS相关途径的信号水平。通过TUNEL-荧光染色检测细胞凋亡。代谢组学分析显示,L-乳酸小鼠显示谷胱甘肽(GSH)水平降低,牛磺酸,ATP,葡萄糖含量增加,与对照小鼠相比。此外,L-乳酸小鼠血清丙氨酸转氨酶和天冬氨酸转氨酶水平明显升高,肝组织糖原含量增加,与对照小鼠相比。与对照组相比,L-乳酸小鼠的肝脏凋亡细胞核数量也更多。此外,L-乳酸暴露降低超氧化物歧化酶-2和c-谷氨酰半胱氨酸连接酶的mRNA和蛋白质水平,细胞色素P4502E1和NADPH氧化酶-2水平升高,LDHB蛋白表达增加,肝组织中Bax/Bcl-2,caspase-3和sirtuin-1裂解。一起,这些结果表明,慢性L-乳酸暴露通过上调Bax/Bcl-2表达和随后的线粒体细胞色素C释放和caspase-3激活增加肝细胞的氧化应激和凋亡,这有助于肝功能障碍的发病机制。
    This study aimed to explore whether chronic l-lactate exposure could affect the peripheral tissues of mice and to determine the underlying pathogenesis. Herein, male C57BL/6 mice were divided into control and l-lactate groups. After l-lactate treatment for eight weeks (1 g/kg), metabolic changes in liver, kidney, muscle, and serum samples were determined by 1H nuclear magnetic resonance (1H NMR)-based metabolomics. Additionally, organ function was evaluated by serum biochemical and histopathological examinations. Reactive oxygen species (ROS) levels were measured using dihydroethidium staining; levels of signals involved in lactate metabolism and ROS-related pathways were detected using western blotting or polymerase chain reaction. Apoptosis was detected by TUNEL-fluorescence staining. Metabolomic analysis revealed that l-lactate mice showed decreased levels of glutathione (GSH), taurine, ATP, and increased glucose content, compared to control mice. Furthermore, l-lactate mice presented significantly higher serum levels of alanine aminotransferase and aspartate aminotransferase and increased glycogen content in hepatic tissues, compared to control mice. l-lactate mice also had a greater number of apoptotic nuclei in the livers than controls. Moreover, l-lactate exposure reduced mRNA and protein levels of superoxide dismutase-2 and c-glutamylcysteine ligase, elevated levels of cytochrome P450 2E1 and NADPH oxidase-2, and increased the protein expressions of LDHB, Bax/Bcl-2, cleaved caspase-3, and sirtuin-1 in hepatic tissues. Together, these results indicate that chronic l-lactate exposure increases oxidative stress and apoptosis in hepatocytes via upregulation of Bax/Bcl-2 expression and the consequent mitochondrial cytochrome-C release and caspase-3 activation, which contributes to the pathogenesis of hepatic dysfunction.
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  • 文章类型: Journal Article
    含银纳米粒子(AgNPs)的产品在我们的日常生活中得到了广泛的应用。在过去的几年中,AgNP在生活的许多方面的广泛引入引起了研究人员对其对生物和环境生活的安全性和毒性的担忧。本研究旨在探讨AgNPs戒断的后续影响,短期口服后。将18只大鼠随机分为三组(对照组“1”和AGNP治疗组“2”和“3”;每组6只动物)。对照组接受正常食物和自来水,而组2和3接受0.5ml含有25ppmAgNP的溶液14天。第2组大鼠在第14天处死,而第3组又放置14天的颗粒停止,然后在第28天安乐死。功能评估是通过肝酶测定完成的,过氧化氢活性,肝Bdnf表达,和P53免疫反应性。通过苏木精和曙红进行肝组织结构评估,高碘酸-希夫以及马森三色污渍。结果显示,与对照组相比,仅第2组的过氧化氢显著升高。肝Bdnf和肝酶均无明显影响。停止纳米颗粒后14天发现肝组织结构异常和凋亡增强。结论:AgNP口服给药后的结构和功能损伤在颗粒戒断后继续,有趣的是,它们不需要对肝酶测定进行明显的反射。
    Products containing Silver nanoparticles (Ag NPs) are becoming vastly used in our daily life. The widespread increased introduction of Ag NPs in many aspects of life has raised researchers\' concerns regarding their safety and toxicity for biological and environmental life in the past few years. The current study aimed to explore the subsequent effects of Ag NPs withdrawal, following short-term oral administration. Eighteen rats were assigned randomly into three groups (control group \"1\" and AG NPs treated groups \"2\" and \"3\"; 6 animals each). The control group received normal food and tap water while groups 2 & 3 received 0.5 ml of a solution containing 25 ppm Ag NPs for 14 days. Group 2 rats were sacrificed on day 14 whereas group 3 was left for another 14 days of particle cessation followed by euthanasia on day 28. Functional assessment was done by liver enzyme assays, hydrogen peroxide activity, hepatic Bdnf expression, and P53 immunoreactivity. Hepatic tissue structural assessment was done via hematoxylin and eosin, periodic acid-Schiff as well as Masson\'s trichrome stains. The results revealed a significant elevation of Hydrogen peroxide in group 2 only compared to the control group. Hepatic Bdnf and liver enzymes were both insignificantly affected. Structural abnormalities and enhanced apoptosis in hepatic tissue were found 14 days after ceasing the nanoparticles. In conclusion: Structural and functional insults following Ag NPs oral administration continues after particle withdrawal, and interestingly they do not necessitate apparent reflection on liver enzyme assays.
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  • 文章类型: Journal Article
    杜氏肌营养不良症(DMD)是一种破坏性疾病,影响全球每3,500名男性出生中约有1名。肌养蛋白基因中的多个突变已被认为是DMD的潜在原因。然而,DMD患者仍然没有治愈方法,心肌病已成为受影响人群中最常见的死亡原因。广泛的研究正在调查分子机制,这些机制突出了DMD心肌病药物治疗发展的潜在治疗靶点。在本文中,作者进行了文献综述,报告了最近正在进行的努力,以确定新的治疗策略,以减少,防止,或逆转DMD中心功能不全的进展。
    Duchenne muscular dystrophy (DMD) is a devastating disease affecting approximately 1 in every 3,500 male births worldwide. Multiple mutations in the dystrophin gene have been implicated as underlying causes of DMD. However, there remains no cure for patients with DMD, and cardiomyopathy has become the most common cause of death in the affected population. Extensive research is under way investigating molecular mechanisms that highlight potential therapeutic targets for the development of pharmacotherapy for DMD cardiomyopathy. In this paper, the authors perform a literature review reporting on recent ongoing efforts to identify novel therapeutic strategies to reduce, prevent, or reverse progression of cardiac dysfunction in DMD.
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  • 文章类型: Journal Article
    未经证实:脑源性神经营养因子(BDNF)-原肌球蛋白相关激酶B(TrkB)通过调节突触结构重塑和功能传递在抑郁症的发病机制中起关键作用。以前,我们已经证明,人参皂苷Rb1(Rb1)通过BDNF-TrkB信号在慢性不可预测的轻度应激(CUMS)暴露小鼠的海马中表现出新型的抗抑郁样作用。然而,Rb1通过BDNF-TrkB信号传导抵消应激诱导的异常海马突触可塑性的潜在机制仍然难以捉摸。
    UNASSIGNED:我们关注的是能直接结合BDNF并受Rb1调控的海马microRNAs(miRNAs),以探索Rb1可能的突触可塑性依赖性机制,从而提供对CUMS诱导的抑郁样效应的保护。
    未经批准:此处,我们观察到,脑特异性miRNA-134(miR-134)可以直接结合BDNF3'UTR,并在CUMS暴露小鼠的海马中被Rb1显著下调。此外,海马体靶向miR-134过表达在行为测试中显著阻断了Rb1的抗抑郁样作用,减弱对神经元核免疫反应性神经元的影响,树突棘的密度,突触超微结构,长期增强,和突触相关蛋白和BDNF-TrkB信号蛋白在CUMS暴露小鼠海马中的表达。
    UNASSIGNED:这些数据提供了强有力的证据,证明Rb1通过miR-134介导的BDNF信号通路调节海马突触可塑性,拯救了CUMS诱导的抑郁样效应。
    UNASSIGNED: Brain-derived neurotrophic factor (BDNF)-tropomyosin-related kinase B (TrkB) plays a critical role in the pathogenesis of depression by modulating synaptic structural remodeling and functional transmission. Previously, we have demonstrated that the ginsenoside Rb1 (Rb1) presents a novel antidepressant-like effect via BDNF-TrkB signaling in the hippocampus of chronic unpredictable mild stress (CUMS)-exposed mice. However, the underlying mechanism through which Rb1 counteracts stress-induced aberrant hippocampal synaptic plasticity via BDNF-TrkB signaling remains elusive.
    UNASSIGNED: We focused on hippocampal microRNAs (miRNAs) that could directly bind to BDNF and are regulated by Rb1 to explore the possible synaptic plasticity-dependent mechanism of Rb1, which affords protection against CUMS-induced depression-like effects.
    UNASSIGNED: Herein, we observed that brain-specific miRNA-134 (miR-134) could directly bind to BDNF 3\'UTR and was markedly downregulated by Rb1 in the hippocampus of CUMS-exposed mice. Furthermore, the hippocampus-targeted miR-134 overexpression substantially blocked the antidepressant-like effects of Rb1 during behavioral tests, attenuating the effects on neuronal nuclei-immunoreactive neurons, the density of dendritic spines, synaptic ultrastructure, long-term potentiation, and expression of synapse-associated proteins and BDNF-TrkB signaling proteins in the hippocampus of CUMS-exposed mice.
    UNASSIGNED: These data provide strong evidence that Rb1 rescued CUMS-induced depression-like effects by modulating hippocampal synaptic plasticity via the miR-134-mediated BDNF signaling pathway.
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  • 文章类型: Journal Article
    未经证实:大量证据表明植物药在应激相关疾病中的有效性。Kamikihito(KKT),日本传统草药(Kampo),用于贫血,失眠,和焦虑。最近的研究表明,它对几种动物模型的认知和记忆功能障碍有改善作用。我们,因此,确定每天补充KKT对大鼠应激诱导的行为和神经系统变化是否具有抗抑郁样作用。
    UNASSIGNED:使用慢性束缚应激(CRS)大鼠模型确定了KKT对应激诱导的焦虑和抑郁样行为以及海马神经发生的影响。在连续21天的CRS(6小时/天)期间,每天口服施用300或1000mg/kg的KKT。CRS和KKT对生理参数的影响,包括体重增加,食物/水的消耗,血浆皮质酮(CORT)水平,肾上腺重量占体重的百分比,首先测量。在开放场测试(OFT)中评估了大鼠的焦虑和抑郁样行为,蔗糖偏好测试(SPT),强迫游泳试验(FST)。通过免疫组织化学确定海马神经发生。
    UNASSIGNED:CRS持续21天导致体重增加显着降低,血浆CORT水平和肾上腺重量占体重的百分比增加,通过KKT治疗获救。KKT还抑制CRS诱导的焦虑和抑郁样行为以及海马神经发生的损害。这些结果表明,KKT的日常治疗具有对生理保护作用,神经学,和抑郁症大鼠模型的行为变化。
    UNASSIGNED: Substantial evidence suggests the effectiveness of plant-based medicine in stress-related diseases. Kamikihito (KKT), a Japanese traditional herbal medicine (Kampo), has been used for anemia, insomnia, and anxiety. Recent studies revealed its ameliorating effect on cognitive and memory dysfunction in several animal models. We, therefore, determined whether daily supplementation of KKT has an antidepressant-like effect on the stress-induced behavioral and neurological changes in rats.
    UNASSIGNED: The effect of KKT against the stress-induced changes in anxiety- and depressive-like behaviors and hippocampal neurogenesis were determined using a rat model of chronic restraint stress (CRS). KKT was orally administered daily at 300 or 1000 mg/kg during 21 consecutive days of CRS (6 h/day). The effect of CRS and KKT on physiological parameters, including body weight gain, food/water consumptions, plasma corticosterone (CORT) levels, and percentage of adrenal gland weight to body weight, were firstly measured. Anxiety- and depressive-like behaviors in rats were assessed in the open field test (OFT), sucrose preference test (SPT), and forced swimming test (FST). Hippocampal neurogenesis was determined by immunohistochemistry.
    UNASSIGNED: CRS for 21 days caused a significant decrease in body weight gain and increase in plasma CORT levels and percentage of adrenal gland weight to body weight, which were rescued by KKT treatment. KKT also suppressed the CRS-induced anxiety- and depressive-like behaviors and impairment of hippocampal neurogenesis. These results suggest that daily treatment of KKT has a protective effect against physiological, neurological, and behavioral changes in a rat model of depression.
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  • 文章类型: Journal Article
    阿尔茨海默病(AD),老年人痴呆症最突出的形式,没有治愈方法。专注于减少淀粉样蛋白β或过度磷酸化Tau蛋白的策略在临床试验中大部分失败。迫切需要新的治疗目标和策略。新出现的数据表明,为了应对环境压力,线粒体启动综合应激反应(ISR),被证明对健康衰老和神经保护有益。这里,我们回顾了一些数据,这些数据表明,参与氧化磷酸化的线粒体电子传递复合物是小分子靶向治疗的中心,可以诱导有益的线粒体ISR.具体来说,线粒体复合物I的部分抑制已被用作多种人类疾病的新策略,包括AD,一些小分子正在临床试验中进行测试。我们讨论了目前对这种违反直觉的方法所涉及的分子机制的理解。由于这一战略也被证明可以提高健康和寿命,开发安全有效的复合物I抑制剂可以促进健康衰老,延缓与年龄相关的神经退行性疾病的发作。
    Alzheimer\'s disease (AD), the most prominent form of dementia in the elderly, has no cure. Strategies focused on the reduction of amyloid beta or hyperphosphorylated Tau protein have largely failed in clinical trials. Novel therapeutic targets and strategies are urgently needed. Emerging data suggest that in response to environmental stress, mitochondria initiate an integrated stress response (ISR) shown to be beneficial for healthy aging and neuroprotection. Here, we review data that implicate mitochondrial electron transport complexes involved in oxidative phosphorylation as a hub for small molecule-targeted therapeutics that could induce beneficial mitochondrial ISR. Specifically, partial inhibition of mitochondrial complex I has been exploited as a novel strategy for multiple human conditions, including AD, with several small molecules being tested in clinical trials. We discuss current understanding of the molecular mechanisms involved in this counterintuitive approach. Since this strategy has also been shown to enhance health and life span, the development of safe and efficacious complex I inhibitors could promote healthy aging, delaying the onset of age-related neurodegenerative diseases.
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