运动干预NAFLD的分子机制研究述评——基于ROS调节UPRmt的线粒体毒性兴奋效应
Mechanisms in Exercise Intervening NAFLD:Mitohormesis of ROS-induced UPRmt
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摘要: 非酒精性脂肪性肝病(nonalcoholic fatty liver disease,NAFLD)是被严重低估的全球重大健康威胁,目前尚无美国食品药品监督管理局(Food and Drug Administration,FDA)批准治疗NAFLD的药物,深入研究其发病机理、探索治疗策略迫在眉睫。氧化应激是NAFLD发展的核心环节,线粒体活性氧(reactive oxygen species,ROS)生成与稳态维持与NAFLD密切相关。有氧运动或脂质沉积可改变细胞ROS水平,而不同ROS水平对线粒体未折叠蛋白反应(UPRmt)的调节作用表现为线粒体毒性兴奋效应,即对线粒体稳态的轻度扰动会促进与协调线粒体-细胞核之间的“对话”,降低细胞对外来刺激源的敏感性,提高细胞抵御刺激的能力。未来有关运动干预NAFLD的研究将进一步探索运动应激下ROS通过elF2α-ATF4/ATF5-CHOP轴调节UPRmt的分子机制,以寻找提高线粒体蛋白折叠能力、促进线粒体因子分泌、提升线粒体自我修复功能、维持稳态的有效途径,为NAFLD的防治提供理论依据。Abstract: Non-alcoholic fatty liver disease(NAFLD) is a severe but underestimated health threat in the world, and there is no FDA approved effective pharmacologic agents currently. Therefore, it is urgent to study its pathogenesis and explore treatment strategies.Research shows that oxidative stress is implicated in the development of NAFLD, and the mitochondria ROS production and homeostasis are crucial for the prevention and treatment of NAFLD. Aerobic exercise or lipid deposition can change the ROS level in cells, and the regulation of different ROS levels on mitochondrial unfolded protein response(UPRmt) is defined as“mitohormesis”. The slight disturbance in mitochondrial homeostasis will promote the “crosstalk” between the coordinating mitochondria and the nucleus, and then reduce the sensitivity of cells to external stimuli and improve the ability of cells to resist stimuli. Future research should investigate the molecular mechanism of exercise induced UPRmt activation and mitokines secretion through ROS regulated elF2α-ATF4/5-CHOP pathway, and to illuminate the effect of exercise on ROS-UPRmt regulatory mechanism and mitochondrial homeostasis maintenance, thus providing theoretical references for the prevention and control of NAFLD.