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化学进展  2013 

阿尔茨海默病相关的金属内稳态平衡调控研究

DOI: 10.7536/PC120955, PP. 511-519

Keywords: 阿尔茨海默病,淀粉样多肽,淀粉样前体蛋白,金属硫蛋白-3

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Abstract:

阿尔茨海默病(AD),俗称老年痴呆症,是一种老年神经退行性疾病,其病理特征为脑神经细胞间隙的老年斑(senileplaques,SP)、神经细胞内的神经纤维缠结(neurofibrillarytangles,NFTs)、神经元数量减少和颗粒空泡变性。尽管AD的发病机理十分复杂,但是淀粉样多肽(Aβ)、淀粉样前体蛋白(APP)、金属硫蛋白-3(MT3)及其所参与调节的金属离子内稳态平衡与AD的发生发展有着密切的联系。过渡金属离子如铜和锌,在人体正常的生理过程中发挥着重要的作用,而在阿尔茨海默病患者的大脑内,金属内稳态失衡可能是阿尔茨海默病的主要诱因之一。金属内稳态的失衡会影响淀粉样多肽的聚集以及活性氧物种(ROS)的产生,进而产生细胞毒性;而金属硫蛋白-3(MT3)参与调节大脑金属稳态平衡,具有解聚淀粉样多肽,降低神经细胞毒性的作用。本文综述了大脑过渡金属铜、锌、铁稳态平衡及其调控机制有关的研究进展。

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