与神经疾病相关的大脑衰老的代谢与功能概述。

A metabolic and functional overview of brain aging linked to neurological disorders.

作者信息

Baquer Najma Z, Taha Asia, Kumar Pardeep, McLean P, Cowsik S M, Kale R K, Singh R, Sharma Deepak

机构信息

School of Life Sciences, Jawaharlal Nehru University, New Delhi, India.

出版信息

Biogerontology. 2009 Aug;10(4):377-413. doi: 10.1007/s10522-009-9226-2. Epub 2009 Apr 21.

Abstract

Close correlations have recently been shown among the late onset complications encountered in diabetes and aging linked to neurobiological disorders. Aging in females and males is considered as the end of natural protection against age related diseases like osteoporosis, coronary heart disease, diabetes, Alzheimer's disease and Parkinson's disease, dementia, cognitive dysfunction and hypernatremia. Beside the sex hormones other hormonal changes are also known to occur during aging and many common problems encountered in the aging process can be related to neuroendocrine phenomena. Diabetes mellitus is associated with moderate cognitive deficits and neurophysiologic and structural changes in the brain, a condition that may be referred to as diabetes encephalopathy; diabetes increases the risk of dementia especially in the elderly. The current view is that the diabetic brain features many symptoms that are best described as accelerated brain aging. This review presents and compares biochemical, physiological, electrophysiological, molecular, and pathological data from neuronal tissue of aging and hormone treated control and diabetic animals to arrive at the similarities among the two naturally occuring physiological conditions. Animal models can make a substantial contribution to understanding of the pathogenesis, which share many features with mechanism underlying brain aging. By studying the pathogenesis, targets for pharmacology can be identified, finally leading to delay or prevention of these complications. Antiaging strategies using hormone therapy, chemical and herbal compounds were carried out for reversal of aging effects. Neuronal markers have been presented in this review and similarities in changes were seen among the aging, diabetes and hormone treated (estrogen, DHEA and insulin) brains from these animals. A close correlation was observed in parameters like oxidative stress, enzyme changes, and pathological changes like lipofuscin accumulation in aging and diabetic brain.

摘要

最近研究表明,糖尿病中出现的迟发性并发症与衰老相关的神经生物学疾病之间存在密切关联。男性和女性的衰老被认为是对骨质疏松症、冠心病、糖尿病、阿尔茨海默病和帕金森病、痴呆症、认知功能障碍和高钠血症等与年龄相关疾病的自然保护作用的终结。除了性激素外,衰老过程中还会发生其他激素变化,衰老过程中遇到的许多常见问题可能与神经内分泌现象有关。糖尿病与中度认知缺陷以及大脑的神经生理和结构变化有关,这种情况可称为糖尿病性脑病;糖尿病会增加患痴呆症的风险,尤其是在老年人中。目前的观点是,糖尿病大脑具有许多最能描述为加速大脑衰老的症状。本综述展示并比较了来自衰老动物、激素治疗的对照动物和糖尿病动物神经元组织的生化、生理、电生理、分子和病理数据,以找出这两种自然发生的生理状况之间的相似之处。动物模型有助于深入了解发病机制,其与大脑衰老的潜在机制有许多共同特征。通过研究发病机制,可以确定药理学靶点,最终延缓或预防这些并发症。采用激素疗法、化学和草药化合物的抗衰老策略已用于逆转衰老效应。本综述展示了神经元标志物,并观察到这些动物衰老、糖尿病和激素治疗(雌激素、脱氢表雄酮和胰岛素)大脑在变化方面的相似性。在衰老和糖尿病大脑中,氧化应激、酶变化以及脂褐素积累等病理变化等参数之间观察到密切关联。

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