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神经退行性疾病中细胞凋亡/铁死亡研究的未来展望。

Future Perspectives of Oxytosis/Ferroptosis Research in Neurodegeneration Diseases.

机构信息

Faculty of Medicine, Institute of Medical Chemistry, Biochemistry and Clinical Biochemistry, Comenius University in Bratislava, Sasinkova 2, 811 08, Bratislava, Slovakia.

出版信息

Cell Mol Neurobiol. 2023 Aug;43(6):2761-2768. doi: 10.1007/s10571-023-01353-5. Epub 2023 Apr 24.

Abstract

The current report briefly summarizes the existing hypotheses and relevant evidence of oxytosis/ferroptosis-mediated cell death and outlines future perspectives of neurodegeneration research. Furthermore, it highlights the potential application of specific markers (e.g., activators, inhibitors, redox modulators, antioxidants, iron chelators) in the study of regulatory mechanisms of oxytosis/ferroptosis. It appears that these markers may be a suitable option for experimental investigations targeting key pathways of oxytosis/ferroptosis, such as the inhibition of the cystine/glutamate antiporter/glutathione/glutathione peroxidase 4 axis, glutamate oxidative toxicity, glutathione depletion, iron dyshomeostasis, iron-mediated lipid peroxidation, and others. From a clinical perspective, an innovative research approach to investigate the oxytosis/ferroptosis pathways in cells of the central nervous system and their relationship to neurodegenerative diseases is desirable. It is necessary to expand the existing knowledge about the molecular mechanisms of neurodegenerative diseases and to provide innovative diagnostic procedures to prevent their progression, as well as to develop effective neuroprotective treatment. The importance of preclinical studies focused predominantly on oxytosis/ferroptosis inhibitors (iron chelators or lipoxygenase inhibitors and lipophilic antioxidants) that could chelate iron or inhibit lipid peroxidation is also discussed. Specifically, this targeted inhibition of neuronal death could represent a potential therapeutic strategy for some neurodegenerative diseases.

摘要

本报告简要总结了细胞凋亡/铁死亡介导的细胞死亡的现有假说和相关证据,并概述了神经退行性疾病研究的未来展望。此外,它还强调了特定标记物(如激活剂、抑制剂、氧化还原调节剂、抗氧化剂、铁螯合剂)在研究细胞凋亡/铁死亡调节机制中的潜在应用。这些标记物似乎是针对细胞凋亡/铁死亡关键途径(如胱氨酸/谷氨酸反向转运体/谷胱甘肽/谷胱甘肽过氧化物酶 4 轴、谷氨酸氧化毒性、谷胱甘肽耗竭、铁动态平衡失调、铁介导的脂质过氧化等)的实验研究的合适选择。从临床角度来看,研究中枢神经系统细胞中细胞凋亡/铁死亡途径及其与神经退行性疾病的关系是一种创新的研究方法。有必要扩展对神经退行性疾病分子机制的现有认识,并提供创新的诊断程序以防止其进展,以及开发有效的神经保护治疗方法。本文还讨论了侧重于细胞凋亡/铁死亡抑制剂(铁螯合剂或脂氧合酶抑制剂和亲脂性抗氧化剂)的临床前研究的重要性,这些抑制剂可以螯合铁或抑制脂质过氧化。具体来说,这种针对神经元死亡的靶向抑制可能代表了一些神经退行性疾病的潜在治疗策略。

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