胞外信号调节激酶(ERK)信号在帕金森病中的双重作用:从神经毒性到神经保护
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1)山东体育学院体育科学研究院,济南 250102;2)天津体育学院运动与健康学院,天津 300211

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“泰山学者”(tstp20250540)资助项目。


The Dual Roles of ERK Signaling in Parkinson’s Disease: From Neurotoxicity to Neuroprotection
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1)Institute of Sports Science, Shandong Sport University, Jinan 250102, China;2)School of Sports and Health, Tianjin University of Sport, Tianjin 300211, China

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This work was supported by a grant from TaiShan Scholars Project (tstp20250540).

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    摘要:

    帕金森病 (Parkinson’s disease, PD) 是一种以黑质多巴胺能神经元进行性丢失和α突触核蛋白异常聚集为主要特征的神经退行性疾病,其发病机制涉及氧化应激、神经炎症及细胞凋亡等多种病理过程。胞外信号调节激酶(extracellular signal-regulated kinase,ERK)作为促分裂原活化的蛋白激酶(mitogen-activated protein kinase,MAPK)家族的重要成员,在PD发生发展过程中发挥关键调控作用。然而,ERK在PD中的作用长期存在争议,不同研究分别报道其具有神经毒性和神经保护效应。本文系统综述了ERK信号在PD中的研究进展,重点围绕ERK信号失衡的神经毒性作用和ERK适度激活的神经保护机制进行总结。现有证据表明,失衡的ERK可通过促进神经炎症、氧化应激等途径加速神经退行性病变,而适度激活的ERK则可能通过增强抗氧化防御、促进神经营养因子表达以及维持神经元存活发挥保护作用。在此基础上,本文提出“ERK活性窗口(ERK activity window)”假说,认为ERK信号存在维持神经稳态的适宜活性范围,其活性过高或过低均可能促进PD病理进展。未来应进一步阐明ERK在不同疾病阶段、不同细胞类型及不同亚细胞定位中的功能特征,并探索运动干预及多靶点联合调控等精准治疗策略,以期为PD的疾病修饰治疗提供新的理论依据和潜在靶点。

    Abstract:

    Parkinson’s disease (PD) is a progressive neurodegenerative disorder characterized by the loss of dopaminergic neurons in the substantia nigra pars compacta and abnormal accumulation of α-synuclein. Its pathogenesis involves multiple interconnected processes, including oxidative stress, mitochondrial dysfunction, endoplasmic reticulum stress, neuroinflammation, and impaired protein homeostasis. Extracellular signal-regulated kinase 1/2 (ERK1/2), a major component of the mitogen-activated protein kinase signaling network, plays an important role in neuronal survival, synaptic plasticity, stress responses, and cell death. However, accumulating evidence indicates that ERK signaling in PD is not unidirectional, as both insufficient activity and sustained overactivation have been associated with neuronal dysfunction and disease progression. In this review, we systematically summarize the evidence for the pathological and protective roles of ERK signaling in PD. Insufficient ERK activity may impair neurotrophic support, synaptic plasticity, mitochondrial homeostasis, and neuronal adaptation to stress, thereby increasing the vulnerability of dopaminergic neurons. In contrast, persistent and excessive ERK activation may promote neuroinflammation, oxidative stress, mitochondrial dysfunction, apoptosis, autophagy-lysosomal impairment, and abnormal α-synuclein accumulation. Conversely, moderate and transient ERK activation induced by neurotrophic factors, bioactive compounds, or exercise may enhance neuronal survival, antioxidant defense, synaptic plasticity, and functional recovery. These apparently contradictory findings suggest that ERK activation itself cannot be simply classified as either neuroprotective or neurotoxic. Based on the available evidence, we propose the concept of an “ERK activity window” to explain the context-dependent effects of ERK signaling in PD. This hypothesis suggests that ERK activity needs to remain within an appropriate dynamic range to maintain neuronal homeostasis and adaptive responses. ERK activity below this range may weaken neurotrophic support and stress resistance, whereas prolonged and high-intensity activation may exceed the adaptive capacity of neurons and glial cells, thereby promoting inflammatory and degenerative processes. Importantly, this functional window should not be regarded as a fixed threshold. Its biological effects are likely determined by the intensity and duration of activation, cell type, subcellular localization, upstream stimuli, interaction with other signaling pathways, and disease stage. This framework may therefore help reconcile the apparently inconsistent findings among different PD models and experimental conditions. From a therapeutic perspective, these findings indicate that ERK should not necessarily be considered a target for simple activation or inhibition. Instead, restoring ERK signaling toward an appropriate functional state may represent a more rational strategy. Exercise is of particular interest because it can simultaneously influence neurotrophic signaling, oxidative stress, inflammation, synaptic plasticity, and ERK activity, potentially promoting adaptive remodeling of ERK signaling according to pathological conditions. Nevertheless, current evidence is predominantly derived from cellular and animal studies, and the dynamic, cell-specific, and spatial characteristics of ERK signaling remain insufficiently defined. Blood-brain barrier penetration, long-term safety, preservation of physiological ERK functions, and the lack of reliable biomarkers for monitoring brain ERK activity also limit clinical translation. Importantly, the “ERK activity window” remains a theoretical framework, and direct clinical evidence that ERK modulation can alter the progression of human PD is currently lacking. Future studies should therefore integrate longitudinal analysis, cell-specific and spatial approaches, and clinical biomarker validation to determine whether precise regulation of ERK signaling can provide a viable strategy for disease-modifying intervention in PD.

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杨常智,王慧,颜敏,韦帅,田雪文.胞外信号调节激酶(ERK)信号在帕金森病中的双重作用:从神经毒性到神经保护[J].生物化学与生物物理进展,2026,53(9):2316-2333 YANG Chang-Zhi, WANG Hui, YAN Min, WEI Shuai, TIAN Xue-Wen. The Dual Roles of ERK Signaling in Parkinson’s Disease: From Neurotoxicity to Neuroprotection[J]. Progress in Biochemistry and Biophysics,2026,53(9):2316-2333

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  • 收稿日期:2026-06-17
  • 最后修改日期:2026-09-08
  • 录用日期:2026-08-28
  • 在线发布日期: 2026-08-29
  • 出版日期: 2026-09-28
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