Tan Zhiqun
Department of Neurology, University of California Irvine School of Medicine, ZOT 4275, 100 Irvine Hall, Irvine, CA 92697 USA.
J Ocul Biol Dis Infor. 2009 Sep;2(3):137-144. doi: 10.1007/s12177-009-9033-7. Epub 2009 Sep 1.
Given the advantages of being stable in the ambient environment, being permeable to the blood-brain and/or blood-eye barriers and being convenient for administration, naturopathic compounds have growingly become promising therapeutic candidates for neural protection. Extracted from one of the most common Chinese herbal medicines, tetramethylpyrazine (TMP), also designated as ligustrazine, has been suggested to be neuroprotective in the central nervous system as well as the peripheral nerve network. Although the detailed molecular mechanisms of its efficacy for neural protection are understood limitedly, accumulating evidence suggests that antioxidative stress, antagonism for calcium, and suppression of pro-inflammatory factors contribute significantly to its neuroprotection. In animal studies, systemic administration of TMP (subcutaneous injection, 50 mg/kg) significantly blocked neuronal degeneration in hippocampus as well as the other vulnerable regions in brains of Sprague-Dawley rats following kainate-induced prolonged seizures. Results from us and others also demonstrated potent neuroprotective efficacy of TMP for retinal cells and robust benefits for brain in Alzheimer's disease or other brain injury. These results suggest a promising prospect for TMP to be used as a treatment of specific neurodegenerative diseases. Given the assessment of the distribution, metabolism, excretion, and toxicity information that is already available on most neuroprotective naturopathic compounds such as TMP, preclinical data to justify bringing such therapeutic compounds to clinical trials in humans is feasible.[This corrects the article on p. in vol. .].
鉴于天然药物化合物在周围环境中稳定、可透过血脑屏障和/或血眼屏障且便于给药等优点,它们日益成为神经保护领域有前景的治疗候选物。四甲基吡嗪(TMP),也被称为川芎嗪,是从一种最常见的中草药中提取的,已被认为在中枢神经系统以及周围神经网络中具有神经保护作用。尽管其神经保护作用的详细分子机制了解有限,但越来越多的证据表明,抗氧化应激、钙拮抗作用以及对促炎因子的抑制对其神经保护作用有显著贡献。在动物研究中,对Sprague-Dawley大鼠全身性给予TMP(皮下注射,50 mg/kg)可显著阻断在红藻氨酸诱导的长时间癫痫发作后海马体以及大脑其他易损区域的神经元变性。我们和其他人的研究结果也证明了TMP对视网膜细胞具有强大的神经保护作用,并且对阿尔茨海默病或其他脑损伤的大脑有显著益处。这些结果表明TMP作为特定神经退行性疾病的治疗药物具有广阔前景。鉴于对大多数神经保护天然药物化合物(如TMP)已有的分布、代谢、排泄和毒性信息评估,为将此类治疗化合物用于人体临床试验提供依据的临床前数据是可行的。[这纠正了卷中第页的文章。]