Zhou Min, Zheng Min, Liang Siyao, Li Maomao, Ma Jiarui, Zhang Shiyu, Song Xinyao, Hu Yonglin, Lyu Yuhong, Ou Xingkun, Yue Changwu
Yan'an Key Laboratory of Microbial Drug Innovation and Transformation, Yan'an Medical College of Yan'an University, Yan'an, Shaanxi Province, China.
Department of Laboratory Medicine, Kweichow Moutai Hospital, Zunyi, Guizhou Province, China.
Neural Regen Res. 2025 Apr 29. doi: 10.4103/NRR.NRR-D-24-01507.
The cure rate for chronic neurodegenerative diseases remains low, creating an urgent need for improved intervention methods. Recent studies have shown that enhancing mitochondrial function can mitigate the effects of these diseases. This paper comprehensively reviews the relationship between mitochondrial dysfunction and chronic neurodegenerative diseases, aiming to uncover the potential use of targeted mitochondrial interventions as viable therapeutic options. We detail five targeted mitochondrial intervention strategies for chronic neurodegenerative diseases that act by promoting mitophagy, inhibiting mitochondrial fission, enhancing mitochondrial biogenesis, applying mitochondria-targeting antioxidants, and transplanting mitochondria. Each method has unique advantages and potential limitations, making them suitable for various therapeutic situations. Therapies that promote mitophagy or inhibit mitochondrial fission could be particularly effective in slowing disease progression, especially in the early stages. In contrast, those that enhance mitochondrial biogenesis and apply mitochondria-targeting antioxidants may offer great benefits during the middle stages of the disease by improving cellular antioxidant capacity and energy metabolism. Mitochondrial transplantation, while still experimental, holds great promise for restoring the function of damaged cells. Future research should focus on exploring the mechanisms and effects of these intervention strategies, particularly regarding their safety and efficacy in clinical settings. Additionally, the development of innovative mitochondria-targeting approaches, such as gene editing and nanotechnology, may provide new solutions for treating chronic neurodegenerative diseases. Implementing combined therapeutic strategies that integrate multiple intervention methods could also enhance treatment outcomes.
慢性神经退行性疾病的治愈率仍然很低,因此迫切需要改进干预方法。最近的研究表明,增强线粒体功能可以减轻这些疾病的影响。本文全面综述了线粒体功能障碍与慢性神经退行性疾病之间的关系,旨在揭示靶向线粒体干预作为可行治疗选择的潜在用途。我们详细介绍了针对慢性神经退行性疾病的五种靶向线粒体干预策略,这些策略通过促进线粒体自噬、抑制线粒体分裂、增强线粒体生物合成、应用线粒体靶向抗氧化剂和移植线粒体来发挥作用。每种方法都有独特的优势和潜在的局限性,使其适用于各种治疗情况。促进线粒体自噬或抑制线粒体分裂的疗法在减缓疾病进展方面可能特别有效,尤其是在疾病早期。相比之下,那些增强线粒体生物合成和应用线粒体靶向抗氧化剂的疗法可能在疾病中期通过提高细胞抗氧化能力和能量代谢而带来巨大益处。线粒体移植虽然仍处于实验阶段,但在恢复受损细胞功能方面具有很大潜力。未来的研究应侧重于探索这些干预策略的机制和效果,特别是它们在临床环境中的安全性和有效性。此外,开发创新的线粒体靶向方法,如基因编辑和纳米技术,可能为治疗慢性神经退行性疾病提供新的解决方案。实施整合多种干预方法的联合治疗策略也可能提高治疗效果。