2015, Número 1
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Rev Mex Neuroci 2015; 16 (1)
Plegamiento Anormal de Proteínas y Neurodegeneración
Rodríguez-Leyva I, Calderón-Garcidueñas AL, Jiménez-Capdeville ME
Idioma: Español
Referencias bibliográficas: 56
Paginas: 51-72
Archivo PDF: 361.81 Kb.
RESUMEN
De alguna manera todas las enfermedades neurodegenerativas son
proteinopatías. Aunque el principal factor de riesgo para padecerlas
es la edad, intervienen en su presentación tanto la genética como
factores ambientales (trauma, pesticidas, herbicidas), teniendo como
mediador a la epigenética. Su complejidad estriba en que abarcan
un abanico de posibilidades en su expresión; desde ser puramente
genéticas (como la enfermedad de Huntington), hasta las totalmente
dependientes del ambiente (como la demencia pugilística). En su
semiología se manifiestan con una gama de fenotipos, que en ocasiones
nos llevan a confundir diagnósticos (la Enfermedad de Parkinson
con la Parálisis Supranuclear Progresiva, por ejemplo). Algunos
autores proponen que enfermedades que hasta ahora consideramos
diferentes, puedan corresponder a una misma patología (Enfermedad
de Parkinson y Demencia por Cuerpos de Lewy). Su fisiopatología
es semejante a nivel celular, la transformación de una proteína
útil y funcional en una mal conformada, insoluble, tóxica, que lleva
finalmente a la disfunción y muerte celular, afectando estructuras
corticales, subcorticales, núcleos de la base, tallo cerebral, médula
espinal e incluso sistema nervioso periférico, y aún otros tejidos lo
que permite explicar las manifestaciones que las caracterizan.
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