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帕金森病中植物源性神经保护剂

Plant-derived neuroprotective agents in Parkinson's disease.

作者信息

Fu Wenyu, Zhuang Wenxin, Zhou Shuanhu, Wang Xin

机构信息

Histology and Embryology, Weifang Medical University Weifang, Shandong, P R China.

Medical Research Center, Weifang Medical University Weifang, Shandong, P R China.

出版信息

Am J Transl Res. 2015 Jul 15;7(7):1189-202. eCollection 2015.

Abstract

Parkinson's disease (PD) is one of the most common degenerative disorders of the central nervous system among the elderly. The disease is caused by the slow deterioration of the dopaminergic neurons in the substantia nigra. Treatment strategies to protect dopaminergic neurons from progressive damage have received much attention. However there is no effective treatment for PD. Traditional Chinese medicines have shown potential clinical efficacy in attenuating the progression of PD. Increasing evidence indicates that constituents of some Chinese herbs include resveratrol, curcumin, and ginsenoside can be neuroprotective. Since pathologic processes in PD including inflammation, oxidative stress, apoptosis, mitochondrial dysfunction, and genetic factors lead to neuronal degeneration, and these Chinese herbs can protect dopaminergic neurons from neuronal degeneration, in this article, we review the neuroprotective roles of these herbs and summarize their anti-inflammatory, antioxidant, and anti-apoptotic effects in PD. In addition, we discuss their possible mechanisms of action in in vivo and in vitro models of PD. Traditional Chinese medicinal herbs, with their low toxicity and side-effects, have become the potential therapeutic interventions for prevention and treatment of PD and other neurodegenerative diseases.

摘要

帕金森病(PD)是老年人中最常见的中枢神经系统退行性疾病之一。该疾病是由黑质中多巴胺能神经元的缓慢退化引起的。保护多巴胺能神经元免受渐进性损伤的治疗策略受到了广泛关注。然而,目前尚无针对帕金森病的有效治疗方法。中药在减缓帕金森病进展方面已显示出潜在的临床疗效。越来越多的证据表明,一些中药成分如白藜芦醇、姜黄素和人参皂苷具有神经保护作用。由于帕金森病中的病理过程包括炎症、氧化应激、细胞凋亡、线粒体功能障碍和遗传因素导致神经元变性,而这些中药可以保护多巴胺能神经元免受神经元变性,因此在本文中,我们综述了这些中药的神经保护作用,并总结了它们在帕金森病中的抗炎、抗氧化和抗凋亡作用。此外,我们还讨论了它们在帕金森病体内和体外模型中的可能作用机制。中药具有低毒性和副作用,已成为预防和治疗帕金森病及其他神经退行性疾病的潜在治疗干预措施。

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