Neuroprotection Targeting Protein Misfolding on Chronic Cerebral Hypoperfusion in the Context of Metabolic Syndrome

Metabolic syndrome (MetS) is a cluster of risk factors that lead to microvascular dysfunction and chronic cerebral hypoperfusion (CCH). Long-standing reduction in oxygen and energy supply leads to brain hypoxia and protein misfolding, thereby linking CCH to Alzheimer's disease. Protein misfoldi...

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Main Authors: María I. Herrera, Lucas D. Udovin, Nicolás Toro-Urrego, Carlos F. Kusnier, Juan P. Luaces, Matilde Otero-Losada, Francisco Capani
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-05-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fnins.2018.00339/full
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author María I. Herrera
María I. Herrera
Lucas D. Udovin
Nicolás Toro-Urrego
Carlos F. Kusnier
Juan P. Luaces
Matilde Otero-Losada
Francisco Capani
Francisco Capani
Francisco Capani
author_facet María I. Herrera
María I. Herrera
Lucas D. Udovin
Nicolás Toro-Urrego
Carlos F. Kusnier
Juan P. Luaces
Matilde Otero-Losada
Francisco Capani
Francisco Capani
Francisco Capani
author_sort María I. Herrera
collection DOAJ
description Metabolic syndrome (MetS) is a cluster of risk factors that lead to microvascular dysfunction and chronic cerebral hypoperfusion (CCH). Long-standing reduction in oxygen and energy supply leads to brain hypoxia and protein misfolding, thereby linking CCH to Alzheimer's disease. Protein misfolding results in neurodegeneration as revealed by studying different experimental models of CCH. Regulating proteostasis network through pathways like the unfolded protein response (UPR), the ubiquitin-proteasome system (UPS), chaperone-mediated autophagy (CMA), and macroautophagy emerges as a novel target for neuroprotection. Lipoxin A4 methyl ester, baclofen, URB597, N-stearoyl-L-tyrosine, and melatonin may pose potential neuroprotective agents for rebalancing the proteostasis network under CCH. Autophagy is one of the most studied pathways of proteostatic cell response against the decrease in blood supply to the brain though the role of the UPR-specific chaperones and the UPS system in CCH deserves further research. Pharmacotherapy targeting misfolded proteins at different stages in the proteostatic pathway might be promising in treating cognitive impairment following CCH.
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spelling doaj.art-97f20790bb0045039a1d5fb7abf6869c2022-12-22T02:20:14ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2018-05-011210.3389/fnins.2018.00339346686Neuroprotection Targeting Protein Misfolding on Chronic Cerebral Hypoperfusion in the Context of Metabolic SyndromeMaría I. Herrera0María I. Herrera1Lucas D. Udovin2Nicolás Toro-Urrego3Carlos F. Kusnier4Juan P. Luaces5Matilde Otero-Losada6Francisco Capani7Francisco Capani8Francisco Capani9Centro de Investigaciones en Psicología y Psicopedagogía, Facultad de Psicología y Psicopedagogía, Universidad Católica Argentina, Buenos Aires, ArgentinaInstituto de Investigaciones Cardiológicas (ININCA), Universidad de Buenos Aires (UBA-CONICET), Buenos Aires, ArgentinaInstituto de Investigaciones Cardiológicas (ININCA), Universidad de Buenos Aires (UBA-CONICET), Buenos Aires, ArgentinaInstituto de Investigaciones Cardiológicas (ININCA), Universidad de Buenos Aires (UBA-CONICET), Buenos Aires, ArgentinaInstituto de Investigaciones Cardiológicas (ININCA), Universidad de Buenos Aires (UBA-CONICET), Buenos Aires, ArgentinaInstituto de Investigaciones Cardiológicas (ININCA), Universidad de Buenos Aires (UBA-CONICET), Buenos Aires, ArgentinaInstituto de Investigaciones Cardiológicas (ININCA), Universidad de Buenos Aires (UBA-CONICET), Buenos Aires, ArgentinaInstituto de Investigaciones Cardiológicas (ININCA), Universidad de Buenos Aires (UBA-CONICET), Buenos Aires, ArgentinaFacultad de Medicina, Universidad Católica Argentina, Buenos Aires, ArgentinaUniversidad Autónoma de Chile, Santiago de Chile, ChileMetabolic syndrome (MetS) is a cluster of risk factors that lead to microvascular dysfunction and chronic cerebral hypoperfusion (CCH). Long-standing reduction in oxygen and energy supply leads to brain hypoxia and protein misfolding, thereby linking CCH to Alzheimer's disease. Protein misfolding results in neurodegeneration as revealed by studying different experimental models of CCH. Regulating proteostasis network through pathways like the unfolded protein response (UPR), the ubiquitin-proteasome system (UPS), chaperone-mediated autophagy (CMA), and macroautophagy emerges as a novel target for neuroprotection. Lipoxin A4 methyl ester, baclofen, URB597, N-stearoyl-L-tyrosine, and melatonin may pose potential neuroprotective agents for rebalancing the proteostasis network under CCH. Autophagy is one of the most studied pathways of proteostatic cell response against the decrease in blood supply to the brain though the role of the UPR-specific chaperones and the UPS system in CCH deserves further research. Pharmacotherapy targeting misfolded proteins at different stages in the proteostatic pathway might be promising in treating cognitive impairment following CCH.https://www.frontiersin.org/article/10.3389/fnins.2018.00339/fullmetabolic syndromechronic cerebral hypoperfusionneuroprotectionprotein misfoldingendoplasmic reticulum stresschaperones
spellingShingle María I. Herrera
María I. Herrera
Lucas D. Udovin
Nicolás Toro-Urrego
Carlos F. Kusnier
Juan P. Luaces
Matilde Otero-Losada
Francisco Capani
Francisco Capani
Francisco Capani
Neuroprotection Targeting Protein Misfolding on Chronic Cerebral Hypoperfusion in the Context of Metabolic Syndrome
Frontiers in Neuroscience
metabolic syndrome
chronic cerebral hypoperfusion
neuroprotection
protein misfolding
endoplasmic reticulum stress
chaperones
title Neuroprotection Targeting Protein Misfolding on Chronic Cerebral Hypoperfusion in the Context of Metabolic Syndrome
title_full Neuroprotection Targeting Protein Misfolding on Chronic Cerebral Hypoperfusion in the Context of Metabolic Syndrome
title_fullStr Neuroprotection Targeting Protein Misfolding on Chronic Cerebral Hypoperfusion in the Context of Metabolic Syndrome
title_full_unstemmed Neuroprotection Targeting Protein Misfolding on Chronic Cerebral Hypoperfusion in the Context of Metabolic Syndrome
title_short Neuroprotection Targeting Protein Misfolding on Chronic Cerebral Hypoperfusion in the Context of Metabolic Syndrome
title_sort neuroprotection targeting protein misfolding on chronic cerebral hypoperfusion in the context of metabolic syndrome
topic metabolic syndrome
chronic cerebral hypoperfusion
neuroprotection
protein misfolding
endoplasmic reticulum stress
chaperones
url https://www.frontiersin.org/article/10.3389/fnins.2018.00339/full
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