Mitochondrial Dysfunction and Oxidative Stress in Pediatric Diseases

F. Lotti, S. Perrone, Ursula Geronzi, E. Guidoni, F. Carra, E. Belvisi, F. Bazzini, G. Buonocore, S. Grosso
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Abstract

Abstract Oxidative stress is a distinctive sign in a long series of human diseases, including metabolic, neurologic, and cancer disorders. Several studies demonstrated that the toxic effects resulting from a redox imbalance take place even during infant age. Recent literature focused in particular on the role exerted by unpaired mitochondrial function in the pathogenesis of these diseases. Oxidative damage and mitochondrial dysfunction are cofactors in the pathogenesis of diabetes, as well as major contributors to its associated complications, primarily represented by cardiovascular disease. In epilepsy, mitochondrial failure is thought to be one of the possible mechanisms for seizure generation through a dysregulation in calcium homeostasis; moreover, the prolonged seizure-related neuronal excitation is able to trigger mitochondrial damage, proving the existence of interdependency between epileptic activity and mitochondrial dysfunction. Oxidative stress plays a pivotal role in carcinogenesis, and its intervention has been demonstrated in the pathogenesis of cancer-prone genetic diseases. The identification of specific molecular targets linked to altered mitochondrial function allows to select more rational and appropriate supportive treatments using antioxidants and mitochondrial nutrients as potential new therapeutic approaches.
儿科疾病的线粒体功能障碍和氧化应激
氧化应激是包括代谢、神经和癌症疾病在内的一系列人类疾病的一个独特标志。几项研究表明,氧化还原失衡引起的毒性作用甚至在婴儿时期就会发生。最近的文献特别集中在这些疾病的发病机制中发挥作用的不成对线粒体功能。氧化损伤和线粒体功能障碍是糖尿病发病的辅助因素,也是其相关并发症的主要因素,主要以心血管疾病为代表。在癫痫中,线粒体衰竭被认为是通过钙稳态失调引起癫痫发作的可能机制之一;此外,癫痫相关的长时间神经元兴奋能够触发线粒体损伤,证明癫痫活动与线粒体功能障碍之间存在相互依赖关系。氧化应激在癌症发生中起着关键作用,其干预已被证明在癌症易感性遗传疾病的发病机制中。识别与线粒体功能改变相关的特定分子靶点,可以选择更合理和适当的支持性治疗,使用抗氧化剂和线粒体营养素作为潜在的新治疗方法。
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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