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针对血液中同型半胱氨酸的靶向治疗是阿尔茨海默病患者认知功能潜在的恢复性治疗方法。

Targeting therapy for homocysteic acid in the blood represents a potential recovery treatment for cognition in Alzheimer's disease patients.

作者信息

Hasegawa Tohru, Ukai Wataru

机构信息

Saga Woman Junior College, Saga 840-8550, Japan.

Department of Neuropsychiatry, Sapporo Medical University, School of Medicine, S-1, W-16, Chuo-ku, Sapporo, 0608543, Japan.

出版信息

Aging (Albany NY). 2016 Sep 14;8(9):1838-1843. doi: 10.18632/aging.101046.

Abstract

At present, we have no reliable means of recovering cognitive impairment in Alzheimer's disease (AD) patients. We hypothesized that homocysteic acid (HA) in the blood might represent one such pathogen that could be excreted into the urine. Since DHA is known to reduce circulating levels of homocysteine, and since exercise attenuates this effect, it follows that supplementation of the diet with DHA, along with increased levels of physical activity, may help to reduce cognitive impairment in AD patients. Our hypothesis was proven to be correct because memory problems in 3xTg- AD mice (a model for AD in which animals develop amyloid pathology), and in a mouse model of familial AD, were recovered following treatment with an anti-HA antibody and not by amyloid treatment. Interestingly, 3xTg-AD mice with amyloid pathology showed increased levels of HA level. This could perhaps be explained by the fact that amyloid precursor protein and/or presenilin increases calcium influx, which could then increase levels of superoxide and consequently increase levels of HA from homocysteine or methionine. Our hypothesis is also partially supported by an open clinical trial of certain dietary supplements that has shown impressive results. Also there are other treatments hypothesis which would be possible for the effective therapies, such as ribonucleoprotein therapy, a β-secretase inhibitor treatment and the metabolic enhancement treatment.

摘要

目前,我们尚无可靠方法恢复阿尔茨海默病(AD)患者的认知障碍。我们推测血液中的同型半胱氨酸(HA)可能是一种可排泄到尿液中的致病原。由于已知二十二碳六烯酸(DHA)可降低同型半胱氨酸的循环水平,且运动可减弱这种作用,因此,在饮食中补充DHA并增加体力活动水平,可能有助于减轻AD患者的认知障碍。我们的假设被证明是正确的,因为用抗HA抗体治疗后,3xTg-AD小鼠(一种动物会出现淀粉样病变的AD模型)以及家族性AD小鼠模型中的记忆问题得到了恢复,而淀粉样蛋白治疗则没有效果。有趣的是,有淀粉样病变的3xTg-AD小鼠的HA水平升高。这或许可以用以下事实来解释:淀粉样前体蛋白和/或早老素会增加钙内流,进而增加超氧化物水平,从而使同型半胱氨酸或甲硫氨酸转化为HA的水平升高。一项关于某些膳食补充剂的开放临床试验也部分支持了我们的假设,该试验已显示出令人印象深刻的结果。此外,还有其他可能用于有效治疗的假设性疗法,如核糖核蛋白疗法、β-分泌酶抑制剂治疗和代谢增强治疗。

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Ageing research: Blood to blood.衰老研究:血液与血液之间
Nature. 2015 Jan 22;517(7535):426-9. doi: 10.1038/517426a.
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Amyloid-beta: a crucial factor in Alzheimer's disease.β-淀粉样蛋白:阿尔茨海默病的关键因素。
Med Princ Pract. 2015;24(1):1-10. doi: 10.1159/000369101. Epub 2014 Nov 27.
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Presenilins: role in calcium homeostasis.早老素:钙稳态中的作用。
Int J Biochem Cell Biol. 2012 Nov;44(11):1983-6. doi: 10.1016/j.biocel.2012.07.019. Epub 2012 Jul 27.

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