Shal Bushra, Ding Wei, Ali Hussain, Kim Yeong S, Khan Salman
Department of Pharmacy, Faculty of Biological Sciences, Quaid-i-Azam University, Islamabad, Pakistan.
Department of Neurosurgery, Rizhao Hospital of Traditional Chinese Medicine, Rizhao, China.
Front Pharmacol. 2018 May 29;9:548. doi: 10.3389/fphar.2018.00548. eCollection 2018.
Alzheimer's disease (AD) is a chronic progressive neurodegenerative disorder associated with dementia and cognitive impairment most common in elderly population. Various pathophysiological mechanisms have been proposed by numerous researcher, although, exact mechanism is not yet elucidated. Several studies have been indicated that neuroinflammation associated with deposition of amyloid- beta (Aβ) in brain is a major hallmark toward the pathology of neurodegenerative diseases. So, there is a need to unravel the link of inflammatory process in neurodegeneration. Increased microglial activation, expression of cytokines, reactive oxygen species (ROS), and nuclear factor kappa B (NF-κB) participate in inflammatory process of AD. This review mainly concentrates on involvement of neuroinflammation and the molecular mechanisms adapted by various natural compounds, phytochemicals and herbal formulations in various signaling pathways involved in neuroprotection. Currently, pharmacologically active natural products, having anti-neuroinflammatory potential are being focused which makes them potential candidate to cure AD. A number of preclinical and clinical trials have been done on nutritional and botanical agents. Analysis of anti-inflammatory and neuroprotective phytochemicals such as terpenoids, phenolic derivatives, alkaloids, glycosides, and steroidal saponins displays therapeutic potential toward amelioration and prevention of devastating neurodegeneration observed in AD.
阿尔茨海默病(AD)是一种慢性进行性神经退行性疾病,与痴呆和认知障碍相关,在老年人群中最为常见。众多研究人员提出了各种病理生理机制,然而,确切机制尚未阐明。多项研究表明,与大脑中淀粉样β蛋白(Aβ)沉积相关的神经炎症是神经退行性疾病病理学的一个主要标志。因此,有必要揭示神经炎症在神经退行性变中的联系。小胶质细胞活化增加、细胞因子表达、活性氧(ROS)和核因子κB(NF-κB)参与了AD的炎症过程。本综述主要关注神经炎症的参与以及各种天然化合物、植物化学物质和草药配方在参与神经保护的各种信号通路中所采用的分子机制。目前,具有抗神经炎症潜力的药理活性天然产物受到关注,这使其成为治疗AD的潜在候选药物。已经对营养和植物制剂进行了多项临床前和临床试验。对萜类、酚类衍生物、生物碱、糖苷和甾体皂苷等抗炎和神经保护植物化学物质的分析显示出对改善和预防AD中观察到的毁灭性神经退行性变的治疗潜力。