Oxidative Stress-Related Mechanisms in Schizophrenia Pathogenesis and New Treatment Perspectives
| Autor: | Alisa R Vasilieva, Evgeny A. Ermakov, L.P. Smirnova, D. Parshukova, Daria V Kazantseva, Elena Dmitrieva |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
Aging Review Article Disease Oxidative phosphorylation medicine.disease_cause Synaptic Transmission Biochemistry Pathogenesis 03 medical and health sciences 0302 clinical medicine medicine Animals Humans Genetic Predisposition to Disease Epigenetics Transcription factor QH573-671 business.industry Cell Biology General Medicine medicine.disease Phenotype Oxidative Stress 030104 developmental biology Schizophrenia business Cytology Oxidation-Reduction Neuroscience 030217 neurology & neurosurgery Oxidative stress Antipsychotic Agents |
| Zdroj: | Oxidative Medicine and Cellular Longevity, Vol 2021 (2021) Oxidative Medicine and Cellular Longevity |
| ISSN: | 1942-0994 1942-0900 |
| Popis: | Schizophrenia is recognized to be a highly heterogeneous disease at various levels, from genetics to clinical manifestations and treatment sensitivity. This heterogeneity is also reflected in the variety of oxidative stress-related mechanisms contributing to the phenotypic realization and manifestation of schizophrenia. At the molecular level, these mechanisms are supposed to include genetic causes that increase the susceptibility of individuals to oxidative stress and lead to gene expression dysregulation caused by abnormal regulation of redox-sensitive transcriptional factors, noncoding RNAs, and epigenetic mechanisms favored by environmental insults. These changes form the basis of the prooxidant state and lead to altered redox signaling related to glutathione deficiency and impaired expression and function of redox-sensitive transcriptional factors (Nrf2, NF-κB, FoxO, etc.). At the cellular level, these changes lead to mitochondrial dysfunction and metabolic abnormalities that contribute to aberrant neuronal development, abnormal myelination, neurotransmitter anomalies, and dysfunction of parvalbumin-positive interneurons. Immune dysfunction also contributes to redox imbalance. At the whole-organism level, all these mechanisms ultimately contribute to the manifestation and development of schizophrenia. In this review, we consider oxidative stress-related mechanisms and new treatment perspectives associated with the correction of redox imbalance in schizophrenia. We suggest that not only antioxidants but also redox-regulated transcription factor-targeting drugs (including Nrf2 and FoxO activators or NF-κB inhibitors) have great promise in schizophrenia. But it is necessary to develop the stratification criteria of schizophrenia patients based on oxidative stress-related markers for the administration of redox-correcting treatment. |
| Databáze: | OpenAIRE |
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