Multiple Mechanisms of the Therapeutic Effect of Trehalose in Inhibition of Experimental Neurodegeneration

IF 0.5 4区 医学 Q4 NEUROSCIENCES
A. B. Pupyshev, T. A. Korolenko, M. A. Tikhonova
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Abstract

The search for effective treatment for neurodegeneration implies attacking the multiple mechanisms of this pathology. Such properties were found in disaccharide trehalose, which shows therapeutic effects in models of many diseases and has been approved by the FDA for use in humans. Trehalose consists of two glucose residues bonded together by a flexible α-1-1'-glycosidic bond, giving it chaperone-like activity. Due to this, it prevents abnormal folding of aberrant proteins and has the properties of a cryo- and bioprotector. However, the main therapeutic effect is determined by the induction of mTOR-independent autophagy mediated by AMPK kinase as the main target. The result is a weakening of the accumulation of cytotoxic proteins and factors and an increase in cell viability. Autophagy activation depends on trehalose-induced lysosome and autophagosome biogenesis through activation of transcription factors TFEB and FOXO1. Trehalose has an anti-inflammatory effect closely related to the inhibition of oxidative stress. Trehalose-induced enhancement of endogenous antioxidant defense involves the regulator Nrf2. The review considers the neuroprotective effects of trehalose in models of major neurodegenerative diseases such as Parkinson’s, Alzheimer’s, Huntington’s and others. Overall, trehalose shows high therapeutic potential in the treatment of experimental neurodegeneration and thus stimulating the study of its clinical application.

Abstract Image

曲哈洛糖抑制实验性神经退行性病变治疗效果的多重机制
摘要寻找神经变性的有效治疗方法意味着要攻克这一病理的多种机制。美国食品及药物管理局(FDA)已批准在人体中使用。曲哈洛糖由两个葡萄糖残基组成,通过一个灵活的α-1-1'-糖苷键结合在一起,使其具有类似伴侣的活性。因此,它能防止异常蛋白质的异常折叠,并具有低温和生物保护剂的特性。然而,主要的治疗效果是由 AMPK 激酶作为主要靶点诱导的不依赖于 mTOR 的自噬决定的。其结果是削弱细胞毒性蛋白和因子的积累,提高细胞活力。自噬的激活取决于通过激活转录因子 TFEB 和 FOXO1 诱导的溶酶体和自噬体的生物生成。曲哈洛糖的抗炎作用与抑制氧化应激密切相关。吸附剂 Nrf2 可提高内源性抗氧化防御能力。本综述探讨了曲哈洛糖在帕金森氏症、阿尔茨海默氏症、亨廷顿氏症等主要神经退行性疾病模型中的神经保护作用。总之,在治疗实验性神经退行性疾病方面,曲哈洛糖显示出很高的治疗潜力,从而促进了对其临床应用的研究。
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来源期刊
Neurochemical Journal
Neurochemical Journal 医学-神经科学
自引率
20.00%
发文量
40
审稿时长
>12 weeks
期刊介绍: Neurochemical Journal (Neirokhimiya) provides a source for the communication of the latest findings in all areas of contemporary neurochemistry and other fields of relevance (including molecular biology, biochemistry, physiology, neuroimmunology, pharmacology) in an afford to expand our understanding of the functions of the nervous system. The journal presents papers on functional neurochemistry, nervous system receptors, neurotransmitters, myelin, chromaffin granules and other components of the nervous system, as well as neurophysiological and clinical aspects, behavioral reactions, etc. Relevant topics include structure and function of the nervous system proteins, neuropeptides, nucleic acids, nucleotides, lipids, and other biologically active components. The journal is devoted to the rapid publication of regular papers containing the results of original research, reviews highlighting major developments in neurochemistry, short communications, new experimental studies that use neurochemical methodology, descriptions of new methods of value for neurochemistry, theoretical material suggesting novel principles and approaches to neurochemical problems, presentations of new hypotheses and significant findings, discussions, chronicles of congresses, meetings, and conferences with short presentations of the most sensational and timely reports, information on the activity of the Russian and International Neurochemical Societies, as well as advertisements of reagents and equipment.
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