Student's Research Committee, Faculty of Pharmacy, Kermanshah University of Medical Sciences, Kermanshah 6714415153, Iran.
Pharmaceutical Sciences Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah 6734667149, Iran.
Biomolecules. 2019 Nov 3;9(11):690. doi: 10.3390/biom9110690.
As a group of progressive, chronic, and disabling disorders, neurodegenerative diseases (NDs) affect millions of people worldwide, and are on the rise. NDs are known as the gradual loss of neurons; however, their pathophysiological mechanisms have not been precisely revealed. Due to the complex pathophysiological mechanisms behind the neurodegeneration, investigating effective and multi-target treatments has remained a clinical challenge. Besides, appropriate neuroprotective agents are still lacking, which raises the need for new therapeutic agents. In recent years, several reports have introduced naturally-derived compounds as promising alternative treatments for NDs. Among natural entities, flavonoids are multi-target alternatives affecting different pathogenesis mechanisms in neurodegeneration. Naringenin is a natural flavonoid possessing neuroprotective activities. Increasing evidence has attained special attention on the variety of therapeutic targets along with complex signaling pathways for naringenin, which suggest its possible therapeutic applications in several NDs. Here, in this review, the neuroprotective effects of naringenin, as well as its related pharmacological targets, signaling pathways, molecular mechanisms, and clinical perspective, are described. Moreover, the need to develop novel naringenin delivery systems is also discussed to solve its widespread pharmacokinetic limitation.
作为一组进行性、慢性和致残性疾病,神经退行性疾病(NDs)影响着全球数百万人,并且还在不断增加。NDs 被称为神经元的逐渐丧失;然而,其病理生理机制尚未被精确揭示。由于神经退行背后的病理生理机制复杂,研究有效的多靶点治疗方法一直是临床挑战。此外,还缺乏适当的神经保护剂,这就需要新的治疗剂。近年来,有几项报告介绍了天然衍生化合物作为治疗 NDs 的有前途的替代方法。在天然实体中,类黄酮是多靶点替代品,可影响神经退行性变中不同的发病机制。柚皮素是一种具有神经保护活性的天然类黄酮。越来越多的证据引起了人们对柚皮素的多种治疗靶点以及复杂信号通路的关注,这表明它在几种 NDs 中的可能治疗应用。在这篇综述中,描述了柚皮素的神经保护作用及其相关的药理靶点、信号通路、分子机制和临床前景。此外,还讨论了需要开发新型柚皮素传递系统来解决其广泛的药代动力学限制。