PMID- 29793507 OWN - NLM STAT- MEDLINE DCOM- 20181109 LR - 20240314 IS - 1750-1326 (Electronic) IS - 1750-1326 (Linking) VI - 13 IP - 1 DP - 2018 May 24 TI - Targeting energy metabolism via the mitochondrial pyruvate carrier as a novel approach to attenuate neurodegeneration. PG - 28 LID - 10.1186/s13024-018-0260-x [doi] LID - 28 AB - Several molecular pathways are currently being targeted in attempts to develop disease-modifying therapies to slow down neurodegeneration in Parkinson's disease. Failure of cellular energy metabolism has long been implicated in sporadic Parkinson's disease and recent research on rare inherited forms of Parkinson's disease have added further weight to the importance of energy metabolism in the disease pathogenesis. There exists a new class of anti-diabetic insulin sensitizers in development that inhibit the mitochondrial pyruvate carrier (MPC), a protein which mediates the import of pyruvate across the inner membrane of mitochondria. Pharmacological inhibition of the MPC was recently found to be strongly neuroprotective in multiple neurotoxin-based and genetic models of neurodegeneration which are relevant to Parkinson's disease. In this review, we summarize the neuroprotective effects of MPC inhibition and discuss the potential putative underlying mechanisms. These mechanisms involve augmentation of autophagy via attenuation of the activity of the mammalian target of rapamycin (mTOR) in neurons, as well as the inhibition of neuroinflammation, which is at least partly mediated by direct inhibition of MPC in glia cells. We conclude that MPC is a novel and potentially powerful therapeutic target that warrants further study in attempts to slow Parkinson's disease progression. FAU - Quansah, Emmanuel AU - Quansah E AD - Center for Neurodegenerative Science, Van Andel Research Institute, Grand Rapids, 333 Bostwick Ave, Michigan, 49503, USA. FAU - Peelaerts, Wouter AU - Peelaerts W AD - Center for Neurodegenerative Science, Van Andel Research Institute, Grand Rapids, 333 Bostwick Ave, Michigan, 49503, USA. AD - KU Leuven, Laboratory for Gene Therapy and Neurobiology, 3000, Leuven, Belgium. FAU - Langston, J William AU - Langston JW AD - Stanford Udall Center, Department of Pathology, Stanford University, Palo Alto, CA, USA. FAU - Simon, David K AU - Simon DK AD - Neurology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA. FAU - Colca, Jerry AU - Colca J AD - Metabolic Solutions Development Company, Kalamazoo, MI, 49007, USA. FAU - Brundin, Patrik AU - Brundin P AD - Center for Neurodegenerative Science, Van Andel Research Institute, Grand Rapids, 333 Bostwick Ave, Michigan, 49503, USA. patrik.brundin@vai.org. LA - eng GR - P50 NS062684/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20180524 PL - England TA - Mol Neurodegener JT - Molecular neurodegeneration JID - 101266600 RN - 0 (MPC1 protein, human) RN - 0 (Membrane Transport Proteins) RN - 0 (Mitochondrial Membrane Transport Proteins) RN - 0 (Monocarboxylic Acid Transporters) SB - IM MH - Animals MH - Energy Metabolism/*physiology MH - Humans MH - Membrane Transport Proteins/*metabolism MH - Mitochondrial Membrane Transport Proteins MH - Monocarboxylic Acid Transporters MH - Nerve Degeneration/*metabolism MH - Parkinson Disease/*metabolism PMC - PMC5968614 OTO - NOTNLM OT - Insulin sensitizers OT - Mitochondrial pyruvate carrier OT - Neurodegeneration OT - Parkinson's disease COIS- COMPETING INTERESTS: PB has received commercial support as a consultant from Renovo Neural, Inc., Cellular Dynamics International, Axial Biotherapeutics, Roche, Teva Inc., Lundbeck A/S, NeuroDerm, AbbVie, ClearView Healthcare, FCB Health, IOS Press Partners and Capital Technologies, Inc. PB has ownership interests in Acousort AB. EQ and PB are conducting sponsored research on behalf of Roche and Lundbeck A/S. JC is co-founder and part-owner of MSDC. PUBLISHER'S NOTE: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. EDAT- 2018/05/26 06:00 MHDA- 2018/11/10 06:00 PMCR- 2018/05/24 CRDT- 2018/05/26 06:00 PHST- 2018/03/21 00:00 [received] PHST- 2018/05/17 00:00 [accepted] PHST- 2018/05/26 06:00 [entrez] PHST- 2018/05/26 06:00 [pubmed] PHST- 2018/11/10 06:00 [medline] PHST- 2018/05/24 00:00 [pmc-release] AID - 10.1186/s13024-018-0260-x [pii] AID - 260 [pii] AID - 10.1186/s13024-018-0260-x [doi] PST - epublish SO - Mol Neurodegener. 2018 May 24;13(1):28. doi: 10.1186/s13024-018-0260-x.