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Oxidative Stress: Mechanistic Insights into Inherited Mitochondrial Disorders and Parkinson's Disease
Mesfer Al Shahrani1,2,3, Simon Heales4,5,6, Iain Hargreaves7,8
1Neurometabolic Unit. National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, UK. mesfer.shahrani.14@ucl.ac.uk.
Abstract:
Oxidative stress arises when cellular antioxidant defences become overwhelmed by a surplus generation of reactive oxygen species (ROS). Once this occurs, many cellular biomolecules such as DNA, lipids, and proteins become susceptible to free radical-induced oxidative damage, and this may consequently lead to cellular and ultimately tissue and organ dysfunction. Mitochondria, as well as being a source of ROS, are vulnerable to oxidative stress-induced damage with a number of key biomolecules being the target of oxidative damage by free radicals, including membrane phospholipids, respiratory chain complexes, proteins, and mitochondrial DNA (mt DNA). As a result, a deficit in cellular energy status may occur along with increased electron leakage and partial reduction of oxygen. This in turn may lead to a further increase in ROS production. Oxidative damage to certain mitochondrial biomolecules has been associated with, and implicated in the pathophysiology of a number of diseases. It is the purpose of this review to discuss the impact of such oxidative stress and subsequent damage by reviewing our current knowledge of the pathophysiology of several inherited mitochondrial disorders together with our understanding of perturbations observed in the more commonly acquired neurodegenerative disorders such as Parkinson's disease (PD). Furthermore, the potential use and feasibility of antioxidant therapies as an adjunct to lower the accumulation of damaging oxidative species and hence slow disease progression will also be discussed.
Insights
Oxidative stress occurs when reactive oxygen species (ROS) overwhelm antioxidant defenses, damaging cellular molecules. This review explores mitochondrial damage in inherited and neurodegenerative diseases, discussing antioxidant therapies for disease progression.
Area of Science:
- Biochemistry
- Cell Biology
- Pathophysiology
Background:
- Oxidative stress results from an imbalance between reactive oxygen species (ROS) production and cellular antioxidant defenses.
- This imbalance leads to oxidative damage of critical biomolecules like DNA, lipids, and proteins, impairing cellular function.
- Mitochondria are both a source and a target of ROS, with damage to mitochondrial DNA (mtDNA) and proteins impacting energy production.
Purpose of the Study:
- To review the impact of oxidative stress and subsequent damage on cellular and organ function.
- To examine the pathophysiology of inherited mitochondrial disorders and neurodegenerative diseases, such as Parkinson's disease (PD), in relation to oxidative damage.
- To discuss the potential of antioxidant therapies in mitigating oxidative damage and slowing disease progression.
Main Methods:
- Literature review focusing on oxidative stress mechanisms.
- Analysis of pathophysiology in inherited mitochondrial disorders.
- Examination of oxidative stress markers in neurodegenerative diseases like Parkinson's disease.
- Review of current antioxidant therapy research.
Main Results:
- Oxidative damage to biomolecules, particularly within mitochondria, is implicated in cellular dysfunction and disease.
- Mitochondrial dysfunction, including impaired energy production and increased ROS generation, is a key feature.
- Oxidative stress plays a significant role in both inherited mitochondrial and acquired neurodegenerative disorders.
Conclusions:
- Oxidative stress and subsequent mitochondrial damage are critical factors in the pathophysiology of various diseases.
- Understanding these mechanisms is crucial for developing effective therapeutic strategies.
- Antioxidant therapies hold promise for managing and potentially slowing the progression of diseases linked to oxidative stress.
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