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去铁酮在阿尔茨海默病中的应用:一项随机临床试验
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作者 唐颖馨(编译) scott ayton +1 位作者 David Barton Bruce Brew 《神经损伤与功能重建》 2025年第4期F0003-F0003,共1页
重要性:阿尔茨海默病(AD)给社会造成沉重的负担,亟需有效治疗神经退行性疾病的方法。AD患者的脑铁升高,且认知能力加速下降有关,可能是一个潜的药物靶点。目标:观察铁螯合剂--去铁酮是否能减缓AD患者的认知能力下降。设计、设置与参与者... 重要性:阿尔茨海默病(AD)给社会造成沉重的负担,亟需有效治疗神经退行性疾病的方法。AD患者的脑铁升高,且认知能力加速下降有关,可能是一个潜的药物靶点。目标:观察铁螯合剂--去铁酮是否能减缓AD患者的认知能力下降。设计、设置与参与者:这项为期12个月、双盲、安慰剂对照的2期随机临床试验于2018年8月2日~2023年4月1日在澳大利亚的9个研究中心进行。纳入年龄>54岁、淀粉样蛋白检测呈阳性的轻度认知障碍或早期AD患者(简易精神状态检查表得分≥20分)。随机分组比例为2∶1,且对参与者和所有研究工作人员设盲。干预措施:每日2次口服15 mg/kg的去铁酮或安慰剂,持续12个月。主要结果与测量指标:主要结局是使用神经心理测试组合(NTB)在基线、6、12个月时评估认知功能,该测试组合包括记忆、执行功能和注意力任务。次要结果包括通过定量磁化率成像(QSM)测量脑铁负荷变化(靶点结合)、脑体积变化(次要疗效指标)及不良事件(安全性分析)。结果:在167例接受资格筛查的患者中,81例被纳入研究,其中53例随机分配到去铁酮组[平均年龄73.0(8.0)岁,29例男性(54.7%)],28例分配到安慰剂组[平均年龄71.6(7.2)岁,17例男性(60.7%)];54例完成研究[安慰剂组7例(25.0%)退出,去铁酮组20例(37.7%)退出]。在意向性分析中,与安慰剂相比,去铁酮组在NTB主要结局上的认知能力下降加速(交互作用的β值为-0.50;95%CI,-0.80~-0.20)[去铁酮组的NTB综合z评分变化为-0.80(95%CI,-0.98~-0.62);安慰剂组为-0.30(95%CI,-0.54~-0.06)]。次要分析显示,这一结果是由执行功能测试表现恶化导致。QSM证实,与安慰剂相比,去铁酮降低了海马区的铁含量[去铁酮组海马QSM的变化为-0.36 ppb(95%CI,-0.76~0.04 ppb);安慰剂组为0.32 ppb(95%CI,-0.12~0.75 ppb);交互作用的β值为-0.68(95%CI,-1.27~-0.09)]。纵向海马体积损失未受到去铁酮的影响,但对其他脑区域的探索性分析发现,去铁酮导致额叶区域体积损失增加。去铁酮组中性粒细胞减少的不良反应频率[4例(7.5%)]高于类似研究(1.6%~4.4%)。结论:每日2次15 mg/kg的去铁酮降低了淀粉样蛋白检测呈阳性的早期AD患者的海马QSM,并加速了其认知能力下降,这表明用去铁酮降低铁含量对AD患者是有害的。试验注册:ClinicalTrials.gov注册号:NCT03234686。 展开更多
关键词 认知能力下降 去铁酮 阿尔茨海默病
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In defence of ferroptosis
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作者 Francesca Alves Darius Lane +2 位作者 Triet Phu Minh Nguyen Ashley I.Bush scott ayton 《Signal Transduction and Targeted Therapy》 2025年第2期551-579,共29页
Rampant phospholipid peroxidation initiated by iron causes ferroptosis unless this is restrained by cellular defences.Ferroptosis is increasingly implicated in a host of diseases,and unlike other cell death programs t... Rampant phospholipid peroxidation initiated by iron causes ferroptosis unless this is restrained by cellular defences.Ferroptosis is increasingly implicated in a host of diseases,and unlike other cell death programs the physiological initiation of ferroptosis is conceived to occur not by an endogenous executioner,but by the withdrawal of cellular guardians that otherwise constantly oppose ferroptosis induction.Here,we profile key ferroptotic defence strategies including iron regulation,phospholipid modulation and enzymes and metabolite systems:glutathione reductase(GR),Ferroptosis suppressor protein 1(FSP1),NAD(P)H Quinone Dehydrogenase 1(NQO1),Dihydrofolate reductase(DHFR),retinal reductases and retinal dehydrogenases(RDH)and thioredoxin reductases(TR).A common thread uniting all key enzymes and metabolites that combat lipid peroxidation during ferroptosis is a dependence on a key cellular reductant,nicotinamide adenine dinucleotide phosphate(NADPH).We will outline how cells control central carbon metabolism to produce NADPH and necessary precursors to defend against ferroptosis.Subsequently we will discuss evidence for ferroptosis and NADPH dysregulation in different disease contexts including glucose-6-phosphate dehydrogenase deficiency,cancer and neurodegeneration.Finally,we discuss several anti-ferroptosis therapeutic strategies spanning the use of radical trapping agents,iron modulation and glutathione dependent redox support and highlight the current landscape of clinical trials focusing on ferroptosis. 展开更多
关键词 withdrawal cellular guardians ferroptosis glutathione reductase cellular defencesferroptosis cell death programs phospholipid peroxidation iron regulation rampant phospholipid peroxidation
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Ferroptosis promotes T-cell activation-induced neurodegeneration in multiple sclerosis 被引量:19
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作者 Jinyuan Luoqian Wenyong Yang +11 位作者 Xulong Ding Qing-zhang Tuo Zheng Xiang Zhaoyue Zheng Yu-jie Guo Li Li Pengbo Guan scott ayton Biao Dong Huiyuan Zhang Hongbo Hu Peng Lei 《Cellular & Molecular Immunology》 SCIE CAS CSCD 2022年第8期913-943,共31页
While many drugs are effective at reducing the relapse frequency of multiple sclerosis (MS), there is an unmet need for treatments that slow neurodegeneration resulting from secondary disease progression. The mechanis... While many drugs are effective at reducing the relapse frequency of multiple sclerosis (MS), there is an unmet need for treatments that slow neurodegeneration resulting from secondary disease progression. The mechanism of neurodegeneration in MS has not yet been established. Here, we discovered a potential pathogenetic role of ferroptosis, an iron-dependent regulated cell death mechanism, in MS. We found that critical ferroptosis proteins (acyl-CoA synthetase long-chain family member 4, ACSL4) were altered in an existing genomic database of MS patients, and biochemical features of ferroptosis, including lipid reactive oxygen species (ROS) accumulation and mitochondrial shrinkage, were observed in the experimental autoimmune encephalitis (EAE) mouse model. Targeting ferroptosis with ferroptosis inhibitors or reducing ACSL4 expression improved the behavioral phenotypes of EAE mice, reduced neuroinflammation, and prevented neuronal death. We found that ferroptosis was an early event in EAE, which may promote T-cell activation through T-cell receptor (TCR) signaling in vitro and in vivo. These data indicate that ferroptosis may be a potential target for treating MS. 展开更多
关键词 Ferroptosis Multiple sclerosis EAE NEURODEGENERATION ACSL4
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Thrombin induces ACSL4-dependent ferroptosis during cerebral ischemia/reperfusion 被引量:30
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作者 Qing-zhang Tuo Yu Liu +21 位作者 Zheng Xiang Hong-Fa Yan Ting Zou Yang Shu Xu-long Ding Jin-jun Zou Shuo Xu Fei Tang Yan-qiu Gong Xiao-lan Li Yu-jie Guo Zhao-yue Zheng Ai-ping Deng Zhang-zhong Yang Wen-jing Li Shu-ting Zhang scott ayton Ashley I.Bush Heng Xu Lunzhi Dai Biao Dong Peng Lei 《Signal Transduction and Targeted Therapy》 SCIE CSCD 2022年第3期881-895,共15页
Ischemic stroke represents a significant danger to human beings,especially the elderly.Interventions are only available to remove the clot,and the mechanism of neuronal death during ischemic stroke is still in debate.... Ischemic stroke represents a significant danger to human beings,especially the elderly.Interventions are only available to remove the clot,and the mechanism of neuronal death during ischemic stroke is still in debate.Ferroptosis is increasingly appreciated as a mechanism of cell death after ischemia in various organs. 展开更多
关键词 ORGANS DEATH cerebral ISCHEMIA
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修剪神经纤维缠结 被引量:1
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作者 雷鹏 scott ayton 《Science Bulletin》 SCIE EI CAS CSCD 2023年第21期2507-2509,共3页
Tau protein (encoded by the MAPT gene) is an attractive therapeutic target for the treatment of Alzheimer’s disease (AD) and other “tauopathies”, where aggregated tau pathology accumulates in neurons. Since tau dep... Tau protein (encoded by the MAPT gene) is an attractive therapeutic target for the treatment of Alzheimer’s disease (AD) and other “tauopathies”, where aggregated tau pathology accumulates in neurons. Since tau deposition is strongly associated with cognitive dysfunction in AD, and tau purportedly mediates the toxicity of β-amyloid, therapies developed to reduce tau or its phosphorylation have been tested preclinically and in several small-scale clinical trials[1]. However, caveats for tau-targeting therapy include the limited understanding of its physiological functions and the complicated interactions between its post-translational modifications, aggregation, and cellular toxicity. 展开更多
关键词 神经纤维缠结 PATHOLOGY ALZHEIMER
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Transferrin protects against Parkinsonian neurotoxicity and is deficient in Parkinson’s substantia nigra 被引量:1
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作者 scott ayton Peng Lei +2 位作者 Catriona Mclean Ashley I Bush David I Finkelstein 《Signal Transduction and Targeted Therapy》 SCIE 2016年第1期75-80,共6页
Iron deposition in Parkinson’s disease(PD)is a potential disease-modifying target.We previously showed that supplementation of the iron-exporter,ceruloplasmin,selectively corrected nigral iron elevation in the 1-meth... Iron deposition in Parkinson’s disease(PD)is a potential disease-modifying target.We previously showed that supplementation of the iron-exporter,ceruloplasmin,selectively corrected nigral iron elevation in the 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine(MPTP)model.Ceruloplasmin delivers iron to transferrin(Tf),the extracellular iron-transporting protein.We show that Tf protein levels are decreased in the nigra of post-mortem PD brains compared with controls(−35%;n=10 each).Because Tf traffics iron away from iron-replete tissues,we hypothesized that Tf supplementation could selectively facilitate iron export from the nigra in PD.In cultured neurons,Tf treatment corrected iron accumulation,and subcutaneous Tf to mice ameliorated iron accumulation and motor deficits in the MPTP model of PD.Although these data support a role for Tf in the disease mechanism for PD,and its potential use for correcting disorders of iron overload,Tf therapy also caused systemic iron depletion,which could limit its application for PD. 展开更多
关键词 corrected sized DEFICIENT
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