中国神经再生研究(英文版) ›› 2018, Vol. 13 ›› Issue (5): 930-935.doi: 10.4103/1673-5374.232490

• 综述:退行性病与再生 • 上一篇    下一篇

外泌体与阿尔茨海默病:治疗新靶点的可能性?

  

  • 收稿日期:2017-10-31 出版日期:2018-05-15 发布日期:2018-05-15
  • 基金资助:

     

    湖北省卫生计生委科研项目(WJ2015MB219

Exosomes: a novel therapeutic target for Alzheimer’s disease?

Zhi-You Cai1, Ming Xiao2, Sohel H. Quazi3, Zun-Yu Ke4   

  1. 1 Department of Neurology, Chongqing General Hospital, Chongqing, China; 2 Department of Anatomy, Nanjing Medical University, Nanjing, Jiangsu Province, China; 3 Department of Biological and Health Sciences, Texas A & M University-Kingsville, Kingsville, TX, USA; 4 Department of Neurology, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei Province, China
  • Received:2017-10-31 Online:2018-05-15 Published:2018-05-15
  • Contact: Zhi-You Cai or Zun-Yu Ke,czy000806@163.com or zunyu_ke@outlook.com.
  • Supported by:

    This study was financially supported by the Health and Family Planning Scientific Research Project of Hubei Province of China, No.WJ2015MB219.

摘要:

外泌体是细胞内多泡体与质膜融合并把其内含小泡排泌到细胞外而形成的一群膜性小囊泡。研究表明外泌体可作为炎症介质及氧化应激的关键诱导因子,促进阿尔茨海默病的发展。很多研究证实阿尔茨海默病中外泌体参与了神经原纤维缠结形成和淀粉样β蛋白的产生及积累。同时,外泌体还可能参与神经炎症和氧化应激,触发淀粉样β蛋白和tau蛋白异常磷酸化过程,并与淀粉样β蛋白的消除有关。因此,调节外泌体代谢可能成为阿尔茨海默病药物治疗的新靶点。

orcid:0000-0002-9552-4020(Zhi-you Cai)

关键词: 神经再生, 微泡, 淀粉样&beta, 蛋白, tau, 炎症反应, 氧化应激, 干预靶点, 神经退行性疾病, 老年痴呆

Abstract:

Extracellular exosomes are formed inside the cytoplasm of cells in compartments known as multivesicular bodies. Thus, exosomes contain cytoplasmic content. Multivesicular bodies fuse with the plasma membrane and release exosomes into the extracellular environment. Comprehensive research suggests that exosomes act as both inflammatory intermediaries and critical inducers of oxidative stress to drive progression of Alzheimer’s disease. An important role of exosomes in Alzheimer’s disease includes the formation of neurofibrillary tangles and beta-amyloid production, clearance, and accumulation. In addition, exosomes are involved in neuroinflammation and oxidative stress, which both act as triggers for beta-amyloid pathogenesis and tau hyperphosphorylation. Further, it has been shown that exosomes are strongly associated with beta-amyloid clearance. Thus, effective measures for regulating exosome metabolism may be novel drug targets for Alzheimer’s disease.

Key words: nerve regeneration, microvesicle, beta-amyloid, tau, neuroinflammation, oxidative stress, therapeutic target, neurodegeneration, dementia, neural regeneration