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Mitochondrial Dysfunction and Biogenesis in Neurodegenerative diseases: Pathogenesis and Treatment.

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Neurodegenerative diseases are a heterogeneous group of disorders that are incurable and characterized by the progressive degeneration of the function and structure of the central nervous system (CNS) for reasons that are not yet understood. Neurodegeneration is the umbrella term for the progressive death of nerve cells and loss of brain tissue. Because of their high energy requirements, neurons are especially vulnerable to injury and death from dysfunctional mitochondria. Widespread damage to mitochondria causes cells to die because they can no longer produce enough energy. Several lines of pathological and physiological evidence reveal that impaired mitochondrial function and dynamics play crucial roles in aging and pathogenesis of neurodegenerative diseases. As mitochondria are the major intracellular organelles that regulate both cell survival and death, they are highly considered as a potential target for pharmacological-based therapies. The purpose of this review was to present the current status of our knowledge and understanding of the involvement of mitochondrial dysfunction in pathogenesis of neurodegenerative diseases including Alzheimer's disease (AD), Parkinson's disease (PD), Huntington's disease (HD), and amyotrophic lateral sclerosis (ALS) and the importance of mitochondrial biogenesis as a potential novel therapeutic target for their treatment. Likewise, we highlight a concise overview of the key roles of mitochondrial electron transport chain (ETC.) complexes as well as mitochondrial biogenesis regulators regarding those diseases.

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  • Front Matter
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  • Neurodegenerative Disease Management
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The devastating age-dependent neurodegenerative disorders, including prevalent Alzheimer's (AD) and Parkinson's diseases (PD), as well as rare such as Huntington's chorea (HD) and Amyotrophic Lateral Sclerosis (ALS), affect millions of people worldwide.Their prevalence is projected to increase due to ageing of the population, with a corresponding increase in the associated socioeconomic impact.Currently, there is no disease-modifying therapy for any neurodegenerative disease.Symptomatic treatments are available for some conditions such as PD and HD, but the therapeutic benefits are transient and limited.Although the causative factors and clinical manifestations are distinct for each neurodegenerative disease, their molecular pathogeneses share common underlying factors, such as excessive levels of reactive oxygen species (ROS), largely due to mitochondrial impairment, neuroinflammation, and disturbances in protein homeostasis (proteostasis).This raises the exciting possibility for developing a universal treatment, targeting these common drivers of neurodegeneration.The transcription factor Nrf2 (nuclear factor erythroid 2-related factor 2) orchestrates a major endogenous defense mechanism against oxidative and xenobiotic stress, and inflammation, and plays a role in the maintenance of mitochondrial function and cellular proteostasis, suggesting potential benefits of therapeutic targeting of Nrf2 to counteract neurodegeneration.Under stress condition(s), Nrf2 activates the transcriptional upregulation of a large network of cytoprotective genes, allowing adaptation and survival [1].The levels (and activity) of Nrf2 are tightly regulated through ubiquitination and proteasomal degradation mediated by several ubiquitin ligase systems, including Kelch-like ECHassociated protein 1 (Keap1)-Cullin3 (Cul3)/Rbx1, β-transducin repeats-containing protein (β-TrCP)-Cul1, and synoviolin (Hrd1) [2].Of these, Keap1 is the best-understood key negative regulator of Nrf2.Keap1 serves as a sensor for electrophiles and oxidants, which chemically modify specific cysteines in Keap1, resulting in conformational changes that protect Nrf2 from Keap1-directed degradation.As a

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Roles of different mitochondrial electron transport chain complexes in hypoxia-induced pulmonary vasoconstriction.

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