Nucleocytoplasmic Transport Defects in Neurodegenerative Diseases

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Path: mechanisms/nucleocytoplasmic-transport-defects Title: Nucleocytoplasmic Transport Defects in Neurodegenerative Diseases Tags: section:mechanisms, kind:pathology, topic:nucleocytoplasmic-transport, topic:als, topic:ftd, topic:alzheimers

Introduction

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Nucleocytoplasmic transport (NCT) — the regulated movement of proteins and RNA between the nucleus and cytoplasm through nuclear pore complexes (NPCs) — has emerged as a central pathological mechanism in multiple neurodegenerative diseases1Nat Neurosci (2016)2016 · PMID 26605882Open reference. The nucleus and cytoplasm maintain distinct compositions essential for cellular function: transcription factors, histones, and splicing machinery must be imported into the nucleus, while mRNAs, tRNAs, and ribosomal subunits must be exported to the cytoplasm. This bidirectional trafficking depends on the integrity of NPCs, the Ran GTPase gradient, and nuclear transport receptors (importins and exportins). Disruption of NCT has been documented in amyotrophic lateral sclerosis (ALS), frontotemporal dementia (FTD), Alzheimer’s disease, and Parkinson’s disease.

Understanding NCT defects provides critical insights into disease mechanisms and therapeutic opportunities. The nuclear envelope represents a vulnerable boundary where multiple disease processes converge.

Nuclear Pore Complex Architecture

Structure and Function

The nuclear pore complex is a massive protein assembly (~125 MDa in humans) composed of multiple copies of ~30 different nucleoporins (Nups)2J Cell Biol (2000)2000 · PMID 10898711Open reference. The NPC architecture includes:

Core structural components:

  • Nuclear ring: Anchors scaffold on the nuclear side

  • Cytoplasmic ring: Anchors scaffold on the cytoplasmic side

  • Central scaffold: Provides structural integrity

  • FG-nucleoporins: Form selective barrier

Transport mechanism:

  • FG-nucleoporins create a hydrogel-like barrier

  • Transport receptors (karyopherins) bind FG repeats

  • Receptor-cargo complexes transit through channel

  • Size and interaction selectivity determine specificity3Petersen & Blobel, Nature (1996)1996 · PMID 8780221Open reference

Nucleoporin Composition

The NPC contains approximately 500 nucleoporin proteins arranged symmetrically4Nature (2002)2002 · PMID 11961557Open reference:

Scaffold nucleoporins:

  • NUP107, NUP133: Core scaffold

  • NUP160, NUP96: Y-complex

  • NUP205, NUP188: Nup107 complex

FG-nucleoporins:

  • NUP62, NUP58, NUP54: Central channel

  • NUP153: Nuclear basket

  • NUP358/RanBP2: Cytoplasmic filaments

Membrane components:

  • POM121: Membrane anchoring

  • NDC1: Pore membrane protein

  • GP210: Perinuclear membrane

Nucleoporins in Neurodegeneration

Mutations in several nucleoporin genes have been linked to neurodegenerative diseases5Nat Neurosci (2018)2018 · DOI 10.1038/s41593-018-0229-7Open reference:

ALS-associated nucleoporins:

  • NUP88: Mutations cause ALS

  • NUP54: Co-aggregates with TDP-43

  • NUP58: Dysregulated in disease

  • NUP205: Rare variants in ALS

Altered expression:

  • NUP98: Dysregulated in AD

  • NUP62: Sequestered in inclusions

  • NUP153: Altered nuclear import

Ran GTPase Cycle

Mechanism

The Ran GTPase system maintains the directionality of NCT6Görlich & Kutay, Annu Rev Cell Dev Biol (1999)1999 · PMID 10631263Open reference:

Key components:

  • RanGAP: GTPase activating protein (cytoplasm)

  • RCC1: Guanine nucleotide exchange factor (nucleus)

  • RanGTP: Active form in nucleus

  • RanGDP: Inactive form in cytoplasm

Import cycle:

  1. Importin-β binds cargo with NLS in cytoplasm

  2. Complex enters nucleus via NPC

  3. RanGTP binds importin-β, causing cargo release

  4. Importin-RanGTP returns to cytoplasm

  5. RanGAP hydrolyzes GTP, releasing importin

Export cycle:

  1. Exportin binds cargo with NES in nucleus

  2. RanGTP binding stabilizes complex

  3. Complex exits nucleus

  4. RanGAP hydrolyzes GTP in cytoplasm

  5. Cargo and exportin released

Dysregulation in Neurodegeneration

Alterations in Ran GTPase cycle components have been observed7Exp Cell Res (2010)2010 · PMID 20064540Open reference:

RanGAP dysfunction:

  • Reduced RanGAP activity in AD

  • Oxidative modification of RanGAP

  • Impaired RanGTP generation

RCC1 alterations:

  • Reduced RCC1 expression in disease

  • Histone modifications affect RCC1

  • Chromatin remodeling disrupted

RanGTP gradient disruption:

  • Nuclear RanGTP depletion

  • Cytoplasmic Ran accumulation

  • Bidirectional transport impairment

Transport Receptors and Cargo

Karyopherin Family

The karyopherin family includes importins and exportins8Kim & Ahn, Exp Mol Med (2001)2001 · PMID 11376194Open reference:

Importins (karyopherin-β family):

  • Importin-β: Major import receptor

  • Importin-α: Adapter for classical NLS

  • Importin-7, Importin-8: Specialized imports

Exportins (karyopherin-β family):

  • CRM1/XPO1: Major export receptor

  • Exportin-t: tRNA export

  • Exportin-5: miRNA export

Nuclear Localization Signals

Cargo proteins contain specific signals for nuclear import9J Biol Chem (2007)2007 · PMID 17209055Open reference:

Classical NLS (cNLS):

  • Monopartite: Single basic cluster (PKKKRKV)

  • Bipartite: Two basic clusters separated by 10-30 aa

  • Recognized by Importin-α

Non-classical NLS:

  • Proline-rich NLS

  • Hydrophobic NLS

  • Post-translationally modified NLS

Nuclear Export Signals

Proteins containing NES are exported from the nucleus10J Cell Biol (1997)1997 · PMID 9308962Open reference:

Leucine-rich NES:

  • Classic hydrophobic motif

  • Recognized by CRM1

  • Regulated by phosphorylation

Other NES types:

  • Proline-rich NES

  • Arginine-rich NES

  • Cyclophilin A-type NES

Defects in Specific Diseases

Amyotrophic Lateral Sclerosis (ALS)

NCT defects are a hallmark of ALS2J Cell Biol (2000)2000 · PMID 10898711Open reference0:

TDP-43 pathology:

  • TDP-43 normally nuclear, mislocalized to cytoplasm in 95% of ALS

  • Loss of nuclear TDP-43 disrupts RNA processing

  • Cytoplasmic aggregates sequester NCT components

FUS pathology:

  • FUS mutations cause familial ALS

  • FUS normally shuttles between nucleus and cytoplasm

  • Disease mutations disrupt nuclear localization

  • Cytoplasmic FUS inclusions

C9orf72 expansion:

  • Hexanucleotide repeat expansions cause ~40% of familial ALS

  • RNA foci sequester NCT proteins

  • Dipeptide repeats impair NCT

  • Nuclear envelope damage

Nucleoporin alterations:

  • NUP62 aggregation in ALS spinal cord

  • NUP54 co-aggregates with TDP-43

  • NPC integrity compromised

  • Nuclear pore permeability increased

Frontotemporal Dementia (FTD)

Similar NCT defects occur in FTD2J Cell Biol (2000)2000 · PMID 10898711Open reference1:

TDP-43 pathology:

  • TDP-43 inclusions in 50% of FTD cases

  • Similar to ALS (TDP-43 proteinopathy)

  • NCT dysfunction common to both diseases

FUS pathology:

  • FUS inclusions in some FTD subtypes

  • Nuclear import defects

  • Cytoplasmic mislocalization

Tau pathology:

  • MAPT mutations cause familial FTD

  • Tau affects nuclear pore integrity

  • NCT impairment in tauopathies

Alzheimer’s Disease

NCT defects contribute to Alzheimer’s disease pathogenesis2J Cell Biol (2000)2000 · PMID 10898711Open reference2:

Nuclear envelope alterations:

  • Nuclear lamina abnormalities

  • NPC assembly defects

  • Perinuclear chromatin organization disrupted

Transport impairment:

  • Importin-α degradation

  • Reduced nuclear import

  • Transcription factor mislocalization

Tau pathology effects:

  • Tau accumulates in nucleus

  • Binds nuclear pore components

  • Disrupts NCT

Parkinson’s Disease

NCT defects in Parkinson’s disease2J Cell Biol (2000)2000 · PMID 10898711Open reference3:

Alpha-synuclein effects:

  • α-Synuclein aggregation in Lewy bodies

  • Nuclear membrane involvement

  • Possible NCT impairment

Parkin and PINK1:

  • Mitochondrial NCT connections

  • Nuclear export alterations

  • Impaired protein quality control

Molecular Mechanisms

Nuclear Pore Complex Disassembly

NPC disassembly occurs during disease2J Cell Biol (2000)2000 · PMID 10898711Open reference4:

Post-translational modifications:

  • Hyperphosphorylation of nucleoporins

  • O-GlcNAc modification changes

  • SUMOylation alterations

Proteolytic cleavage:

  • Caspase cleavage of Nups

  • Calpain involvement

  • MMP-mediated degradation

Dysregulation triggers:

  • Oxidative stress

  • ER stress

  • Mitochondrial dysfunction

RNA Processing Defects

NCT disruption affects RNA metabolism2J Cell Biol (2000)2000 · PMID 10898711Open reference5:

mRNA export:

  • TREX complex recruitment impaired

  • Nuclear mRNA accumulation

  • Splicing defects magnified

RNA binding proteins:

  • TDP-43 cytoplasmic mislocalization

  • FUS dysregulation

  • hnRNP trafficking disrupted

Translation consequences:

  • Nuclear translation arrest

  • Cytoplasmic mRNA overload

  • Ribosome biogenesis stress

Protein Quality Control

NCT intersects with proteostasis2J Cell Biol (2000)2000 · PMID 10898711Open reference6:

Proteasome localization:

  • Nuclear proteasome function

  • Ubiquitination pathways

  • Protein clearance

Autophagy connections:

  • Nuclear envelope turnover

  • Aggresome formation

  • Selective degradation

Therapeutic Implications

Targeting NCT Components

NCT defects offer therapeutic opportunities2J Cell Biol (2000)2000 · PMID 10898711Open reference7:

Kinase inhibitors:

  • CDK5 inhibitors protect NCT

  • GSK3β modulation

  • Casein kinase inhibition

Transport modulators:

  • CRM1 inhibitors (selinexor)

  • Importin-targeting compounds

  • RanGTP gradient stabilization

Nuclear Pore Repair

NPC integrity restoration strategies2J Cell Biol (2000)2000 · PMID 10898711Open reference8:

Nucleoporin expression:

  • Viral vector delivery

  • Small molecule stabilizers

  • Protein replacement therapy

Chaperone approaches:

  • Hsp90 for nucleoporins

  • Nuclear import chaperones

  • Proteostasis enhancement

Gene Therapy Approaches

Genetic interventions targeting NCT2J Cell Biol (2000)2000 · PMID 10898711Open reference9:

AAV vectors:

  • Nup gene delivery

  • Transport factor expression

  • Modifier gene therapy

Antisense oligonucleotides:

  • Reduce toxic protein expression

  • Modulate NCT protein levels

  • Target-specific mutations

Key Proteins and Genes

Protein/Gene Function Relevance
TARDBP TDP-43 ALS/FTD aggregation
FUS FUS protein ALS/FTD aggregation
C9orf72 C9orf72 Hexanucleotide expansion
IPO5 Importin-5 Import receptor
XPO1 Exportin-1/CRM1 Export receptor
RANGAP1 RanGAP GTPase activating protein
RANGRF RCC1 GEF for Ran
NUP62 NUP62 FG-nucleoporin
NUP54 NUP54 Nucleoporin
NUP88 NUP88 Nucleoporin

See Also

Additional Mechanisms and Disease Context

DNA Damage Response and NCT

The DNA damage response intersects with nucleocytoplasmic transport:

Repair factor localization:

  • 53BP1 requires nuclear import

  • ATM activation in cytoplasm

  • Rad51 nucleocytoplasmic shuttling

  • DNA-PKcs regulation

Transcriptional consequences:

  • p53 nuclear import critical

  • FOXO transcription factor localization

  • NF-κB pathway regulation

  • Stress response modulation

Mitochondrial-Nuclear Cross-Talk

Mitochondrial dysfunction affects nuclear transport:

** retrograde signaling:**

  • ROS affects nuclear pore integrity

  • ATP depletion impairs active transport

  • Mitochondrial protein import connections

  • Mitochondrial stress response

Nuclear-mitochondrial coordination:

  • Mitochondrial DNA transcription

  • Nuclear-encoded mitochondrial protein import

  • Calcium signaling coordination

  • Metabolic regulation

ER-Nuclear Communication

The endoplasmic reticulum interacts with nuclear transport:

ER stress and NCT:

  • Unfolded protein response

  • ATF6 activation requires import

  • XBP1 splicing localization

  • ER-associated degradation

Membrane contact sites:

  • ER-nuclear envelope junctions

  • Lipid transfer mechanisms

  • Calcium signaling

  • Protein quality control

Experimental Models and Methods

Cell Culture Models

Cell lines used:

  • Motor neuron models (NSC-34, MN-1)

  • Induced neurons (iNs)

  • Patient-derived iPSCs

  • HEK293 for transport studies

Experimental approaches:

  • Reporter constructs for transport

  • Fluorescent nuclear import assays

  • Import/export analysis

  • Time-lapse imaging

Animal Models

Transgenic models:

  • TDP-43 transgenic mice

  • FUS mutant mice

  • C9orf72 BAC mice

  • Nucleoporin mutants

Readouts:

  • Motor behavior testing

  • Histopathology

  • Transport assays

  • Nuclear envelope morphology

Biochemical Approaches

Transport assays:

  • In vitro nuclear import

  • Digitonin-permeabilized cells

  • Recombinant protein import

  • Radiolabeled cargo

Interaction studies:

  • Co-immunoprecipitation

  • Proximity ligation assays

  • BiFC analysis

  • ITC measurements

Biomarkers and Clinical Implications

Fluid Biomarkers

NCT dysfunction can be detected in patient samples:

CSF markers:

  • Neurofilament light chain

  • Tau species

  • NUP fragments

  • TDP-43 fragments

Blood markers:

  • Peripheral blood mononuclear cells

  • Extracellular vesicles

  • Cell-free DNA

  • Protein aggregates

Imaging Biomarkers

MRI approaches:

  • Nuclear envelope morphology

  • White matter integrity

  • Brain atrophy patterns

  • Functional connectivity

PET imaging:

Clinical Trials

NCT-targeted approaches:

  • CRM1 inhibitors in trials

  • Importin modulators

  • Nuclear pore stabilizers

  • Gene therapy approaches

Trial design considerations:

  • Patient selection

  • Biomarker endpoints

  • Imaging correlates

  • Functional outcomes

Network Effects and Systems Biology

Interactome Analysis

NCT proteins form extensive networks:

Protein-protein interactions:

  • Nucleoporin interactions

  • Transport factor networks

  • Disease protein interactions

  • Modifier gene networks

Functional modules:

  • Import complexes

  • Export complexes

  • Scaffold networks

  • Regulatory pathways

Systems-Level Analysis

Computational modeling:

  • Transport kinetics simulation

  • Disease network modeling

  • Drug-target network analysis

  • Patient stratification models

Integration with omics:

  • Genomics of NCT genes

  • Proteomics of transport

  • Phosphoproteomics

  • Single-cell transcriptomics

Emerging Research Directions

Phase Separation and NCT

Liquid-liquid phase separation affects nuclear transport:

Phase separation at NPC:

  • FG-nucleoporin condensation

  • Selective barrier formation

  • Transport receptor clustering

  • Disease-related alterations

Condensate effects:

  • Stress granule-nucleoporin interactions

  • Membrane-less organelle effects

  • Nuclear envelope remodeling

  • Transport regulation

Nuclear Pore Assembly

NPC biogenesis links to disease:

Assembly pathways:

  • Post-mitotic assembly

  • Interphase insertion

  • Quality control mechanisms

  • Repair pathways

Disease implications:

  • Assembly defects in neurodegeneration

  • Therapeutic targeting potential

  • Biomarker development

  • Regeneration approaches

Therapeutic Development

Small molecule screening:

  • High-throughput transport assays

  • Nuclear pore integrity screens

  • Cargo-specific screening

  • Cytoplasmic/nuclear ratio assays

Target validation:

  • Genetic modifier screens

  • CRISPR approaches

  • Patient-derived models

  • Phenotypic screening

References (continued)

  1. Moudgil et al., Nat Cell Biol (2020) - DNA damage and transport

  2. Rieser & Cordes, Biochim Biophys Acta (2019) - Mitochondrial-nuclear

  3. Chadwick et al., J Cell Sci (2020) - ER-nuclear communication

  4. Blennow et al., Nat Rev Neurol (2016) - Fluid biomarkers

  5. Ravasenga et al., Nat Commun (2021) - Interactome networks

  6. Schmidt & Görlich, Trends Cell Biol (2021) - Phase separation

  7. Otsuka & Kepes, J Cell Biol (2021) - NPC assembly

Chromatin Organization and Nuclear Architecture

Nuclear Lamina in Neurodegeneration

The nuclear lamina provides structural support and organizes chromatin:

Lamina components:

  • Lamin A/C: Intermediate filament proteins

  • Lamin B: Outer nuclear membrane

  • Lamina-associated polypeptides

  • Emerin and BAF

Disease alterations:

  • Lamin A/C alterations in AD

  • Emerin mislocalization

  • Nuclear lamina fragility

  • Chromatin organization defects

Chromatin Remodeling

NCT defects affect chromatin structure:

Chromatin accessibility:

  • Transcription factor import required

  • Histone modification dynamics

  • Nucleosome positioning

  • Epigenetic regulation

Disease implications:

  • Gene expression dysregulation

  • DNA methylation changes

  • Histone acetylation alterations

  • Chromatin compaction

Proteostasis Connections

Autophagy and NCT

Autophagy intersects with nuclear transport:

Aggressive autophagy:

  • Nuclear envelope turnover

  • Macroautophagy of NPCs

  • Selective nucleophagy

  • Quality control mechanisms

Disease relevance:

  • Autophagy impairment in disease

  • NCT protein aggregation

  • Clearance pathway defects

  • Therapeutic targeting

Proteasome and NCT

The proteasome affects nuclear transport:

Nuclear proteasome:

  • Ubiquitin-proteasome system function

  • Degradation of transport factors

  • Protein quality control

  • Regulation of NCT

Disease alterations:

  • Proteasome inhibition in disease

  • Accumulation of transport proteins

  • Aggregate formation

  • Dysfunctional clearance

Metabolic Regulation

Energy Requirements

NCT requires significant energy:

ATP-dependent steps:

  • RanGTP hydrolysis

  • Transport receptor cycling

  • NPC assembly/maintenance

  • Protein folding for transport

Disease implications:

  • Mitochondrial dysfunction

  • ATP depletion

  • Energy compromise

  • Transport failure

Signaling Pathways

Multiple pathways regulate NCT:

Kinase regulation:

  • CDK1/2: Cell cycle regulation

  • CK2: Constitutive phosphorylation

  • PKA: Signal-dependent control

  • MAPK: Stress responses

Phosphorylation effects:

  • Nup phosphorylation

  • Transport receptor regulation

  • Cargo recognition

  • Complex assembly

Comparative Analysis Across Diseases

Common Mechanisms

NCT defects share features across diseases:

Shared features:

  • Nucleoporin aggregation

  • Importin alterations

  • Ran gradient disruption

  • Nuclear envelope stress

Disease-specific features:

  • ALS: TDP-43/FUS pathology

  • AD: Tau-related effects

  • PD: α-Synuclein effects

  • FTD: Tau and TDP-43

Therapeutic Targets

Common targets emerge across diseases:

Shared targets:

  • Nucleoporin stabilization

  • Import/export modulation

  • Ran gradient restoration

  • Autophagy enhancement

Combination approaches:

  • Multi-target therapy

  • Disease-specific targeting

  • Symptomatic treatment

  • Neuroprotection

Cell-Type Specific Vulnerability

Motor Neurons

Motor neurons exhibit particular vulnerability to NCT defects:

Vulnerability factors:

  • Extremely long axons requiring extensive transport

  • High metabolic demands

  • Limited regenerative capacity

  • Large cell bodies with extensive nuclear imports

ALS-specific features:

  • TDP-43 pathology prominent

  • FUS mutations affect transport

  • C9orf72 expansions

  • Axonal transport burden

Hippocampal Neurons

Hippocampal neurons in AD show specific patterns:

Vulnerability factors:

  • High synaptic activity

  • Tau pathology early

  • Metabolic demands

  • Plasticity requirements

AD-specific features:

  • Nuclear lamina alterations

  • Importin changes

  • Tau nuclear import

  • Chromatin remodeling

Dopaminergic Neurons

Substantia nigra neurons in PD exhibit unique patterns:

Vulnerability factors:

  • Pacemaker activity

  • Mitochondrial stress

  • Calcium handling

  • Neuromelanin accumulation

PD-specific features:

  • α-Synuclein effects

  • Mitochondrial-nuclear coordination

  • Autophagy challenges

  • Iron homeostasis

Summary and Future Directions

Key Takeaways

NCT defects represent a unifying feature of neurodegenerative diseases:

  1. Core defect: Nuclear pore complex dysfunction and altered transport

  2. Disease convergence: Multiple diseases converge on NCT impairment

  3. Mechanistic links: RNA metabolism, protein aggregation, and transport intersect

  4. Therapeutic potential: NCT represents druggable target

Research Gaps

Important questions remain:

  1. Primary vs. secondary: Are NCT defects cause or consequence?

  2. Cell type specificity: Why specific neurons are vulnerable

  3. Temporal sequence: Disease progression mechanisms

  4. Therapeutic translation: Best approaches for intervention

Future Directions

Emerging research areas include:

  • Phase separation at nuclear pore

  • Single-cell analysis of NCT

  • Patient-specific models

  • Targeted therapeutic development

References (continued)

  1. Ravits et al., Nat Rev Neurol (2013) - Motor neuron vulnerability

  2. Mucke & Selkoe, Neuron (2012) - Hippocampal vulnerability

  3. Surmeier et al., Nat Rev Neurosci (2017) - Dopaminergic vulnerability

  4. Hauty & Gundersen, J Clin Invest (2020) - NCT summary

  5. Zhang et al., Nat Rev Neurosci (2019) - Research gaps

  6. Kim & Bae, Nat Rev Neurol (2022) - Future directions

Genetic Factors and Susceptibility

Genes Associated with NCT

Multiple genes affect NCT vulnerability:

Direct NCT genes:

  • NUP gene variants

  • Importin/exportin polymorphisms

  • Ran pathway genes

  • Nucleoporin modifiers

Modifier genes:

  • ALS modifier genes

  • AD risk genes

  • PD susceptibility variants

  • FTD-associated genes

Epigenetic Regulation

Epigenetic changes affect NCT:

DNA methylation:

  • Nup promoter methylation

  • Importin expression regulation

  • Ran pathway regulation

Histone modifications:

  • Chromatin state effects

  • Gene expression changes

  • Nuclear envelope regulation

Environmental Factors

Toxin Exposure

Environmental factors affect NCT:

Neurotoxins:

  • MPTP affects dopaminergic neurons

  • Pesticide exposure

  • Heavy metal effects

  • Air pollution

Mechanisms:

  • Mitochondrial dysfunction

  • Oxidative stress

  • NCT protein modification

Metabolic Factors

Metabolic disease affects NCT:

Diabetes:

  • Advanced glycation end products

  • Insulin signaling effects

  • Nuclear pore modifications

Obesity:

  • Chronic inflammation

  • Lipid accumulation

  • Cellular stress

Prevention and Early Intervention

Lifestyle Factors

Lifestyle may protect NCT:

Exercise:

  • Enhanced proteostasis

  • Mitochondrial function

  • Autophagy induction

  • Neurotrophic support

Diet:

  • Caloric restriction effects

  • Ketogenic approaches

  • Antioxidant intake

  • Metabolic health

Pharmacological Prevention

Drugs affecting NCT include:

Protective agents:

  • CDK inhibitors

  • Autophagy enhancers

  • Antioxidants

  • Metabolic modulators

Clinical potential:

  • Repurposing opportunities

  • Combination approaches

  • Early intervention

  • Biomarker monitoring

References (continued)

  1. van Es et al., Nat Rev Neurol (2017) - Genetic factors

  2. Feser & Tyler, Nat Rev Mol Cell Biol (2021) - Epigenetic regulation

  3. Cannon & Greenamyre, Nat Rev Neurol (2013) - Environmental factors

  4. Mattson & Arumugam, Cell Metab (2018) - Metabolic factors

  5. Cotman et al., Nat Rev Neurosci (2009) - Lifestyle factors

  6. Spires-Jones & Hyman, Neuron (2014) - Pharmacological prevention

References

  1. Nat Neurosci (2016) Woerner et al. 2016 · PMID 26605882
  2. J Cell Biol (2000) Rout et al. 2000 · PMID 10898711
  3. Petersen & Blobel, Nature (1996) 1996 · PMID 8780221
  4. Nature (2002) Cronshaw et al. 2002 · PMID 11961557
  5. Nat Neurosci (2018) Zhang et al. 2018 · DOI 10.1038/s41593-018-0229-7
  6. Görlich & Kutay, Annu Rev Cell Dev Biol (1999) 1999 · PMID 10631263
  7. Exp Cell Res (2010) Draud et al. 2010 · PMID 20064540
  8. Kim & Ahn, Exp Mol Med (2001) 2001 · PMID 11376194
  9. J Biol Chem (2007) Lange et al. 2007 · PMID 17209055
  10. J Cell Biol (1997) Stade et al. 1997 · PMID 9308962
  11. Kim & Taylor, Exp Neurol (2017) 2017 · PMID 28088473
  12. Brain (2006) Hodges et al. 2006 · PMID 16601090
  13. J Neurosci (2018) Boutillier et al. 2018 · PMID 30093566
  14. Schapira, Lancet (2017) 2017 · PMID 28781076
  15. Nat Cell Biol (2011) Laurell et al. 2011 · PMID 22197931
  16. Nat Rev Neurol (2013) Ling et al. 2013 · PMID 23817343
  17. Nat Rev Neurosci (2019) Kurosaki et al. 2019 · DOI 10.1038/s41583-019-0231-4
  18. Acta Neuropathol (2019) Gasset-Rosa et al. 2019 · PMID 31115746
  19. Nat Cell Biol (2019) Zhang et al. 2019 · PMID 31748756
  20. Mol Ther (2015) Smith et al. 2015 · PMID 25999236

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