Unraveling the role of Nrf2 in dopaminergic neurons: a review of oxidative stress and mitochondrial dysfunction in Parkinson's disease.

IF 3.5 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM Metabolic brain disease Pub Date : 2025-02-11 DOI:10.1007/s11011-025-01552-7
Manpreet Kaur, Khadga Raj Aran
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Abstract

Nuclear factor erythroid 2-related factor 2 (Nrf2) is an essential transcriptional factor, involved in the regulation of countenance of various anti-oxidant enzymes and cytoprotective genes that respond to mitochondrial dysfunctions, oxidative stress, and neuroinflammation, thus potentially contributing to several neurodegenerative diseases (NDDs), including Parkison's disease (PD). PD is the second most prevalent progressive NDD, characterized by gradual neuronal death in substantia nigra pars compacta (SNpc), depletion of dopamine level, and a wide range of motor symptoms, including bradykinesia, tremor, tingling, and muscle fatigue. The etiopathology of PD is caused by multifactorial intertwined with the onset and progression of the disease. In this context, Nrf2 exhibits neuroprotective action by preserving dopaminergic neurons in the striatum and retarding the disease progression; thus, Nrf2 activation plays a crucial role in PD. Additionally, Nrf2 binds with the antioxidant response element, which is located in the promoter region of most of the genes that are responsible for coding antioxidant enzymes. Moreover, protein kinase C (PKC) mitogen-activated protein kinase (MAPK), and phosphatidylinositol 3-kinase (PI3K) are also involved in the regulation of Keap1 pathway-mediated Nrf2 activation. As Nrf2 revealed its defensive and protective role in the central nervous system (CNS), it is gaining enough interest in treating PD. The treatments that are currently available are intended to alleviate the symptoms of PD; however, they are unable to halt the progression and severity of the disease. Therefore, in this review we delve deeper into various molecular mechanisms associated with oxidative stress, mitochondrial dysfunction, and neuroinflammation in PD. Additionally, we elaborated on the substantial role that NRF2 plays in mitigating these adverse effects and its potential as a therapeutic target.

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揭示Nrf2在多巴胺能神经元中的作用:帕金森病中氧化应激和线粒体功能障碍的综述
核因子红系2相关因子2 (Nrf2)是一种重要的转录因子,参与各种抗氧化酶和细胞保护基因的调控,这些基因对线粒体功能障碍、氧化应激和神经炎症做出反应,因此可能导致多种神经退行性疾病(ndd),包括帕金森病(PD)。PD是第二常见的进行性NDD,其特征是黑质致密部(SNpc)神经元逐渐死亡,多巴胺水平降低,以及广泛的运动症状,包括运动迟缓、震颤、刺痛和肌肉疲劳。PD的病因是多因素的,与疾病的发生和发展密切相关。在这种情况下,Nrf2通过保存纹状体中的多巴胺能神经元和延缓疾病进展表现出神经保护作用;因此,Nrf2激活在PD中起着至关重要的作用。此外,Nrf2与抗氧化反应元件结合,该元件位于大多数负责编码抗氧化酶的基因的启动子区域。此外,蛋白激酶C (PKC)、丝裂原活化蛋白激酶(MAPK)和磷脂酰肌醇3激酶(PI3K)也参与了Keap1通路介导的Nrf2激活的调控。随着Nrf2在中枢神经系统(CNS)中的防御和保护作用的揭示,它在治疗PD方面获得了足够的兴趣。目前可用的治疗方法旨在减轻PD的症状;然而,他们无法阻止疾病的进展和严重程度。因此,在这篇综述中,我们深入探讨了PD中与氧化应激、线粒体功能障碍和神经炎症相关的各种分子机制。此外,我们详细阐述了NRF2在减轻这些不良反应中的重要作用及其作为治疗靶点的潜力。
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来源期刊
Metabolic brain disease
Metabolic brain disease 医学-内分泌学与代谢
CiteScore
5.90
自引率
5.60%
发文量
248
审稿时长
6-12 weeks
期刊介绍: Metabolic Brain Disease serves as a forum for the publication of outstanding basic and clinical papers on all metabolic brain disease, including both human and animal studies. The journal publishes papers on the fundamental pathogenesis of these disorders and on related experimental and clinical techniques and methodologies. Metabolic Brain Disease is directed to physicians, neuroscientists, internists, psychiatrists, neurologists, pathologists, and others involved in the research and treatment of a broad range of metabolic brain disorders.
期刊最新文献
Elucidating the pharmacological mechanism of Yangming-Kaixin-Yizhi formula in inhibiting neuronal ferroptosis via Nrf2 in Alzheimer's disease: a study combining network pharmacology, transcriptomics, and experimental validation. Tu-Si-Zi-Wan reduces D-galactose-induced hepatic and cerebral oxidative damage in aging mice via the Nrf2/ARE pathway. Tryptophan metabolism alterations in neurological and psychiatric diseases: Molecular mechanisms and pharmacological targets. MiR-122 activates PI3K/Akt signaling to suppress microglial activation and ferroptosis in ischemic brain injury. Metabolic dysregulation in psychotic mania: longitudinal cardiometabolic changes with exploratory analyses of serum uric acid.
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