General aspects of neurodegeneration
Abstract
Neurodegenerative diseases are morphologically featured by progressive cell loss in specific vulnerable neuronal populations of the central nervous system, often associated with cytoskeletal protein aggregates forming intracytoplasmic and/or intranuclear inclusions in neurons and/or glial cells. Most neurodegenerative disorders are now classified either according to the hitherto known genetic mechanisms or to the major components of their cellular protein inclusions. The major basic processes inducing neurodegeneration are considered multifactorial ones caused by genetic, environmental, and endogenous factors. They include abnormal protein dynamics with defective protein degradation and aggregation, many of them related to the ubiquitin-proteasomal system, oxidative stress and free radical formation, impaired bioenergetics and mitochondrial dysfunctions, and "neuroinflammatory" processes. These mechanisms that are usually interrelated in complex vitious circles finally leading to programmed cell death cascades are briefly discussed with reference to their pathogenetic role in many, albeit diverse neurodegenerative diseases, like Alzheimer disease, synucleinopathies, tauopathies, and polyglutamine disorders. The impact of protein inclusions on cell dysfunction, activation or prevention of cell death cascades are discussed, but the molecular basis for the underlying disease mechanisms remains to be elucidated.
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Neurodegenerative diseases, including Alzheimer's disease, are multifactorial, caused by multiple genetic, environmental, or endogenous factors, possibly operating simultaneously.
“A strong argument in favor of complex pharmacology strategies for the treatment of complex neurodegenerative diseases is based on the fact that these diseases are multifactorial, that is, they are caused by multiple factors, being possibly genetic, environmental, endogenous, or even having more than one factor operating at the same time.21”
From From combinations to multitarget-directed ligands: A continuum in Alzheimer’s disease polypharmacology (2021) · cites this paper as [21]
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- Authors
- Jellinger, K. A.
- Corresponding author
- Jellinger, K. A.
- ORCID
- Jellinger, K. A.
- Venue
- Journal of Neural Transmission. Supplementa
- Publisher
- Springer Vienna
- Published
- 2003
- Issue
- 65
- Pages
- 101-144
- ISSN
- 0303-6995 (ISSN-L)
- OpenAlex
- W48785815
- Cited by
- 126
- References
- 193
- Citations by year
- 2025: 1 · 2024: 6 · 2023: 4 · 2022: 7 · 2021: 3 · 2020: 5 · 2019: 2 · 2018: 6 · 2017: 6 · 2016: 3 · 2015: 3 · 2014: 9 · 2013: 7 · 2012: 8
- FWCI
- 39.40
- Type
- book chapter
- Language
- en
- Open access
- closed
- Locations
- Journal of neural transmission. Supplementum (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Keywords
- neurodegeneration, neurodegenerative diseases, protein aggregation, protein inclusions, ubiquitin-proteasome system, oxidative stress, mitochondrial dysfunction, bioenergetics, neuroinflammation, programmed cell death, Alzheimer's disease, synucleinopathies, tauopathy, polyglutamine diseases, neuronal loss
- MeSH terms
- Animals, Inclusion Bodies, DNA, Mitochondrial, Humans, Iron, Mitochondria, Mutation, Nerve Degeneration, Nerve Tissue Proteins, Neuroglia, Neurons, Ubiquitins, Signal Transduction, Cell Death, Oxidative Stress, Neurodegenerative Diseases
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