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Published on: June 30, 2023
Mitochondrial dysfunction and neurodegeneration in multiple sclerosis
Kimmy Su1, Dennis Bourdette, Michael Forte
1Vollum Institute, Oregon Health and Science University Portland, OR, USA ; Department of Neurology, Oregon Health and Science University Portland, OR, USA.
Abstract:
Multiple sclerosis (MS) has traditionally been considered an autoimmune inflammatory disorder leading to demyelination and clinical debilitation as evidenced by our current standard anti-inflammatory and immunosuppressive treatment regimens. While these approaches do control the frequency of clinical relapses, they do not prevent the progressive functional decline that plagues many people with MS. Many avenues of research indicate that a neurodegenerative process may also play a significant role in MS from the early stages of disease, and one of the current hypotheses identifies mitochondrial dysfunction as a key contributing mechanism. We have hypothesized that pathological permeability transition pore (PTP) opening mediated by reactive oxygen species (ROS) and calcium dysregulation is central to mitochondrial dysfunction and neurodegeneration in MS. This focused review highlights recent evidence supporting this hypothesis, with particular emphasis on our in vitro and in vivo work with the mitochondria-targeted redox enzyme p66ShcA.
Insights
Mitochondrial dysfunction, driven by reactive oxygen species and calcium imbalance, contributes to neurodegeneration in multiple sclerosis (MS). Targeting the enzyme p66ShcA shows promise for mitigating this process in MS patients.
Area of Science:
- Neuroscience
- Immunology
- Cell Biology
Background:
- Multiple sclerosis (MS) is traditionally viewed as an autoimmune inflammatory disease.
- Current treatments manage relapses but fail to halt progressive functional decline.
- Emerging evidence suggests neurodegeneration plays a significant role in MS pathogenesis.
Purpose of the Study:
- To review evidence supporting mitochondrial dysfunction as a key mechanism in MS neurodegeneration.
- To investigate the role of pathological permeability transition pore (PTP) opening in MS.
- To highlight the involvement of reactive oxygen species (ROS) and calcium dysregulation.
Main Methods:
- Focused review of existing literature.
- In vitro studies on mitochondrial function.
- In vivo investigations utilizing p66ShcA as a target.
Main Results:
- Pathological PTP opening, mediated by ROS and calcium, is implicated in mitochondrial dysfunction.
- Mitochondrial dysfunction is a central factor in MS-related neurodegeneration.
- The mitochondria-targeted enzyme p66ShcA plays a crucial role in this pathway.
Conclusions:
- Mitochondrial dysfunction is a critical component of neurodegeneration in multiple sclerosis.
- Targeting p66ShcA offers a potential therapeutic strategy for MS.
- Understanding the interplay between PTP opening, ROS, and calcium is vital for MS research.
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