The protective effect of DMT against neurodegeneration.

International review of neurobiology Pub Date : 2025-01-01 Epub Date: 2025-06-11 DOI:10.1016/bs.irn.2025.04.010
Ede Frecska, Attila Kovács, Attila Szabo
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Abstract

This paper explores the therapeutic potential of DMT in neuroprotective strategies, particularly concerning ischemia-reperfusion injury (IRI) and neurodegenerative disorders. Besides its potent serotonin receptor actions, DMT is also an endogenous agonist of the sigma-1 receptor (Sig-1R). Sigma receptors are a unique family of proteins with high expression in the brain and spinal cord and have been involved in the etiology, symptom course and treatment of several central nervous system disorders. Our previous theoretical and experimental work strongly suggest that targeting sigma (and serotonin) receptors via DMT may be particularly useful for treatment in a number of neurological conditions like stroke, global brain ischemia, Alzheimer's disease, and amyotrophic lateral sclerosis. In this article, we briefly overview the function of Sig1-R in cellular bioenergetics with a focus on the processes involved in IRI and summarize the results of our previous preclinical (in vitro and in vivo) DMT studies aiming at mitigating IRI and related cellular neuropathologies. We conclude that the effect of DMT may involve a universal role in cellular protective mechanisms suggesting therapeutic potentials against different components and types of IRIs emerging in local and generalized brain ischemia after stroke or cardiac arrest. The multiple neuroprotective mechanisms facilitated by DMT may position it as a model molecule for developing pharmacological treatments for neurodegenerative disorders.

DMT对神经退行性变的保护作用。
本文探讨了DMT在神经保护策略中的治疗潜力,特别是在缺血再灌注损伤(IRI)和神经退行性疾病方面。除了其强大的5 -羟色胺受体作用外,DMT也是一种内源性的sigma-1受体(Sig-1R)激动剂。Sigma受体是一个独特的蛋白家族,在大脑和脊髓中高表达,并参与了几种中枢神经系统疾病的病因、症状过程和治疗。我们之前的理论和实验工作强烈表明,通过DMT靶向sigma(和5 -羟色胺)受体可能对许多神经系统疾病的治疗特别有用,如中风、全脑缺血、阿尔茨海默病和肌萎缩侧索硬化症。在本文中,我们简要概述了Sig1-R在细胞生物能量学中的功能,重点介绍了IRI所涉及的过程,并总结了我们之前旨在减轻IRI和相关细胞神经病理的临床前(体外和体内)DMT研究的结果。我们得出结论,DMT的作用可能涉及细胞保护机制的普遍作用,表明在中风或心脏骤停后局部和全面性脑缺血中出现的不同成分和类型的IRIs具有治疗潜力。DMT促进的多种神经保护机制可能使其成为开发神经退行性疾病药理治疗的模型分子。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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