Iranshahy Milad, Javadi Behjat
Department of Pharmacognosy, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.
Biotechnology Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, Iran.
Iran J Basic Med Sci. 2019 Oct;22(10):1102-1117. doi: 10.22038/ijbms.2019.36505.8694.
Alzheimer's disease (AD) is a neurodegenerative disease and the leading cause of dementia worldwide. Epidemiological studies support the important role of diet in prevention and improvement of AD. In Traditional Persian Medicine (TPM), there is multiple dietary guidelines to prevent and alleviate dementia and memory impairment. Pharmacological studies have been shown that most of the TPM-recommended dietary items can improve memory and cognitive decline and possess anti-amyloidogenic, . activities. Among them, garlic () and its compounds, S-allyl-cysteine and diallyl-disulfide, coconut () oil, saffron () and crocin and crocetin, honey, fish, lemon balm () and its major compounds rosmarinic acid, raisin and resveratrol, rose flowers () and geraniol, ginger () and its 6-gingerol and 6-shogaol, cumin () and its main component cuminaldehyde have been found to possess stronger anti-AD activities. Most of these items exhibited antioxidant and AChE inhibitory activities and decreased lipid peroxidation. They also possessed anti-amyloidogenic effects, reduced cerebral plaques and Aβ-species, suppressed cerebral inflammation and alterations in tau protein and inhibited Aβ-induced apoptosis through various mechanisms. Noticeably, there are similarities between TPM anti-AD diet and the typical Mediterranean diet whose beneficial effects on AD have been widely demonstrated. Given the importance of traditional medicine systems in discovering new medicines and nutraceuticals for curing ailments, considering TPM anti-AD dietary recommendations in future research would be helpful.
阿尔茨海默病(AD)是一种神经退行性疾病,也是全球痴呆症的主要病因。流行病学研究支持饮食在预防和改善AD方面的重要作用。在传统波斯医学(TPM)中,有多种饮食指南用于预防和缓解痴呆症及记忆障碍。药理学研究表明,TPM推荐的大多数饮食项目都可以改善记忆力和认知能力下降,并具有抗淀粉样蛋白生成等活性。其中,大蒜及其化合物S-烯丙基半胱氨酸和二烯丙基二硫化物、椰子油、藏红花及其化合物藏红花素和藏红花酸、蜂蜜、鱼类、香蜂草及其主要化合物迷迭香酸、葡萄干和白藜芦醇、玫瑰花及其香叶醇、生姜及其6-姜酚和6-姜烯酚、小茴香及其主要成分对异丙基苯甲醛已被发现具有较强的抗AD活性。这些项目大多表现出抗氧化和乙酰胆碱酯酶抑制活性,并减少脂质过氧化。它们还具有抗淀粉样蛋白生成作用,减少脑斑块和Aβ物种,抑制脑部炎症和tau蛋白改变,并通过各种机制抑制Aβ诱导的细胞凋亡。值得注意的是,TPM抗AD饮食与典型的地中海饮食之间存在相似之处,地中海饮食对AD的有益作用已得到广泛证实。鉴于传统医学体系在发现治疗疾病的新药和营养保健品方面的重要性,在未来的研究中考虑TPM抗AD饮食建议将有所帮助。