摘要
背景:阿尔茨海默病(AD)的分子机制尚未完全阐明。所谓的“淀粉状蛋白级联假说”长期以来一直是疾病致因的主流范式,并且现在正在与其他致病途径如氧化应激,神经炎症和能量代谢障碍相关地进行重新研究。过氧化物酶体增殖物激活受体(PPARs)在中枢神经系统(CNS)中表达并调节许多生理过程,如能量代谢,神经传递,氧化还原稳态,自噬和细胞周期。在三种同种型(α,β/δ,γ)中,PPARγ作用是最广泛研究的,而关于α和β/δ的信息仍然很少。然而,最近的体外和体内证据表明PPARα是AD中有希望的治疗靶点。 结论:本综述提供了有关该主题的更新,重点介绍了天然或合成激动剂在AD发作和发作过程中调节发病机制的作用。配体激活的PPARα抑制致淀粉样途径,Tau hyperphosphorylation和neuroinflammation。同时,受体引发对氧化应激的酶抗氧化剂应答,改善葡萄糖和脂质代谢障碍,并刺激自噬。
关键词: 阿尔茨海默病,过氧化物酶体增殖物激活受体,β-淀粉样蛋白,氧化应激,神经炎症,能量代谢,豌豆,贝特类。
Current Alzheimer Research
Title:Targeting PPARalpha in Alzheimer's Disease
Volume: 15 Issue: 4
关键词: 阿尔茨海默病,过氧化物酶体增殖物激活受体,β-淀粉样蛋白,氧化应激,神经炎症,能量代谢,豌豆,贝特类。
摘要: Background: The molecular mechanisms underlying Alzheimer's disease (AD) are yet to be fully elucidated. The so-called “amyloid cascade hypothesis” has long been the prevailing paradigm for causation of disease, and is today being revisited in relation to other pathogenic pathways, such as oxidative stress, neuroinflammation and energy dysmetabolism. The peroxisome proliferator-activated receptors (PPARs) are expressed in the central nervous system (CNS) and regulate many physiological processes, such as energy metabolism, neurotransmission, redox homeostasis, autophagy and cell cycle. Among the three isotypes (α, β/δ, γ), PPARγ role is the most extensively studied, while information on α and β/δ are still scanty. However, recent in vitro and in vivo evidence point to PPARα as a promising therapeutic target in AD.
Conclusion: This review provides an update on this topic, focussing on the effects of natural or synthetic agonists in modulating pathogenetic mechanisms at AD onset and during its progression. Ligandactivated PPARα inihibits amyloidogenic pathway, Tau hyperphosphorylation and neuroinflammation. Concomitantly, the receptor elicits an enzymatic antioxidant response to oxidative stress, ameliorates glucose and lipid dysmetabolism, and stimulates autophagy.
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Cite this article as:
Targeting PPARalpha in Alzheimer's Disease, Current Alzheimer Research 2018; 15 (4) . https://dx.doi.org/10.2174/1567205014666170505094549
DOI https://dx.doi.org/10.2174/1567205014666170505094549 |
Print ISSN 1567-2050 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-5828 |
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