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营养药物学:一种新兴的治疗阿尔茨海默病发病机制的方法。

Nutraceuticals: An emerging therapeutic approach against the pathogenesis of Alzheimer's disease.

机构信息

Division of Molecular Medicine, Bose Institute, P-1/12, CIT Scheme VII-M, Kolkata, 700054, India.

Division of Molecular Medicine, Bose Institute, P-1/12, CIT Scheme VII-M, Kolkata, 700054, India.

出版信息

Pharmacol Res. 2018 Mar;129:100-114. doi: 10.1016/j.phrs.2017.11.028. Epub 2017 Nov 26.

Abstract

Alzheimer's disease (AD) is regarded as a progressive and devastating neurodegenerative disorder. In aged individuals, it is the most prevalent cause of dementia and is characterized by gradual loss of cognitive functions. In the last decade, numerous research works were undertaken to investigate the pathogenesis of AD. Although the etiology of AD is still not clear, several histopathological studies confirm prominent changes in the AD affected brains. The major changes include the formation of senile plaques and neurofibrillary tangles primarily owing to the deposition of amyloid β plaques (Aβ) and hyper-phosphorylation of tau protein. Disruption of the redox homeostasis in the brain is a major triggering factor for the development of such pathophysiological conditions. Chemical formulations usually act by inhibiting activities of the enzymes responsible for the development of AD. But with time, these pharmacotherapies develop many side effects including toxicity in different organs. Recent researches are henceforth focused on the identification of novel therapeutic molecules from the nature's basket. This review aims to emphasize the therapeutic effects and regulation of molecular targets of different natural products such as curcumin, resveratrol, genistein and others. These prophylactic multipotent natural compounds have the potency to interfere with the formation as well as deposition of the Aβ peptides. These natural compounds have also been found in modulating different intracellular signalling molecules and enzymes including β-secretase and γ-secretase. This review article is expected to be helpful in understanding the recent progress in natural product research as a therapeutic approach in amelioration and/or delaying the detrimental effects of AD.

摘要

阿尔茨海默病(AD)被认为是一种进行性和破坏性的神经退行性疾病。在老年人中,它是痴呆症最常见的原因,其特征是认知功能逐渐丧失。在过去的十年中,进行了许多研究工作来研究 AD 的发病机制。尽管 AD 的病因尚不清楚,但几项组织病理学研究证实 AD 受影响的大脑存在明显变化。主要变化包括老年斑和神经原纤维缠结的形成,主要归因于淀粉样β斑块(Aβ)的沉积和tau 蛋白的过度磷酸化。大脑氧化还原平衡的破坏是导致这种病理生理状况发展的主要触发因素。化学制剂通常通过抑制导致 AD 发展的酶的活性起作用。但随着时间的推移,这些药物疗法会产生许多副作用,包括不同器官的毒性。因此,最近的研究集中在从自然界的篮子中识别新的治疗分子。本综述旨在强调不同天然产物(如姜黄素、白藜芦醇、染料木黄酮等)的治疗效果和分子靶点调节。这些预防多能天然化合物具有干扰 Aβ肽形成和沉积的潜力。这些天然化合物还被发现可以调节不同的细胞内信号分子和酶,包括β-分泌酶和γ-分泌酶。预计这篇综述文章将有助于理解天然产物研究作为改善和/或延缓 AD 有害影响的治疗方法的最新进展。

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