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营养保健品及其在帕金森病中的预防或潜在治疗价值。

Nutraceuticals and their preventive or potential therapeutic value in Parkinson's disease.

机构信息

Laboratory of Neurodegenerative Diseases, Department of Anatomy, LKS Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.

出版信息

Nutr Rev. 2012 Jul;70(7):373-86. doi: 10.1111/j.1753-4887.2012.00484.x. Epub 2012 May 22.

Abstract

Parkinson's disease (PD) is the second most common aging-related disorder in the world, after Alzheimer's disease. It is characterized by the progressive loss of dopaminergic neurons in the substantia nigra pars compacta and other parts of the brain, leading to motor impairment, cognitive impairment, and dementia. Current treatment methods, such as L-dopa therapy, are focused only on relieving symptoms and delaying progression of the disease. To date, there is no known cure for PD, making prevention of PD as important as ever. More than a decade of research has revealed a number of major risk factors, including oxidative stress and mitochondrial dysfunction. Moreover, numerous nutraceuticals have been found to target and attenuate these risk factors, thereby preventing or delaying the progression of PD. These nutraceuticals include vitamins C, D, E, coenzyme Q10, creatine, unsaturated fatty acids, sulfur-containing compounds, polyphenols, stilbenes, and phytoestrogens. This review examines the role of nutraceuticals in the prevention or delay of PD as well as the mechanisms of action of nutraceuticals and their potential applications as therapeutic agents, either alone or in combination with current treatment methods.

摘要

帕金森病(PD)是世界上仅次于阿尔茨海默病的第二大与衰老相关的疾病。它的特征是黑质致密部和大脑其他部位的多巴胺能神经元进行性丧失,导致运动障碍、认知障碍和痴呆。目前的治疗方法,如左旋多巴治疗,仅专注于缓解症状和延缓疾病进展。迄今为止,尚无已知的 PD 治愈方法,因此预防 PD 变得前所未有的重要。十多年的研究揭示了许多主要的风险因素,包括氧化应激和线粒体功能障碍。此外,还发现了许多营养保健品可以针对和减轻这些风险因素,从而预防或延缓 PD 的进展。这些营养保健品包括维生素 C、D、E、辅酶 Q10、肌酸、不饱和脂肪酸、含硫化合物、多酚、白藜芦醇和植物雌激素。本文综述了营养保健品在预防或延缓 PD 中的作用,以及营养保健品的作用机制及其作为治疗剂的潜在应用,无论是单独使用还是与当前的治疗方法联合使用。

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