New Discussion on the Pathological Mechanism of Parkinson's Disease: Oxidative Death of Dopaminergic Neurons-Ferroptosis and Oxytosis / 世界科学技术-中医药现代化

ABSTRACT

The loss of dopaminergic neurons and the decreased release of dopamine neurotransmitters in the substantia nigra pars compacta are the main pathological mechanisms leading to Parkinson 's disease (PD) in clinical research. Under the combined influence of genes and environment, there are many death mechanisms of dopaminergic neurons. Current research suggests that apoptosis, necrosis and autophagic death all participate in the death of dopaminergic neurons, but these deaths are not sufficient to explain their pathological processes and mechanisms. Ferroptosis is a newly discovered iron-dependent cell death pathway characterized by increased iron load and accumulation of large amounts of lipid peroxides. These characteristics are highly consistent with the clinical molecular characteristics of the brain in PD patients. In addition, there is evidence that ferroptosis and oxytosis (observed in nerve cells 30 years ago) have a high degree of similarity in signal regulation, and they may represent the same form of programmed cell death. This review discusses the current advances of ferroptosis death pathway in PD, and briefly discusses the possibilities for ferroptosis and oxytosis as the same type of cell death. The elucidation of the death pathway and mechanism of dopaminergic neurons can provide a fundamental theoretical basis for the development of anti-PD drugs.