Wroclaw Alzheimer's Research Center, Wroclaw, Poland.
Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Centre for Addiction and Mental Health, Toronto, ON, Canada.
Pharmacol Biochem Behav. 2019 Sep;184:172743. doi: 10.1016/j.pbb.2019.172743. Epub 2019 Jul 26.
Alzheimer's disease (AD) is the most common neurodegenerative disease causing dementia in the elderly population. Due to the fact that there is still no cure for Alzheimer's dementia and available treatment strategies bring only symptomatic benefits, there is a pressing demand for other effective strategies such as diet. Since the inflammation hypothesis gained considerable significance in the AD pathogenesis, elucidating the modulatory role of dietary factors on inflammation may help to prevent, delay the onset and slow the progression of AD. Current evidence clearly shows that synergistic action of combined supplementation and complex dietary patterns provides stronger benefits than any single component considered separately. Recent studies reveal the growing importance of novel factors such as dietary advanced glycation end products (d-AGE), gut microbiota, butyrate and vitamin D on inflammatory processes in AD.
This paper summarizes the available evidence of pro- and anti-inflammatory activity of some dietary components including fatty acids, vitamins, flavonoids, polyphenols, probiotics and d-AGE, and their potential for AD prevention and treatment.
阿尔茨海默病(AD)是最常见的老年痴呆症神经退行性疾病。由于目前尚无治愈阿尔茨海默病痴呆症的方法,而现有的治疗策略仅能带来症状上的改善,因此人们迫切需要其他有效的策略,如饮食。由于炎症假说在 AD 发病机制中具有相当重要的意义,阐明饮食因素对炎症的调节作用可能有助于预防、延迟发病并减缓 AD 的进展。目前的证据清楚地表明,联合补充和复杂的饮食模式的协同作用比任何单一成分的单独考虑提供更强的益处。最近的研究揭示了新的因素,如饮食中晚期糖基化终产物(d-AGE)、肠道微生物群、丁酸和维生素 D 对 AD 中炎症过程的重要性。
本文总结了一些饮食成分(包括脂肪酸、维生素、类黄酮、多酚、益生菌和 d-AGE)的促炎和抗炎活性及其在 AD 预防和治疗中的潜在作用的现有证据。