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Updated: May 7, 2026

Assessment of Open Probability of the Mitochondrial Permeability Transition Pore in the Setting of Coenzyme Q Excess
Published on: June 1, 2022
Mitochondrial permeability transition pore is a potential drug target for neurodegeneration
Valasani Koteswara Rao1, Emily A Carlson1, Shirley Shidu Yan1
1Department of Pharmacology and Toxicology, University of Kansas, Lawrence, KS 66047, USA.
Abstract:
Mitochondrial permeability transition pore (mPTP) plays a central role in alterations of mitochondrial structure and function leading to neuronal injury relevant to aging and neurodegenerative diseases including Alzheimer's disease (AD). mPTP putatively consists of the voltage-dependent anion channel (VDAC), the adenine nucleotide translocator (ANT) and cyclophilin D (CypD). Reactive oxygen species (ROS) increase intra-cellular calcium and enhance the formation of mPTP that leads to neuronal cell death in AD. CypD-dependent mPTP can play a crucial role in ischemia/reperfusion injury. The interaction of amyloid beta peptide (Aβ) with CypD potentiates mitochondrial and neuronal perturbation. This interaction triggers the formation of mPTP, resulting in decreased mitochondrial membrane potential, impaired mitochondrial respiration function, increased oxidative stress, release of cytochrome c, and impaired axonal mitochondrial transport. Thus, the CypD-dependent mPTP is directly linked to the cellular and synaptic perturbations observed in the pathogenesis of AD. Designing small molecules to block this interaction would lessen the effects of Aβ neurotoxicity. This review summarizes the recent progress on mPTP and its potential therapeutic target for neurodegenerative diseases including AD.
Insights
The mitochondrial permeability transition pore (mPTP), regulated by cyclophilin D, contributes to neuronal injury in Alzheimer's disease (AD). Blocking the interaction between amyloid beta and CypD may offer a therapeutic strategy for AD.
Area of Science:
- Neuroscience
- Mitochondrial Biology
- Neurodegenerative Diseases
Background:
- The mitochondrial permeability transition pore (mPTP) is implicated in neuronal injury associated with aging and neurodegenerative diseases like Alzheimer's disease (AD).
- mPTP formation is influenced by reactive oxygen species (ROS) and intracellular calcium, leading to neuronal cell death.
- Cyclophilin D (CypD) is a key component of the mPTP and plays a role in ischemia/reperfusion injury.
Purpose of the Study:
- To review recent advancements concerning the mPTP.
- To explore the mPTP as a potential therapeutic target for neurodegenerative diseases, particularly AD.
- To highlight the role of CypD in AD pathogenesis.
Main Methods:
- Review of existing literature on mPTP, CypD, and AD.
- Analysis of the interaction between amyloid beta peptide (Aβ) and CypD.
- Examination of the downstream effects of mPTP formation on mitochondrial function and neuronal integrity.
Main Results:
- The interaction between Aβ and CypD potentiates mPTP formation, leading to mitochondrial dysfunction.
- Aβ-induced mPTP opening results in decreased mitochondrial membrane potential, impaired respiration, increased oxidative stress, and cytochrome c release.
- Impaired axonal mitochondrial transport is observed due to Aβ-CypD interaction and subsequent mPTP activation.
- CypD-dependent mPTP is directly linked to cellular and synaptic perturbations in AD pathogenesis.
Conclusions:
- The CypD-dependent mPTP is a critical mediator of neuronal injury in Alzheimer's disease.
- Targeting the Aβ-CypD interaction with small molecules presents a promising therapeutic avenue to mitigate Aβ neurotoxicity.
- Further research into mPTP modulation could lead to novel treatments for AD and other neurodegenerative conditions.
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