Brain network and energy imbalance in Parkinson’s disease: linking ATP reduction and α-synuclein pathology

Parkinson’s disease (PD) involves the disruption of brain energy homeostasis. This encompasses broad-impact factors such as mitochondrial dysfunction, impaired glycolysis, and other metabolic disturbances, like disruptions in the pentose phosphate pathway and purine metabolism. Cortical hubs, which...

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Main Authors: Hirohisa Watanabe, Sayuri Shima, Kazuya Kawabata, Yasuaki Mizutani, Akihiro Ueda, Mizuki Ito
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Molecular Neuroscience
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Online Access:https://www.frontiersin.org/articles/10.3389/fnmol.2024.1507033/full
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author Hirohisa Watanabe
Sayuri Shima
Kazuya Kawabata
Yasuaki Mizutani
Akihiro Ueda
Akihiro Ueda
Mizuki Ito
Mizuki Ito
author_facet Hirohisa Watanabe
Sayuri Shima
Kazuya Kawabata
Yasuaki Mizutani
Akihiro Ueda
Akihiro Ueda
Mizuki Ito
Mizuki Ito
author_sort Hirohisa Watanabe
collection DOAJ
description Parkinson’s disease (PD) involves the disruption of brain energy homeostasis. This encompasses broad-impact factors such as mitochondrial dysfunction, impaired glycolysis, and other metabolic disturbances, like disruptions in the pentose phosphate pathway and purine metabolism. Cortical hubs, which are highly connected regions essential for coordinating multiple brain functions, require significant energy due to their dense synaptic activity and long-range connections. Deficits in ATP production in PD can severely impair these hubs. The energy imbalance also affects subcortical regions, including the massive axonal arbors in the striatum of substantia nigra pars compacta neurons, due to their high metabolic demand. This ATP decline may result in α-synuclein accumulation, autophagy-lysosomal system impairment, neuronal network breakdown and accelerated neurodegeneration. We propose an “ATP Supply–Demand Mismatch Model” to help explain the pathogenesis of PD. This model emphasizes how ATP deficits drive pathological protein aggregation, impaired autophagy, and the degeneration of key brain networks, contributing to both motor and non-motor symptoms.
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institution Kabale University
issn 1662-5099
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Molecular Neuroscience
spelling doaj-art-9f6753c05cdf4da19f8cd194a8f8da702025-01-22T07:11:31ZengFrontiers Media S.A.Frontiers in Molecular Neuroscience1662-50992025-01-011710.3389/fnmol.2024.15070331507033Brain network and energy imbalance in Parkinson’s disease: linking ATP reduction and α-synuclein pathologyHirohisa Watanabe0Sayuri Shima1Kazuya Kawabata2Yasuaki Mizutani3Akihiro Ueda4Akihiro Ueda5Mizuki Ito6Mizuki Ito7Department of Neurology, School of Medicine, Fujita Health University, Toyoake, JapanDepartment of Neurology, School of Medicine, Fujita Health University, Toyoake, JapanDepartment of Neurology, School of Medicine, Fujita Health University, Toyoake, JapanDepartment of Neurology, School of Medicine, Fujita Health University, Toyoake, JapanDepartment of Neurology, School of Medicine, Fujita Health University, Toyoake, JapanDepartment of Neurology, Fujita Health University Okazaki Medical Center, Okazaki, JapanDepartment of Neurology, School of Medicine, Fujita Health University, Toyoake, JapanDepartment of Neurology, Fujita Health University Bantane Hospital, Nagoya, JapanParkinson’s disease (PD) involves the disruption of brain energy homeostasis. This encompasses broad-impact factors such as mitochondrial dysfunction, impaired glycolysis, and other metabolic disturbances, like disruptions in the pentose phosphate pathway and purine metabolism. Cortical hubs, which are highly connected regions essential for coordinating multiple brain functions, require significant energy due to their dense synaptic activity and long-range connections. Deficits in ATP production in PD can severely impair these hubs. The energy imbalance also affects subcortical regions, including the massive axonal arbors in the striatum of substantia nigra pars compacta neurons, due to their high metabolic demand. This ATP decline may result in α-synuclein accumulation, autophagy-lysosomal system impairment, neuronal network breakdown and accelerated neurodegeneration. We propose an “ATP Supply–Demand Mismatch Model” to help explain the pathogenesis of PD. This model emphasizes how ATP deficits drive pathological protein aggregation, impaired autophagy, and the degeneration of key brain networks, contributing to both motor and non-motor symptoms.https://www.frontiersin.org/articles/10.3389/fnmol.2024.1507033/fullATP metabolismcortical hubsmitochondrial dysfunctionα-synuclein aggregationenergy imbalancehypoxanthine
spellingShingle Hirohisa Watanabe
Sayuri Shima
Kazuya Kawabata
Yasuaki Mizutani
Akihiro Ueda
Akihiro Ueda
Mizuki Ito
Mizuki Ito
Brain network and energy imbalance in Parkinson’s disease: linking ATP reduction and α-synuclein pathology
Frontiers in Molecular Neuroscience
ATP metabolism
cortical hubs
mitochondrial dysfunction
α-synuclein aggregation
energy imbalance
hypoxanthine
title Brain network and energy imbalance in Parkinson’s disease: linking ATP reduction and α-synuclein pathology
title_full Brain network and energy imbalance in Parkinson’s disease: linking ATP reduction and α-synuclein pathology
title_fullStr Brain network and energy imbalance in Parkinson’s disease: linking ATP reduction and α-synuclein pathology
title_full_unstemmed Brain network and energy imbalance in Parkinson’s disease: linking ATP reduction and α-synuclein pathology
title_short Brain network and energy imbalance in Parkinson’s disease: linking ATP reduction and α-synuclein pathology
title_sort brain network and energy imbalance in parkinson s disease linking atp reduction and α synuclein pathology
topic ATP metabolism
cortical hubs
mitochondrial dysfunction
α-synuclein aggregation
energy imbalance
hypoxanthine
url https://www.frontiersin.org/articles/10.3389/fnmol.2024.1507033/full
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