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Advanced Neurology





                                        REVIEW ARTICLE
                                        Lipid droplets in neurodegenerative disorders:

                                        Molecular insights and therapeutic intervention



                                                  †
                                                              †
                                        Xin-Yi Chen , Ting-ting Fu , Ling Huang*, and Wan-Di Xiong*
                                        Key Laboratory of Tropical Biological Resources of Ministry of Education, School of Pharmaceutical
                                        Sciences, Hainan University, Haikou, China



                                        Abstract
                                        Lipid droplets (LDs) are dynamic lipid storage organelles, derived from phospholipid
                                        monolayer membrane of the endoplasmic reticulum. LDs are composed of neutral
                                        lipids, mainly including triglycerides, sterol esters, and other non-polar lipids like
                                        cholesterol. The functions of LDs differ from different cell types in the central nervous
                                        system. The major role of LDs is to maintain lipid homeostasis, provide energy supply,
                                        and play a protective role in response to intracellular oxidative stress in the brain.
                                        Oxidative stress can lead to lipid dyshomeostasis, particularly the accumulation of
                                        LDs, followed by abnormal myelination, neuroinflammation, and cognitive decline.
                                        Neuroinflammation, aging, and age-related neurodegenerative disorders (NDDs) are
            † These authors contributed equally
            to this work.               characterized by the excessive accumulation of LDs in the brain. Although the LDs
                                        accumulation in the brain of the NDDs mouse model has been reported as early as
            *Corresponding authors:
            Wan-di Xiong                a century ago, the role of LDs in the brain remains largely unknown. It is still unclear
            (xiongwandi@hainanu.edu.cn)   regarding the involvement of LDs accumulation in the pathogenesis of NDDs. In this
            Ling Huang                  review, we provide an overview of LDs biogenesis, the characteristics and functions of
            (linghuang@hainanu.edu.cn)   LDs from a cell-type perspective, and the pathological roles of LDs in NDDs on recent
            Citation: Chen X, Fu T, Huang L,   advances. In addition, we discuss the emerging LDs-based therapeutic strategies for
            Xiong W. Lipid droplets in   NDDs, which may provide promising clues to develop novel therapeutic approaches
            neurodegenerative disorders:
            Molecular insights and therapeutic   for NDDs.
            intervention. Adv Neurol.
            2025;4(2):1-11.
            doi: 10.36922/an.5060       Keywords: Lipid droplets; Neurodegenerative disorders; Aging; Neuroinflammation;
            Received: October 7, 2024   Neuroglia
            Revised: November 7, 2024
            Accepted: November 25, 2024
            Published online: December 12,   1. Introduction
            2024                        Lipid droplets (LDs) serve as dynamic organelles for the storage of neutral lipids,
            Copyright: © 2024 Author(s).   which  play  critical  roles  in  the  regulation  of  cellular  lipid  metabolism,  homeostasis,
            This is an Open-Access article   and energy utilization. In central nervous system  (CNS), highly energy-demanding
            distributed under the terms of the
            Creative Commons Attribution   neurons and glial cells are heavily reliant on lipid metabolism, which  can provide
            License, permitting distribution,   nutrition, metabolism, and immunoregulation to neural networks. Although lipids
            and reproduction in any medium,
            provided the original work is   represent around 50% of the dry weight in CNS, the brain has a limited capacity for
            properly cited.             the storage and oxidation for lipid metabolism.  Lipid dyshomeostasis is associated with
                                                                             1
            Publisher’s Note: AccScience   neuroinflammation, brain aging, and neurodegenerative disorders (NDDs). LDs, as the
            Publishing remains neutral with   neutral lipid storage organelles derived from endoplasmic reticulum (ER), are distributed
            regard to jurisdictional claims in
            published maps and institutional   in various cell types, including neurons, microglia, astrocytes, oligodendrocytes, and
            affiliations.               ependymal cells.  LDs show different functions in those cells. Recent advances revealed
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            Volume 4 Issue 2 (2025)                         1                                doi: 10.36922/an.5060
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