5展望
老化和一些年龄相关性疾病中,均存在蛋白质的翻译后修饰,蛋白质去折叠,最终导致蛋白质凝聚,这被称为构象性疾病[37].这组疾病有类似的病因,既均与老化相关.它包括淀粉病(Alzheimer病、全身淀粉样变性、Down综合征等)、朊病毒病(CJD vCJD BSE,Kuru) 、Huntington病、Alexander病和白内障.相同的病因,类似的发病机制,很可能存在相同的治疗方法.例如,因为谷胱甘肽(GSH)在各种白内障中均降低,提高晶状体中的GSH已被用于治疗白内障.同样提高GSH也已成为年龄相关性神经变性疾病Alzheimer病的治疗策略[38].阿斯匹林类药物治疗Alzheimer病、白内障、心肌缺血、中风和各种肿瘤的临床资料也有力的支持了这种推测[14]
英国牛津大学眼科的最新研究成果显示α晶体蛋白和含巯基的还原剂共同作用,可使人白内障晶状体中活性已丧失的酶‘起死回生’[27].α晶状体蛋白和硫甲丙脯酸使谷胱甘肽还原酶活性‘回升’79%,α晶状体蛋白和二硫苏糖醇使巯醇转移酶活性增加200%.这进一步揭示了α晶体蛋白的分子伴侣活性在维持晶状体代谢中的重要性,同时也为白内障的治疗提供了全新的思路.分子伴侣可‘解救’一类由于蛋白质错误折叠累积导致的构象性疾病,首次临床应用药物性伴侣治疗构象性疾病已取得可喜结果[40].我们期待着白内障药物治疗研究的突破.
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