Mechanisms of aluminium neurotoxicity in oxidative stress-induced ...
Mechanisms of aluminium neurotoxicity in oxidative stress-induced ... Mechanisms of aluminium neurotoxicity in oxidative stress-induced ...
INTRODUCTION Parkinson diseases: a syndrome of different disorders 32 There is a large body of evidence indicating that impairment in protein biology, mitochondrial dysfunction, neuroinflammation, cell death pathways, excitotoxicity, and oxidative stress, to cite only some of the most salient, are key pathologic mechanisms in the etiology of PD, all of which are tightly linked (Figure 17; Mattson 2000, Chung et al. 2001, Vila and Przedborski 2003, Eriksen et al. 2005, Gandhi and Wood 2005, Abou-Sleiman et al. 2006, Olanow 2007, Tansey et al. 2007). But none of these pathogenic mechanisms alone has been proven to be the exact causative and unifying cytotoxic pathway leading to neurodegeneration in PD (Sulzer 2007). It is now widely recognized that PD is not a single homogenous disease but to a certain extent a multifaceted syndrome of different neurological disorders, caused by a complex interaction between genetic, environmental, and other factors leading to a common final pathology (Moore et al. 2005, Klein and Schlossmacher 2007, Schapira 2008, Zhou et al. 2008). Actually, the term Parkinson diseases was proposed to reassess this syndrome of multiple “parkinsonism types” and remind that multiple etiologies are possible to explain the patient‟s neurologic syndrome (Weiner 2008). In the future, PD will be probably subdivided into different varieties and ethiologies, maybe assigning numbers to each different “parkinsonism types”. Figure 17: Pathologic mechanisms in the etiology of PD
Misfolding and aggregation of proteins INTRODUCTION Dysfunction at any stages of protein production (transcription and translation, post-translational modification, trafficking and degradation) can lead to malformed proteins and aggregation. There is now compelling evidence that protein aggregation and abnormal processing of proteins are involved in the pathogenesis of PD (Schulz and Dichgans 1999). Despite the rarity of the familial forms of PD, the identification of single genes linked to this disease has provided decisive insights into probable mechanisms of its pathogenesis. Mutations in the genes α-synuclein, parkin or UCH-L1 are thought to impair the protein degradation pathway involving ubiquitination and the proteasome (Figure 18B). The protein α-synuclein is the major constituent of the LB. In its native state, monomeric α-synuclein is a soluble unfolded protein that under certain conditions is prone to misfold and to aggregate forming oligomeric species. These oligomers, termed protofibrils, are soluble and can then become amyloid-like fibrils which are insoluble. These latter are the major components of LB (Spillantini et al. 1998) and can also form LN in neuronal processes. Mutations on SNCA, the gene encoding α-synuclein, cause a rare autosomant dominant form of familial PD (Polymeropoulos et al. 1997, Kruger et al. 1998). Genomic rearrangement in the form of duplication and triplication of the wild type (wt) SNCA gene cause typical and atypical PD, respectively (Singletton et al. 2003, Chartier-Halin et al. 2004, Ibañez et al. 2004, Fuchs et al. 2007) and the presence of increased copy numbers of the wt α-synuclein gene causes PD (Ibañez et al. 2004). Moreover, α-synuclein aggregates are also found in various other neurodegenerative diseases termed synucleinopathies, such as MSA, DLB, and pure autonomic failure (Trojanowski and Lee 2002). 33
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Misfold<strong>in</strong>g and aggregation <strong>of</strong> prote<strong>in</strong>s<br />
INTRODUCTION<br />
Dysfunction at any stages <strong>of</strong> prote<strong>in</strong> production (transcription and translation,<br />
post-translational modification, traffick<strong>in</strong>g and degradation) can lead to malformed<br />
prote<strong>in</strong>s and aggregation. There is now compell<strong>in</strong>g evidence that prote<strong>in</strong> aggregation<br />
and abnormal process<strong>in</strong>g <strong>of</strong> prote<strong>in</strong>s are <strong>in</strong>volved <strong>in</strong> the pathogenesis <strong>of</strong> PD (Schulz and<br />
Dichgans 1999). Despite the rarity <strong>of</strong> the familial forms <strong>of</strong> PD, the identification <strong>of</strong><br />
s<strong>in</strong>gle genes l<strong>in</strong>ked to this disease has provided decisive <strong>in</strong>sights <strong>in</strong>to probable<br />
mechanisms <strong>of</strong> its pathogenesis. Mutations <strong>in</strong> the genes α-synucle<strong>in</strong>, park<strong>in</strong> or UCH-L1<br />
are thought to impair the prote<strong>in</strong> degradation pathway <strong>in</strong>volv<strong>in</strong>g ubiquit<strong>in</strong>ation and the<br />
proteasome (Figure 18B).<br />
The prote<strong>in</strong> α-synucle<strong>in</strong> is the major constituent <strong>of</strong> the LB. In its native state,<br />
monomeric α-synucle<strong>in</strong> is a soluble unfolded prote<strong>in</strong> that under certa<strong>in</strong> conditions is<br />
prone to misfold and to aggregate form<strong>in</strong>g oligomeric species. These oligomers, termed<br />
prot<strong>of</strong>ibrils, are soluble and can then become amyloid-like fibrils which are <strong>in</strong>soluble.<br />
These latter are the major components <strong>of</strong> LB (Spillant<strong>in</strong>i et al. 1998) and can also form<br />
LN <strong>in</strong> neuronal processes. Mutations on SNCA, the gene encod<strong>in</strong>g α-synucle<strong>in</strong>, cause a<br />
rare autosomant dom<strong>in</strong>ant form <strong>of</strong> familial PD (Polymeropoulos et al. 1997, Kruger et<br />
al. 1998). Genomic rearrangement <strong>in</strong> the form <strong>of</strong> duplication and triplication <strong>of</strong> the wild<br />
type (wt) SNCA gene cause typical and atypical PD, respectively (S<strong>in</strong>gletton et al.<br />
2003, Chartier-Hal<strong>in</strong> et al. 2004, Ibañez et al. 2004, Fuchs et al. 2007) and the presence<br />
<strong>of</strong> <strong>in</strong>creased copy numbers <strong>of</strong> the wt α-synucle<strong>in</strong> gene causes PD (Ibañez et al. 2004).<br />
Moreover, α-synucle<strong>in</strong> aggregates are also found <strong>in</strong> various other neurodegenerative<br />
diseases termed synucle<strong>in</strong>opathies, such as MSA, DLB, and pure autonomic failure<br />
(Trojanowski and Lee 2002).<br />
33