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治疗帕金森病的重要草药。

Important medicinal herbs in Parkinson's disease pharmacotherapy.

机构信息

Laboratory of Cellular & Molecular Neurobiology, School of Life Sciences, Jawaharlal Nehru University, New Delhi, 110067, India.

Laboratory of Cellular & Molecular Neurobiology, School of Life Sciences, Jawaharlal Nehru University, New Delhi, 110067, India.

出版信息

Biomed Pharmacother. 2017 Aug;92:856-863. doi: 10.1016/j.biopha.2017.05.137. Epub 2017 Jun 6.

Abstract

Parkinson's disease (PD) is the most common progressive neurodegenerative movement disorder affecting more than 10 million people worldwide. The characteristic hallmark of PD involves progressive loss of dopaminergic (DA-ergic) neuron in Substantia Nigra pars compacta (SNpc) region of the brain, however, aetiology of the disease still remains unclear. Mitochondrial dysfunction and oxidative insult are considered to be the key culprit. The current therapy available for PD primarily relies on Levodopa that offers the potential of slowing down disease progression to some extent but includes lot of side effects. Any potential drug capable of treating or halting the disease still remains to be identified. It is evident that redox stabilization and replenishment of mitochondrial function seem to be an important therapeutic approach against PD as both are required for optimal neuronal functioning. Enormous research done in this field has shown that some natural and synthetic products exhibit neuroprotective and anti-apoptotic potential by improving mitochondrial function and alleviating oxidative stress. Therefore, the present review aims to discuss some of the important medicinal natural herbs (Bacopa monnieri, Mucuna pruriens, Withania somnifera, Curcuma longa, Gingko Biloba, and Camellia sinensis) in context to their neuroprotective potential and also in the development of novel therapeutic strategies against PD.

摘要

帕金森病(PD)是全球影响超过 1000 万人的最常见的进行性神经退行性运动障碍。PD 的特征性标志涉及大脑黑质致密部(SNpc)区域多巴胺能(DA-ergic)神经元的进行性丧失,然而,该疾病的病因仍然不清楚。线粒体功能障碍和氧化损伤被认为是关键罪魁祸首。目前 PD 的主要治疗方法依赖于左旋多巴,它具有在一定程度上减缓疾病进展的潜力,但包括很多副作用。任何有潜力治疗或阻止疾病的潜在药物仍有待确定。很明显,氧化还原稳定和补充线粒体功能似乎是对抗 PD 的重要治疗方法,因为两者都是神经元最佳功能所必需的。在这一领域进行的大量研究表明,一些天然和合成产品通过改善线粒体功能和减轻氧化应激,表现出神经保护和抗细胞凋亡的潜力。因此,本综述旨在讨论一些重要的药用天然草药(假马齿苋、印度菝葜、睡茄、姜黄、银杏和茶)在其神经保护潜力方面,以及针对 PD 的新型治疗策略的开发。

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