2013
DOI: 10.2203/dose-response.13-016.leak
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Adaptation and Sensitization to Proteotoxic Stress

Abstract: ᮀ Although severe stress can elicit toxicity, mild stress often elicits adaptations. Here we review the literature on stress-induced adaptations versus stress sensitization in models of neurodegenerative diseases. We also describe our recent findings that chronic proteotoxic stress can elicit adaptations if the dose is low but that high-dose proteotoxic stress sensitizes cells to subsequent challenges. In these experiments, long-term, low-dose proteasome inhibition elicited protection in a superoxide dismutase… Show more

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Cited by 13 publications
(12 citation statements)
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References 246 publications
(262 reference statements)
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“…Unlike what we observed in astrocytes, severe stress has been observed to weaken surviving neurons in previous studies, consistent with the dual hit hypothesis of neurodegeneration, whereby dual hits synergize in their toxic effects on neurons [68, 8895]. In other words, the effect of stress is likely to be both injury and cell-type dependent and may also vary with age, among other variables [96]. Thus, in all likelihood, cell fate is determined by genetic determinants of susceptibility as well as a convergence of all previous stressors.…”
Section: Discussionsupporting
confidence: 90%
See 1 more Smart Citation
“…Unlike what we observed in astrocytes, severe stress has been observed to weaken surviving neurons in previous studies, consistent with the dual hit hypothesis of neurodegeneration, whereby dual hits synergize in their toxic effects on neurons [68, 8895]. In other words, the effect of stress is likely to be both injury and cell-type dependent and may also vary with age, among other variables [96]. Thus, in all likelihood, cell fate is determined by genetic determinants of susceptibility as well as a convergence of all previous stressors.…”
Section: Discussionsupporting
confidence: 90%
“…Our studies therefore extend the neuroprotective capacities of injured astrocytes and provide concrete evidence that stress does not need to be low in concentration to elicit adaptive defenses. Indeed, most authors would argue that severe or high-dose stress only weakens cells, consistent with the two-hit hypothesis of neurodegeneration [88, 90, 96, 161164]. Furthermore, many authors have suggested that stressed astrocytes exacerbate injury in neighboring neurons [1419] and that astrocytes have a strong potential for dysfunction despite their normal roles in cellular defense and homeostasis [165].…”
Section: Discussionmentioning
confidence: 82%
“…In the present study, we developed a unique model of severe hippocampal stress in which to test new therapies. Our studies are based on the assumption that stress vulnerability and stress tolerance can be quantified by exposing previously stressed cells to a second stressful challenge and subsequently measuring viability (Leak, ). If the dual hits are synergistic in their toxic effects, the first exposure is hypothesized to sensitize cells to the second hit.…”
Section: Introductionmentioning
confidence: 99%
“…If the dual hits are synergistic in their toxic effects, the first exposure is hypothesized to sensitize cells to the second hit. This phenomenon of stress exacerbation is known as the dual or two‐hit hypothesis of neurodegeneration (Carvey et al, ; Leak, ). Many authors have applied the dual ‐ hit hypothesis to the hippocampus, in terms of epilectic seizure activity, schizophrenia, temporal sclerosis, memory loss, and Alzheimer's disease (McCarley et al, ; Hoffmann et al, ; Lewis, ; Somera‐Molina et al, ; Zhu et al, ; Ouardouz et al, ; Llorente et al, ; Dalton et al, ; Hill et al, ; Hamelin and Depaulis, ).…”
Section: Introductionmentioning
confidence: 99%
“…In some systems, the cells that survive severe stress are not resistant, but are actually sensitized to subsequent stress, so that the two hits of severe stress are synergistic in their toxic effects in these populations (Boger et al 2010;Carvey et al 2006;Gao and Hong 2011;Manning-Bog and Langston 2007;Sulzer 2007;Unnithan et al 2012Unnithan et al , 2013Weidong et al 2009;Zhu et al 2001Zhu et al , 2007. In short, one might expect the direction of the stress response, i.e., whether it will elicit pro-survival or pro-death responses, to depend on cell type, heat shock protein expression, antioxidant defenses, dose and duration of the injury, previous exposures to other stressors, brain region, animal age, nutrient intake, physical activity levels, disease stage, and numerous other endogenous and environmental variables (Leak 2014).…”
mentioning
confidence: 99%