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The autophagy-lysosome pathway: a potential target in the chemical and gene therapeutic strategies for Parkinson’s disease 自噬-溶酶体途径:帕金森病化学和基因治疗策略的潜在靶点
Pub Date : 2024-01-31 DOI: 10.4103/nrr.nrr-d-23-01195
Fengjuan Jiao, Lingyan Meng, Kang Du, Xuezhi Li
Parkinson’s disease is a common neurodegenerative disease with movement disorders associated with the intracytoplasmic deposition of aggregate proteins such as α-synuclein in neurons. As one of the major intracellular degradation pathways, the autophagy-lysosome pathway plays an important role in eliminating these proteins. Accumulating evidence has shown that upregulation of the autophagy-lysosome pathway may contribute to the clearance of α-synuclein aggregates and protect against degeneration of dopaminergic neurons in Parkinson’s disease. Moreover, multiple genes associated with the pathogenesis of Parkinson’s disease are intimately linked to alterations in the autophagy-lysosome pathway. Thus, this pathway appears to be a promising therapeutic target for treatment of Parkinson’s disease. In this review, we briefly introduce the machinery of autophagy. Then, we provide a description of the effects of Parkinson’s disease-related genes on the autophagy-lysosome pathway. Finally, we highlight the potential chemical and genetic therapeutic strategies targeting the autophagy-lysosome pathway and their applications in Parkinson’s disease.
帕金森病是一种常见的神经退行性疾病,其运动障碍与神经元中α-突触核蛋白等聚集蛋白的胞浆内沉积有关。作为细胞内降解的主要途径之一,自噬-溶酶体途径在消除这些蛋白质方面发挥着重要作用。越来越多的证据表明,自噬-溶酶体途径的上调可能有助于清除α-突触核蛋白聚集体,并防止帕金森病中多巴胺能神经元的退化。此外,与帕金森病发病机制相关的多个基因与自噬-溶酶体途径的改变密切相关。因此,该通路似乎是治疗帕金森病的一个很有前景的治疗靶点。在本综述中,我们将简要介绍自噬机制。然后,我们描述了帕金森病相关基因对自噬-溶酶体途径的影响。最后,我们强调了针对自噬-溶酶体途径的潜在化学和基因治疗策略及其在帕金森病中的应用。
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引用次数: 0
Aquaporin-4-IgG-seropositive neuromyelitis optica spectrum disorders: progress of experimental models based on disease pathogenesis 水蒸发素-4-IgG 血清阳性神经脊髓炎谱系障碍:基于疾病发病机制的实验模型研究进展
Pub Date : 2024-01-31 DOI: 10.4103/nrr.nrr-d-23-01325
Li Xu, Huiming Xu, Changyong Tang
Neuromyelitis optica spectrum disorders are neuroinflammatory demyelinating disorders that lead to permanent visual loss and motor dysfunction. To date, no effective treatment exists as the exact causative mechanism remains unknown. Therefore, experimental models of neuromyelitis optica spectrum disorders are essential for exploring its pathogenesis and in screening for therapeutic targets. Since most patients with neuromyelitis optica spectrum disorders are seropositive for IgG autoantibodies against aquaporin-4, which is highly expressed on the membrane of astrocyte endfeet, most current experimental models are based on aquaporin-4-IgG that initially targets astrocytes. These experimental models have successfully simulated many pathological features of neuromyelitis optica spectrum disorders, such as aquaporin-4 loss, astrocytopathy, granulocyte and macrophage infiltration, complement activation, demyelination, and neuronal loss; however, they do not fully capture the pathological process of human neuromyelitis optica spectrum disorders. In this review, we summarize the currently known pathogenic mechanisms and the development of associated experimental models in vitro, ex vivo, and in vivo for neuromyelitis optica spectrum disorders, suggest potential pathogenic mechanisms for further investigation, and provide guidance on experimental model choices. In addition, this review summarizes the latest information on pathologies and therapies for neuromyelitis optica spectrum disorders based on experimental models of aquaporin-4-IgG-seropositive neuromyelitis optica spectrum disorders, offering further therapeutic targets and a theoretical basis for clinical trials.
神经脊髓炎视网膜频谱疾病是一种神经炎性脱髓鞘疾病,可导致永久性视力丧失和运动功能障碍。迄今为止,由于确切的致病机制尚不清楚,还没有有效的治疗方法。因此,神经脊髓炎视网膜频谱疾病的实验模型对于探索其发病机制和筛选治疗靶点至关重要。由于大多数神经脊髓炎视网膜频谱紊乱症患者针对星形胶质细胞内膜上高度表达的水蒸发蛋白-4 的 IgG 自身抗体血清反应呈阳性,因此目前大多数实验模型都是基于最初针对星形胶质细胞的水蒸发蛋白-4-IgG。这些实验模型成功地模拟了神经脊髓炎视网膜频谱病变的许多病理特征,如水华素-4缺失、星形胶质细胞病变、粒细胞和巨噬细胞浸润、补体激活、脱髓鞘和神经元缺失等;但它们并不能完全捕捉人类神经脊髓炎视网膜频谱病变的病理过程。在这篇综述中,我们总结了目前已知的致病机制以及神经脊髓炎视网膜频谱疾病体外、体内和体外相关实验模型的发展情况,提出了有待进一步研究的潜在致病机制,并为实验模型的选择提供了指导。此外,本综述还总结了基于水肿素-4-IgG 血清阳性神经脊髓炎视谱系障碍实验模型的神经脊髓炎视谱系障碍病理和疗法的最新信息,为临床试验提供了进一步的治疗靶点和理论依据。
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Neural Regeneration Research
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