Laboratory of Neurosciences, Centre for Cell Biology, Health Sciences Department and Biology Department, University of Aveiro , 3810-193 Aveiro, Portugal.
ACS Chem Neurosci. 2014 Feb 19;5(2):83-92. doi: 10.1021/cn400213r. Epub 2014 Jan 3.
Alzheimer's disease is characterized by pathological aggregation of protein tau and amyloid-β peptides, both of which are considered to be toxic to neurons. Naturally occurring dietary flavonoids have received considerable attention as alternative candidates for Alzheimer's therapy taking into account their antiamyloidogenic, antioxidative, and anti-inflammatory properties. Experimental evidence supports the hypothesis that certain flavonoids may protect against Alzheimer's disease in part by interfering with the generation and assembly of amyloid-β peptides into neurotoxic oligomeric aggregates and also by reducing tau aggregation. Several mechanisms have been proposed for the ability of flavonoids to prevent the onset or to slow the progression of the disease. Some mechanisms include their interaction with important signaling pathways in the brain like the phosphatidylinositol 3-kinase/Akt and mitogen-activated protein kinase pathways that regulate prosurvival transcription factors and gene expression. Other processes include the disruption of amyloid-β aggregation and alterations in amyloid precursor protein processing through the inhibition of β-secretase and/or activation of α-secretase, and inhibiting cyclin-dependent kinase-5 and glycogen synthase kinase-3β activation, preventing abnormal tau phosphorylation. The interaction of flavonoids with different signaling pathways put forward their therapeutic potential to prevent the onset and progression of Alzheimer's disease and to promote cognitive performance. Nevertheless, further studies are needed to give additional insight into the specific mechanisms by which flavonoids exert their potential neuroprotective actions in the brain of Alzheimer's disease patients.
阿尔茨海默病的特征是蛋白 tau 和淀粉样 β 肽的病理性聚集,这两者都被认为对神经元有毒性。考虑到其抗淀粉样形成、抗氧化和抗炎特性,天然存在的膳食类黄酮作为阿尔茨海默病治疗的替代候选物受到了相当大的关注。实验证据支持这样一种假设,即某些类黄酮可能通过干扰淀粉样 β 肽生成和组装成神经毒性寡聚体聚集,并通过减少 tau 聚集,从而起到预防阿尔茨海默病的作用。已经提出了几种机制来解释类黄酮预防疾病发作或减缓疾病进展的能力。一些机制包括它们与大脑中重要信号通路的相互作用,如磷酸肌醇 3-激酶/蛋白激酶 B 和丝裂原活化蛋白激酶通路,这些通路调节生存相关转录因子和基因表达。其他过程包括通过抑制 β-分泌酶和/或激活 α-分泌酶来破坏淀粉样蛋白聚集和改变淀粉样前体蛋白的处理,以及抑制周期蛋白依赖性激酶-5 和糖原合酶激酶-3β 的激活,从而阻止异常 tau 磷酸化。类黄酮与不同信号通路的相互作用提出了它们的治疗潜力,可以预防阿尔茨海默病的发作和进展,并促进认知表现。然而,需要进一步的研究来更深入地了解类黄酮在阿尔茨海默病患者大脑中发挥其潜在神经保护作用的具体机制。