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阿替洛尔在帕金森病中的多巴胺能神经保护作用。

Dopaminergic Neuroprotection with Atremorine in Parkinson´s Disease.

机构信息

Health Biotechnology, EuroEspes Biotechnology, Corunna, Spain.

Sechenov First Moscow State Medical University, 119991, Moscow, Russian Federation.

出版信息

Curr Med Chem. 2018;25(39):5372-5388. doi: 10.2174/0929867325666180410100559.

Abstract

Patients with Parkinson's disease (PD) are looking forward to new therapeutic strategies that may gradually decelerate the rate of neurodegenerative decline, associated with mobility restrictions and related morbidity. Its continuous neurodegenerative process, exacerbated by genetic mutations or environmental toxins, involves a progressive reduction in the dopamine neurotransmission levels, synaptic uptake density, oxidative glucose intake, deficient striatal lactate accumulation and chronic inflammation. Over the last decade, novel bioproducts have received considerable interest due to their unique potential of unifying nutritional, safety and therapeutic natural effects. Some nutraceuticals play a crucial role in the control of the signaling transduction pathways in neurotransmission and inflammation affected in PD, and some natural compounds can beneficially interact with each one of these biological mechanisms to slow down disease progression. Atremorine, a novel plant-derived nutraceutical, probably with a neuroprotective effect in the dopaminergic neurons of the substantia nigra (pars compacta), is a prototype of this new category of bioproducts with potential effects in PD. The major focus of this review will be on the current knowledge and biomedical investigation strategies through a plant-derived neuroprotective approach to improve life quality in PD patients, being of paramount importance for health providers, caregivers and the patients themselves.

摘要

帕金森病(PD)患者期待新的治疗策略,这些策略可能会逐渐减缓神经退行性下降的速度,与运动受限和相关发病率有关。其持续的神经退行性过程,加剧了基因突变或环境毒素,涉及多巴胺神经递质传递水平、突触摄取密度、氧化葡萄糖摄取、纹状体乳酸积累不足和慢性炎症的逐渐降低。在过去的十年中,由于其在统一营养、安全性和治疗天然效果方面的独特潜力,新型生物制品引起了相当大的兴趣。一些营养保健品在控制受 PD 影响的神经传递和炎症中的信号转导途径方面发挥着关键作用,一些天然化合物可以与这些生物机制中的每一个有益地相互作用,从而减缓疾病的进展。Atremorine 是一种新型植物源营养保健品,可能对黑质(致密部)中的多巴胺能神经元具有神经保护作用,是具有潜在 PD 作用的新型生物制品的原型。本篇综述的重点将是通过植物源性神经保护方法改善 PD 患者生活质量的当前知识和生物医学研究策略,这对卫生提供者、护理人员和患者本身都至关重要。

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